1. (a) Only a pharmacist shall open and close the pharmacy for dispensing. The pharmacist-in­charge of each institutional pharmacy shall establish written policies identifying specific situations when authorized personnel may be present in the pharmacy in the absence of a licensed pharmacist.

2. (b) In the absence of a pharmacist and in accordance with RSA 318:38, I, registered nurses, designated for this purpose by the pharmacist-in-charge, may obtain from the pharmacy or night cabinet such drugs as needed in an emergency when these drugs are not available in floor stock supplies, as follows:

   1. (1) The authorized nurse may enter the pharmacy area and remove the following:

      1. a. A drug in its original container or a drug prepackaged for use within the facility subject to these rules; or
      2. b. An emergency supply of a drug from the original container to be administered to a specific patient.

   2. (2) The authorized nurse shall document the physician's medication order using a suitable form recording the following:

      1. a. Name and strength of the drug taken;
      2. b. Dosage form taken;
      3. c. Quantity taken;
      4. d. Time and date of withdrawal;
      5. e. Patient name and location, where applicable; and
      6. f. Nurse's signature.
   3. (3) The nurse shall identify the bulk container from which the medication was taken or a representative sample of the unit-dose medication. In the event that a representative sample of a medication is not available to be left, then a photocopy of the label of the medication shall be acceptable.

Source. #13323, eff 1-5-22