1. (a) The pharmacist-in-charge of an institutional pharmacy, in cooperation with the appropriate committee of the institutional facility's medical staff, shall prepare a list of prescription drugs that may be delivered to outpatients receiving emergency treatment and shall determine appropriate quantities for unit-of-use packaging and prepackaging of the prescription drug.

2. (b) A licensed health care provider on emergency room staff may deliver the medications identified on the list of prescription drugs prepared under (a) of this section to a patient receiving emergency outpatient treatment if

   1. (1) the drug is ordered by an authorized prescribing practitioner either in writing or verbally; a verbal order must be transcribed into writing on the patient's record;
   2. (2) the medication is prepackaged in a child-resistant container under the direct supervision of a pharmacist;

   3. (3) the medication bears a label that contains the

      1. (A) name, address, and telephone number of the institutional facility;
      2. (B) name, strength, and quantity of the drug;
      3. (C) cautionary information required for patient safety and information;
      4. (D) lot number and expiration date if not already contained on the unit-of-use packaging or prepackaging; and
      5. (E) initials of the pharmacist;
   4. (4) no more than one prepackaged container of a drug is delivered to a patient unless more than one package is required to sustain the patient until a retail pharmacist is on duty in the community; however, the amount of the controlled substance delivered may not exceed a 72 hour supply; and

   5. (5) labeling of the container is completed by the licensed health care provider before the container is presented to the patient; the container label must include the

      1. (A) name of the patient;
      2. (B) directions for use by the patient;
      3. (C) date of delivery;
      4. (D) identifying number unique to the patient;
      5. (E) name of the prescribing practitioner; and
      6. (F) initials of the licensed health care provider delivering the prepackaged medication.
3. (c) Prepackaged medications shall be kept in a secure place within the emergency room.
4. (d) Following delivery of the prepackaged medication to the patient, the licensed health care provider shall document the quantity issued and initial the patient record containing the prescribing practitioner's order.
5. (e) This section does not apply to the administration of a single dose to a patient.
6. (f) In this section, "licensed health care provider" means a physician, physician assistant, or mobile intensive care paramedic licensed under AS 08.64; a dentist licensed under AS 08.36; or a nurse licensed under AS 08.68.

(Eff. 1/16/98, Register 145)

Authority: AS 08.80.005, AS 08.80.030, AS 08.80.157, AS 08.80.390