1. (1) The enhanced services facility must:

   1. (a) Obtain routine and emergency medications for its residents under an agreement with a licensed pharmacy;

   2. (b) Ensure that pharmaceutical services:

      1. (i) Meet the needs of each resident; and
      2. (ii) Establish and monitor systems for the accurate acquiring, receiving, dispensing, control and administering of all medications; and

   3. (c) Employ or obtain the services of a license pharmacist who must:

      1. (i) Provide consultation on all aspects of the provision of pharmacy services in the enhanced services facility;
      2. (ii) Determine that enhanced services facility medication records are in order;
      3. (iii) Perform regular reviews at least once each month of each resident's medication therapy; and
      4. (iv) Document and report medication irregularities to the attending physician.
2. (2) Medications used in the enhanced services facility must be labeled and stored in accordance with applicable state and federal laws.
3. (3) The enhanced services facility must provide pharmaceutical services that meet recognized and accepted standards of pharmacy practice.

4. (4) The enhanced services facility must ensure:

   1. (a) Education and training for enhanced services facility staff by the licensed pharmacist on medication-related subjects including, but not limited to:

      1. (i) Recognized and accepted standards of pharmacy practice and applicable pharmacy laws and rules;
      2. (ii) Appropriate monitoring of residents to determine desired effect and undesirable side effects of medication regimens; and
      3. (iii) Use of psychotropic medications.
   2. (b) Reference materials regarding medication administration, adverse reactions, toxicology, and poison center information are readily available;
   3. (c) Pharmacist monthly medication review reports are acted on in a timely and effective manner;
   4. (d) Accurate detection, documentation, reporting and resolution of medication errors and adverse medication reactions; and
   5. (e) Only individuals authorized by state law to do so will receive medication orders, administer medications, and destroying expired medications.

5. (5) The resident has the right to a choice of pharmacies when purchasing prescription and nonprescription medications as long as the following conditions are met to ensure the resident is protected from medication errors:

   1. (a) The medications are delivered in a unit of use compatible with the established system of the facility for dispensing medications; and
   2. (b) The medications are delivered in a timely manner to prevent interruption of dose schedule.

[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0330, filed 9/12/14, effective 10/13/14.]