(a)

1. (1) In an intermediate care facility, the review of the medication/drug regimen of the skilled care patients must be done at least each month, and at least quarterly on the intermediate and minimum care patients.
2. (2) In skilled nursing facilities, the review of medication/drug regimen must be done monthly on all patients.

(b)

1. (1) In reviewing the medication/drug regimens of the patients, the pharmacist and registered nurse should, as a minimum, compare the doctor’s orders with the:

   1. (A) Medication administration record;
   2. (B) Medication cards;
   3. (C) Cardex;
   4. (D) Actual medications; and
   5. (E) Prescription labels.

2. (2) Any discrepancies, interactions, irregularities, contraindications, errors, and incompatibilities will be noted:

   1. (A) On the medication/drug regimen review sheet; and
   2. (B) If medication/drug review is being performed by the pharmacist, on the pharmacist’s monthly written report to the administrator.
3. (3) Irregularities observed by the pharmacist that would warrant immediate action should be brought to the director of nursing services’ attention immediately upon their finding.

(c)

1. (1) The person delegated the responsibility of correcting or following through on the errors, irregularities, and discrepancies listed on the pharmacist’s monthly report should document their actions on their report, date it, and sign it.
2. (2) A photocopy of the report may be used for this purpose, but both must be retained in the facility.

3. (3)

   1. (A) If no irregularities or discrepancies are found during the medication/drug regimen review, the person performing the review must note on the review sheet that he or she has reviewed that drug regimen and found no irregularities.
   2. (B) This notation must be dated and signed.