The institutional pharmacy environment shall be detailed in the institution’s policies and procedures and shall include at the minimum the following:
- (a) How the institution will be enclosed and lockable and how the alarm is to be engaged when not open 24 hours a day;
- (b) How the institution shall have adequate space necessary for the storage, compounding, labeling, dispensing, and sterile preparation of drugs prepared in the pharmacy;
- (c) How the institution is to be arranged and kept clean and in an orderly fashion;
- (d) How the institution designates the sinks with hot and cold running water which are available to all pharmacy personnel;
- (e) The institutions locked storage system used for all controlled substances;
- (f) The institutions designated areas for the storage of flammable and caustic materials and how such areas shall meet the requirements set by local and state fire laws; and
- (g) Describes designated areas for the preparation of sterile products if sterile products are prepared.
Source. #13323, eff 1-5-22