1. (1) A minimal quantity of drugs may be stocked in patient care areas to meet the immediate therapeutic needs of a patient where delay would interrupt the continuity of, or compromise the care of the patient.
2. (2) A hospital pharmacy must not use a floor-stock drug distribution system as its primary system of drug distribution except in departments staffed with a LIP such as the Emergency Room, Operating Rooms and Radiology.
3. (3) The CPO, in consultation with nursing staff, must prepare a list of drugs by identity and quantity for each area where such supplies are stocked. This list must be kept in the pharmacy.
4. (4) Floor-stock drug supplies must be stored in a secure area only accessible to pharmacy-authorized personnel.
5. (5) All drugs in floor-stock must be labeled in accordance with other rules in this Division.
6. (6) Drugs may only be removed from floor-stock by personnel authorized by the appropriate hospital committee. A drug may only be removed pursuant to a valid prescriber’s order. Removal from stock must be recorded in accordance with policy and in the patient's medical record.
7. (7) The CPO may permit medical supplies and devices to be included in the floor-stock.

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