Cal. Code Regs. Tit. 22, § 72357 - Pharmaceutical Service-Labeling and Storage of Drugs
(a) Containers which are cracked, soiled or
without secure closures shall not be used. Drug labels shall be
legible.
(b) All drugs obtained by
prescription shall be labeled in compliance with state and federal laws
governing prescription dispensing. No person other than the dispenser of the
drug shall alter any prescription label.
(c) Nonlegend drugs shall be labeled in
conformance with state and federal food and drug laws.
(d) Test reagents, germicides, disinfectants
and other household substances shall be stored separately from drugs and shall
not be accessible to patients.
(e)
External use drugs in liquid, tablet, capsule or powder form shall be stored
separately from drugs for internal use.
(f) Drugs shall be stored in appropriate
temperatures. Drugs required to be stored at room temperature shall be stored
at a temperature between 15°C (59°F) and 30°C (86°F). Drugs
requiring refrigeration shall be stored in a refrigerator between 2°C
(36°F) and 8°C (46°F). When drugs are stored in the same
refrigerator with food, the drugs shall be kept in a closed container clearly
labeled "drugs."
(g) Drugs shall be
stored in an orderly manner in cabinets, drawers or carts of sufficient size to
prevent crowding.
(h) Dose
preparation and administration areas shall be well-lighted.
(i) Drugs shall be accessible only to
personnel designated in writing by the licensee.
(j) Storage of nonlegend drugs at the bedside
shall meet the following conditions:
(1) The
manner of storage shall prevent access by other patients. Lockable drawers or
cabinets need not be used unless alternate procedures, including storage on a
patient's person or in an unlocked drawer or cabinet are ineffective.
(2) The facility shall record in the patient
health record the bedside medications used by the patient, based on observation
by nursing personnel and/or information supplied by the patient.
(3) The quantity of each drug supplied to the
patient for bedside storage shall be recorded in the health record each time
the drug is so supplied.
(k) Storage of legend drugs at the bedside
shall meet the conditions of 72357(j) and shall in addition:
(1) Be specifically ordered by the prescriber
of the drugs, and
(2) Be limited to
sublingual or inhalation forms of emergency drugs.
(l) Drugs shall not be kept in stock after
the expiration date on the label and no contaminated or deteriorated drugs
shall be available for use.
(m) The
drugs of each patient shall be kept and stored in their originally received
containers. No drug shall be transferred between containers.
(n) Discontinued drug containers shall be
marked, or otherwise identified, to indicate that the drug has ben
discontinued, or shall be stored in a separate location which shall be
identified solely for this purpose. Discontinued drugs shall be disposed of
within 90 days of the date the drug order was discontinued, unless the drug is
reordered within that time.
Notes
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Sections 1418.5 and 1276, Health and Safety Code.
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