Ariz. Admin. Code § R9-10-2113 - Medication Services
A. An
administrator shall ensure that policies and procedures for medication
services:
1. Include:
a. A process for providing information to a
patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
results,
ii. The prescribed
medication's potential adverse reactions,
iii. The prescribed medication's potential
side effects, and
iv. Potential
adverse reactions that could result from not taking the medication as
prescribed;
b.
Procedures for preventing, responding to, and reporting:
i. A medication error,
ii. An adverse reaction to a medication,
or
iii. A medication
overdose;
c. Procedures
for documenting medication administration; and
d. Procedures to ensure that a patient's
medication regimen and method of administration is reviewed by a medical
practitioner to ensure the medication regimen meets the patient's needs;
and
2. Specify a process
for review through the quality management program of:
a. A medication administration error,
and
b. An adverse reaction to a
medication.
B. An administrator shall ensure that:
1. Policies and procedures for medication
administration:
a. Are reviewed and approved
by a medical practitioner;
b.
Specify the individuals who may:
i. Order
medication, and
ii. Administer
medication;
c. Ensure
that medication is administered to a patient only as prescribed; and
d. Cover the documentation of a patient's
refusal to take prescribed medication is documented in the patient's medical
record;
2. Verbal orders
for medication services are taken by a nurse, unless otherwise provided by
law;
3. A medication administered
to a patient:
a. Is administered in compliance
with an order, and
b. Is documented
in the patient's medical record.
C. An administrator shall ensure that:
1. A current drug reference guide is
available for use by personnel members;
2. A current toxicology reference guide is
available for use by personnel members; and
3. If pharmaceutical services are provided on
the premises:
a. A committee, composed of at
least one physician, one pharmacist, and other personnel members as determined
by policies and procedures, is established to:
i. Develop a drug formulary,
ii. Update the drug formulary at least every
12 months,
iii. Develop medication
usage and medication substitution policies and procedures, and
iv. Specify which medications and medication
classifications are required to be stopped automatically after a specific time
period unless the ordering medical staff member specifically orders
otherwise;
b. The
pharmaceutical services are provided under the direction of a
pharmacist;
c. The pharmaceutical
services comply with ARS Title 36, Chapter 27; A.R.S. Title 32, Chapter 18; and
4 A.A.C. 23; and
d. A copy of the
pharmacy license is provided to the Department upon request.
D. When medication is
stored at a recovery care center, an administrator shall ensure that:
1. Medication is stored in a separate locked
room, closet, or self-contained unit used only for medication
storage;
2. Medication is stored
according to the instructions on the medication container; and
3. Policies and procedures are established,
documented, and implemented to protect the health and safety of a patient for:
a. Receiving, storing, inventorying,
tracking, dispensing, and discarding medication, including expired
medication;
b. Discarding or
returning prepackaged and sample medication to the manufacturer if the
manufacturer requests the discard or return of the medication;
c. A medication recall and notification of
patients who received recalled medication; and
d. Storing, inventorying, and dispensing
controlled substances.
E. An administrator shall ensure that a
personnel member immediately reports a medication error or a patient's adverse
reaction to a medication to the medical practitioner who ordered the medication
and, if applicable, the recovery care center's director of nursing.
Notes
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