Cal. Code Regs. Tit. 22, § 76413 - Pharmaceutical Services-Equipment and Supplies

(a) There shall be available equipment and supplies necessary for the provision of pharmaceutical services within the facility. This includes, but is not limited to:

(1) Refrigerator with reliable thermometer.

(2) Lockable drug cabinets, drawers, closets or rooms.

(3) Drug service trays or carts.

(4) Drug preparation counter area and convenient water source.

(5) Syringes, needles, rubber tubing, clamps, droppers, medicine glasses, cups or other small containers which are accurately calibrated. Single use equipment shall be discarded after each use.

(6) Current reference materials containing drug monographs on all drugs in use in the facility shall be available at each health support area where such drugs are used. Such monographs shall include information concerning generic and brand names if applicable, available strengths and dosage forms and pharmacological data including contraindications and side effects.

(b) Emergency drug supplies shall be available as determined by the client care policy committee. Facilities shall store a supply of emergency legend drugs on at least one health support area and:

(1) Such drugs shall be limited to a maximum of three single doses in either sealed ampules or vials of any one emergency drug. If an emergency drug is not available in parenteral form, a supply of the drug in inhalation or sublingual form may be maintained in the smallest sealed manufacturer's package. No other oral legend drugs shall be stored.

(2) The emergency drug supply shall be stored in a portable container which is sealed in a manner that the tamper-proof seal must be broken to gain access to the drugs. The registered nurse in charge of nursing services 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 a pharmacist.

(5) Separate records shall be maintained for drugs administered from the supply. Records shall include the name and dose of the drug administered, name of the client, the date and time of administration and the signature of the person administering the dose.

Notes

Cal. Code Regs. Tit. 22, § 76413

Note: Authority cited: Section 208(a), Health and Safety Code. Reference: Section 1276, Health and Safety Code.