Ohio Admin. Code 3701-17-17 - Medicines and drugs
(A) The nursing home shall provide or obtain
routine and emergency medicines, drugs and biologicals for its resident except
if prohibited by state or federal law. The nursing home shall permit residents
to use and continue to obtain medicines, drugs and biologicals dispensed to
them from a pharmacy of choice provided the medicines, drugs and biologicals
meet the standards of this rule.
(1) Each
nursing home shall provide pharmacy services by employing a pharmacist on
either a full-time, part-time, or consultant basis or by contracting with a
pharmacy service. The pharmacist or pharmacy service shall be responsible for
maintaining supervision and control of the stocking and dispensing of drugs and
biologicals in the home in accordance with state pharmacy rules.
(2) The nursing home, in conjunction with the
pharmacist or pharmacy service, shall:
(a)
Maintain an emergency and contingency drug supply for use in the absence of the
pharmacist; and
(b) Ensure that
the contingency drug supply is maintained in accordance with state pharmacy
rules.
(B)
Medicines and drugs shall be given only to the individual resident for whom
they are prescribed, shall be given in accordance with the directions on the
prescription or the physician's orders, and shall be recorded on the resident's
medication administration record.
(C) Every container of medicine and drugs
prescribed for a resident shall be properly and clearly labeled in accordance
with applicable state regulations as to the following:
(1) Date dispensed.
(2) Name of resident.
(3) Directions for use.
(4) Name of the prescriber.
(5) Name of the drug, strength, and
prescription number if there is one.
(D) Containers too small to bear a complete
prescription label shall be labeled with at least the prescription number and
the name of the resident, unless application of this label would impair the
functioning of the product, and shall be dispensed in a container bearing a
complete prescription label.
(E)
The nursing home shall ensure that all medications and drugs are stored under
proper temperature controls and secured against unauthorized access. All
medicines and drugs, including those requiring refrigeration, shall be kept in
locked storage areas and separate from materials that may contaminate the
medicines and drugs such as poisonous substances. Where a pharmacist is not
present twenty-four hours-a-day, keys to locked contingency drug supplies shall
be made available to a health care professional licensed under Chapter 4723. or
4731. of the Revised Code and authorized by such chapters to administer drugs.
(F) Each nursing home shall ensure
that the following requirements regarding individual resident's drugs are met:
(1) Appropriate drugs for an individual
resident shall, upon order of a prescriber, be sent with or arranged for the
resident upon temporary absence other than for hospital leave.
(2) At the order of a prescriber, a
resident's drugs shall be sent with or arranged for the resident upon transfer
and discharge. Drugs not so ordered by the prescriber upon transfer or
discharge shall be returned to the pharmacy or disposed of in accordance with
any applicable state or federal laws, rules and regulations.
(3) Upon death of a resident all drugs shall
be returned to the pharmacy, or disposed of in accordance with any applicable
state or federal laws, rules, and regulations.
This paragraph does not preclude a
nursing home from charging a resident for medications and drugs provided to the
resident upon discharge for which the resident has not already paid.
(G)
Paragraph (F) of this rule does not preclude a nursing
home from charging a resident for medications and drugs provided to the
resident upon discharge for which the resident has not already paid.
Notes
Promulgated Under: 119.03
Statutory Authority: 3721.04
Rule Amplifies: 3721.011, 3721.04, 3721.10, 3721.14
Prior Effective Dates: 5/2/1966, 12/21/92, 10/20/01, 4/1/12
Promulgated Under: 119.03
Statutory Authority: 3721.04
Rule Amplifies: 3721.011, 3721.04, 3721.10, 3721.14
Prior Effective Dates: 5/2/1966, 12/21/92, 10/20/01
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