Cal. Code Regs. Tit. 22, § 87915 - Storage of Medications
(a) The following requirements shall apply to
medications which are centrally stored:
(1)
Medications shall be kept in a safe and locked place that is not accessible to
persons other than employees responsible for the supervision of the centrally
stored medication.
(A) Keys used to secure
the medications shall not be accessible to residents.
(B) Medications which require refrigeration
shall be stored in a locked container.
(2) All medications shall be labeled and
maintained in compliance with label instructions and state and federal
laws.
(3) No person other than the
dispensing pharmacist shall alter a prescription label.
(4) Each resident's medication shall be
stored in its originally received container.
(5) The licensee shall ensure that each
medication container includes the following information and shall maintain for
each resident a record of centrally stored prescription medications which are
to be retained for at least three years:
(A)
Name and address of pharmacy.
(B)
Prescribing physician's name.
(C)
Prescription number.
(D) Resident's
name.
(E) Date prescription was
dispensed.
(F) Drug name (generic
and manufacturer).
(G) Strength and
number of pills dispensed.
(H)
Directions for taking.
(I) Refill
number.
(J) Expiration
date.
(K) Dietary warnings or
special instructions.
(b) Sample medications, if given by the
prescribing physician, may be used, providing there is a label which contains
the information as required in (6) above, excluding items (A), (C), (I), and
(J).
(c) A new label shall be
prepared by the dispensing pharmacist when there is a change in the originally
prescribed medication.
(d) Stock
bottles of over-the-counter medications shall be used under the following
conditions:
(1) There is a written physician's
order for the medication indicating:
(A) The
name of the resident.
(B) The dose
to be given.
(C) The number of
dosages allowed in a 24-hour period.
(D) The reason for the medication.
(E) The manufacturer's label is included on
the stock bottle.
(2)
This documentation shall be made available to facility personnel who assist
with the medications.
(3) The
physician's order shall be maintained in the resident's
file.
(e) Medications
discontinued by the physician for a period of time not to exceed three months,
may be held by the facility and shall be centrally stored under the following
conditions:
(1) There is a written order from
the physician to HOLD the medications.
(2) The written order is noted in the
Resident's Individual Services Plan.
(3) A piece of adhesive tape is placed around
and over the top of the medication container and is marked with the word "HOLD"
and the date of the "HOLD" order.
Notes
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of subsection (d)(3) transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
Note: Authority cited: Section 1568.072, Health and Safety Code. Reference: Sections 1568.03 and 1568.072, Health and Safety Code.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of subsection (d)(3) transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
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