South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:51 - PHARMACISTS › Chapter 20:51:29 - Registered pharmacy technicians › Section 20:51:29:19.02 - Exception to ratio for hospital, mail order, and long-term care pharmacy

Current through Register Vol. 51, page 10, July 15, 2024
The maximum ratio of pharmacy technicians to pharmacists
				  that may be on duty in a hospital, mail order, and long-term care pharmacy will
				  be determined by the pharmacist in charge. However, all of the following
				  requirements must be met:
(1)
				Medication is dispensed pursuant to a legal prescription;
(2) The technology includes tablet or product
				imaging and or bar code scanning, or both, to insure accuracy in the
				prescription filling process;
(3) A
				role-based access software automation system that places stop points within the
				prescription filling process is used, which requires a pharmacist's
				intervention before allowing the prescription to move to the next step in the
				prescription dispensing process;
(4) Pharmacy software that screens and
				detects drug allergies, identifies drug interactions, and checks age
				appropriate dosage ranges is used;
(5) A pharmacist reviews clinically
				significant computer warnings of drug interactions. therapy duplications, and
				contraindications;
(6) Electronic
				surveillance technology is used to control access or to provide continuous
				monitoring of all areas where drugs are stored or dispensed or both:
(7) All non-pharmacist personnel who input
				patient drug information into a computer or whose duties include receiving,
				packaging, shipping of drugs, or who have access to any areas where drugs are
				dispensed are registered as pharmacy technicians and meet the requirements in
				chapter 20:51:29;
(8) In hospital
				and long-term care pharmacies, nursing personnel in facilities served by the
				pharmacy have telephone access to a pharmacist 24 hours a day, 7 days a week.
				In mail order pharmacies, a patient has access to a pharmacist 24 hours a day.
				7 days a week on a dedicated pharmacist staff line:
(9) Drug information, both electronic and
				hard copy, is readily available to pharmacists;
(10) A quality assurance program that
				identifies and evaluates dispensing errors, accompanied by a continuous quality
				improvement program that assures very high dispensing accuracy rates in
				place;
(11) There are written
				policies and procedures for all pharmacy functions - clerical, supportive,
				technical, and clinical;
(12) There
				are written policies and procedures for training personnel, including ongoing
				training programs for all personnel and documentation of that training for each
				employee;
(13) There is a strict
				monitoring program designed to prevent diversion of controlled substances. This
				includes perpetual inventory of all schedule I! controlled drugs as well as
				selected high-risk schedule III, IV, and V drugs. Routine audits are conducted
				to review purchases versus dispensing of controlled drugs to deter and detect
				diversion.
General Authority:
SDCL
					 36-11-11(1)(14).
Law Implemented:
SDCL
					 36-11-11(14).