1. (1) A unit-dose cart-fill system is a pharmacy controlled unit-of-use drug distribution system.

   1. (a) A unit-dose cart-fill system must provide for separation of drugs by patient name and location, and must be designed to record in an individual patient’s record:

      1. (A) The drug, dose strength, and dosing regimen of those drugs dispensed by the pharmacy;
      2. (B) The number of doses dispensed;
      3. (C) The date of the original order, and the date the order is discontinued.

   2. (b) The system must:

      1. (A) Provide a means for the pharmacist to verify the prescriber's original order;
      2. (B) Provide a means for the pharmacist to verify the accuracy of the selected drug before the dose is delivered for administration to the patient; and
      3. (C) Provide a mechanism to identify controlled substances.
   3. (c) The pharmacist must verify the prescriber’s original order and the accuracy of the selected drug.
2. (2) Controlled substances may be included in the unit-dose system if the system complies with all applicable state and federal laws and regulations.
3. (3) Each drug must be in unit-dose packaging when dispensed except when this is impracticable.
4. (4) A drug not dispensed in unit-dose packaging must be labeled in accordance with other rules in this Division.
5. (5) A drug in a single container multiple-dose package such as an inhaler or a topical drug must be labeled with the patient’s name and location within the facility.
6. (6) A pharmacy technician, certified pharmacy technician, intern or pharmacist may fill daily unit-dose drug supplies for a hospital in-patient or a nursing home patient.
7. (7) The pharmacist must verify the accuracy of a unit-dose package before the dose is delivered for administration to the patient.
8. (8) Each drug must be stored in a locked area or locked cart.

Statutory/Other Authority

ORS 689.205

Statutes/Other Implemented

ORS 689.155

History

BP 3-2010, f. 4-29-10, cert. ef. 4-30-10