R432-600-18. Pharmacy Service

  (1) There shall be written policies and procedures, approved by the medical director and administrator, to govern the acquisition, storage, and disposal of medications.

  (2) There shall be provision for the supply of necessary drugs and biologicals on a prompt and timely basis.

  (3) The clinic shall obtain reference material containing monographs on all drugs used in the facility. The drug monographs shall include generic and brand names, available strengths, dosage forms, indications and side effects, and other pharmacological data.

  (4) All medications, solutions, and prescription items shall be kept in a secure controlled storage area and separate from non-medicine items.

  (5) An accessible emergency drug supply shall be maintained in the facility.

  (a) Specific drugs and dosages to be included in the emergency drug supply shall be approved by the medical director.

  (b) Contents of the emergency drug supply shall be listed on the outside of the container.

  (c) The use and regular inventory of the contents shall be documented by nursing staff.

  (6) Medications stored at room temperature shall be maintained within 59 degrees - 80 degrees F (15 degrees to 30 degrees C). Refrigerated medications shall be maintained within 36 degrees - 46 degrees F (2 degrees to 8 degrees C).

  (7) Medications and other items that require refrigeration shall be stored securely and segregated from food items.