Cal. Code Regs. Tit. 22, § 76901 - Pharmaceutical Services-Labeling and Storage of Drugs
(a) Drug 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 change 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 clients unless so specified in the client's individual
service plan.
(e) External use
drugs in liquid, tablet, capsule or powder form shall be stored separately from
drugs for internal use.
(f) Drugs
required to be stored at room temperature shall be stored at temperatures
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" or
"medications."
(g) Drugs shall be
stored in an orderly manner in cabinets, drawers or carts of a size to prevent
crowding.
(h) Dose preparation and
administration areas shall be lighted in accordance with Table 2-53Q, Part 2,
Title 24, California Administrative Code. If medication carts are utilized a
flashlight shall be available on the cart.
(i) Drugs, hypodermic syringes and needles
shall be accessible only to the administrator, pharmacist, physician,
registered nurses, licensed vocational nurses and psychiatric technicians and
direct care staff who administer medications except as provided in Section
76876(f)(1). Such
access shall be designated in writing by the facility.
(j) 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.
(k) The
drugs of each client shall be kept and stored in the original container. No
drug shall be transferred between containers.
(l) Containers of discontinued drugs shall be
marked to indicate that the drug has been discontinued and shall be disposed of
in accordance with Section
76903 within 90 days unless
reordered within that time.
(m)
Nonlegend medications may be stored at a client's bedside under the following
conditions:
(1) Such storage is not
contraindicated by the attending physician who shall be informed of all such
storage. Facilities may adopt more restrictive policies regarding bedside
storage of medications.
(2) The
names of drugs located at the bedside shall be recorded in the client's
individual service plan.
(3) The
facility shall record bedside medication used daily based on observation or
information supplied by the client.
(4) The facility shall maintain a record of
drugs obtained for bedside use, including date of receipt, client name and
quantity.
(5) Marked change in the
use of self-administered drugs that indicate a significant change in the
condition of the client shall be reported to the physician.
(6) Such medications shall be secured against
access by the other clients.
Notes
Note: Authority cited: Sections 208.4 and 1267.7, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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