Cal. Code Regs. Tit. 22, § 72377 - Pharmaceutical Service-Equipment and Supplies
(a) There shall be adequate equipment and
supplies necessary for the provision of pharmaceutical services within the
facility including at least the following:
(1) Refrigerator with an accurate
thermometer.
(2) Lockable drug
cabinets, drawers, closets or rooms.
(3) Drug service trays and/or
carts.
(4) Drug preparation counter
area and convenient water source.
(5) Reference materials containing drug
monographs on all drugs in use in the facility. Such monographs shall include
information concerning generic and brand names, if applicable, available
strengths and dosage forms and pharmacological data including indications and
side effects.
(b)
Emergency supplies as approved by patient care policy committee or
pharmaceutical service committee shall be readily available to each nursing
station. Emergency drug supplies shall meet the following requirements:
(1) Legend drugs shall not be stored in the
emergency supply, except under the following conditions:
(A) Injectable supplies of legend drugs shall
be limited to a maximum of three single doses in ampules or vials or one
container of the smallest available multi-dose vial and shall be in sealed,
unused containers.
(B) Sublingual
or inhalation emergency drugs shall be limited to single sealed containers of
the smallest available size.
(C)
Not more than six emergency drugs in solid, oral dosage form or suppository
dosage form for anti-infective, antidiarrheal, antinausea, or analgesic use may
be stored if in sealed containers. Not more than four doses of any one drug may
be so stored.
(2) The
emergency drug supply shall be stored in a portable container which is sealed
in such a manner that the tamper-proof seal must be broken to gain access to
the drugs. The director of nursing service or charge nurse shall notify the
pharmacist when drugs have been used from the emergency kit or when the seal
has been broken. Drugs used from the kit shall be replaced within 72 hours and
the supply resealed by the pharmacist.
(3) The contents of the supply shall be
listed on the outside of the container.
(4) The supply shall be checked at least
monthly by the pharmacist.
(5)
Separate records of use shall be maintained for drugs administered from the
supply. Such records shall include the name and dose of the drug administered,
name of the patient, the date and time of administration and the signature of
the person administering the dose.
Notes
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code; Section 4035, Business and Professions Code.
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