Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part XI - Other Institutions and Facilities › Section 18VAC110-20-590 - Drugs in correctional facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. All prescription drugs at any correctional
				  facility shall be subject to the following conditions:
1. Notwithstanding the allowances in
				  subsections B, C, and D of this section, prescription drugs shall be obtained
				  only on an individual prescription basis.
2. All prepared drugs shall be maintained in
				  a suitable locked storage area with only the person responsible for
				  administering the drugs having access.
3. Complete and accurate records shall be
				  maintained of all drugs received, administered and discontinued. The
				  administration record shall show the:
a.
				  Patient name;
b. Drug name and
				  strength;
c. Number of dosage units
				  received;
d. Prescriber's name;
				  and
e. Date, time and signature of
				  the person administering the individual dose of drug.
4. All unused or discontinued drugs shall be
				  sealed and the amount in the container at the time of the sealing shall be
				  recorded on the drug administration record. Schedule VI drugs shall be returned
				  to the provider pharmacy or to a secondary pharmacy along with the drug
				  administration record, a copy of the drug administration record, or other form
				  showing substantially the same information, within 30 days of discontinuance.
a. The provider or secondary pharmacy shall
				  conduct random audits of returned drug administration records for
				  accountability.
b. The drug
				  administration records shall be filed in chronological order by the provider or
				  secondary pharmacy and maintained for a period of one year or, at the option of
				  the facility, the records may be returned by the pharmacy to the
				  facility.
c. Drugs may be returned
				  to pharmacy stock in compliance with the provisions of
				  18VAC110-20-400.
d. Other drugs
				  shall be disposed of or destroyed by the provider pharmacy in accordance with
				  local, state, and federal regulations.
5. After performing the audit required by
				  subdivision 4 a of this subsection and ensuring the proper maintenance of the
				  administration records, drugs in Schedules II through V shall be destroyed at
				  the site of the correctional facility using a method of destruction that
				  renders the drug unrecoverable.
a. The
				  destruction shall be performed by a nurse, pharmacist, or physician and
				  witnessed by the nurse supervisor, a pharmacist, or a physician.
b. Destruction of drugs shall occur within 30
				  days of discontinuance.
c. A
				  complete and accurate record of the drugs destroyed shall be made. The original
				  of the record of destruction shall be signed and dated by the persons
				  witnessing the destruction and maintained at the correctional facility for a
				  period of two years. A copy of the destruction record shall be maintained at
				  the provider pharmacy for a period of two years.