- (a) Security. All medications shall be locked when authorized personnel are not present.
(b)
- (1) Crash carts or emergency medication kits shall be provided.
(2) These carts/kits shall be:
- (A) Secured with a breakaway seal; and
- (B) Stored in an area observable by licensed personnel.
- (3) The cart/kit shall have affixed a listing of the contents.
(c) Refrigeration.
- (1) Refrigeration shall be provided for the proper storage of biological and other drugs.
- (2) An internal thermometer shall be provided and routinely checked to assure temperatures between thirty-six degrees Fahrenheit (36° F) and forty-six degrees Fahrenheit (46° F).
(d) Controlled substances.
(1) Records.
- (A) All controlled substances shall be stored to comply with state and federal regulations.
- (B) Records of disposition of controlled substances shall be maintained.
- (C) The records shall include:
(i) Actual dosage administered to the patient;
(ii) The patient’s name;
(iii) Name of the physician; and
- (iv) The date, time, and signature with title of the person administering the medication.
- (2) Breakage or wastage. When breakage or wastage of a controlled substance occurs, the amount given and the amount wasted must be recorded by the licensed person who wasted the drug and verified by the signature of a licensed person who witnessed the wastage, and how it was wasted.
(3) Inventory.
- (A) There shall be a count at the opening and closing of the facility of all controlled substances stocked in the facility.
- (B) The counts shall be made by two (2) licensed personnel (one (1) to count and one (1) to witness), both of whom shall sign the record with a notation made as to date and time of such count.
- (C) Discrepancies in the count are to be noted and reported to appropriate personnel.
- (e) External use only. Solutions and medications for external use only shall be kept separate from other medication.
- (f) Errors and adverse drug reactions. Medication errors and adverse drug reactions should be documented and reported to the attending physician.
(g) Proper maintenance — All drugs. Drug storage areas should be routinely checked to ensure:
- (1) Proper stock levels;
- (2) Drugs are in date; and
(3) Containers are properly:
- (A) Labeled;
- (B) Stored; and
- (C) Intact.