059-12 Wyo. Code R. §§ 12-13 - Emergency Outpatient Medication

(a) Institutional facilities which provide for the administration and distribution of emergency pharmaceuticals to outpatients and/or inpatients being discharged during hours when normal community or outpatient Institutional pharmacy services are not available, may:

(i) Allow a designated nurse on the original written or electronic order of a practitioner to administer and distribute medications pursuant to the following requirements:

(A) A written or electronic order of a practitioner authorized to prescribe a drug is presented.

(B) The medication is prepackaged by a pharmacist or a technician under a pharmacist's supervision or is administered and distributed utilizing an automated drug dispensing device;

(C) The quantity of medication administered and distributed is limited to a seventy-two hour (72-hour) supply. Exceptions to the 72-hour supply include: oral pediatric antibiotic preparations, otics, ophthalmics, topicals, inhalers, nitroglycerin tablets, nasal sprays, manufacture packaged courses of therapy such as Z-paks or dosepaks; and

(D) The labeling of the administered and distributed medication includes:

(I) Name, address, and telephone number of the institutional facility;

(II) Name of patient;

(III) Name of drug, strength, and quantity;

(IV) Directions for use;

(V) Date;

(VI) Accessory cautionary information, as required for patient safety;

(VII) Name of practitioner; and

(VIII) Initials of the nurse administering and distributing the medication.

(b) The order may be in the form of a separate written or electronic prescription or a prescription entered in the patient's medical record. A practitioner must sign the order. A copy of the prescription order must be readily available for review by the pharmacist.

(c) A record shall be maintained for all medications administered and distributed from the emergency room. The record shall include the following information:

(i) Name of patient;

(ii) Date of issuance;

(iii) Name of drug;

(iv) Patient's institutional facility record number; and

(v) Initials of the nurse who administered and distributed the drug.

(d) The emergency room log for drugs administered and distributed after hours shall be available for review by the pharmacist. Inventory levels will be compared to drugs administered and distributed. Discrepancies will be reviewed with the emergency room nursing supervisor.

(e) Security of all drugs prepackaged must be maintained in a locked cabinet, ADD or storeroom location in the emergency room area to which only specifically authorized personnel shall have access.

Notes

059-12 Wyo. Code R. §§ 12-13