Section 22-B3224. SUPERVISION OF PHARMACEUTICAL SERVICES

 

3224.1Each facility shall establish methods and written procedures for dispensing and administering drugs and biologicals.

 

3224.2The pharmaceutical services shall be under the supervision of a licensed pharmacist for developing, coordinating and supervising pharmaceutical services.

 

3224.3The supervising pharmacist shall do the following:

 

(a)Review the drug regimen of each resident at least monthly and report any irregularities to the Medical Director, Administrator, and Director of Nursing Services;

 

(b)Submit a written report to the Administrator on the status of the pharmaceutical services and staff performance, at least quarterly;

 

(c)Provide a minimum of two (2) in-service sessions per year to all nursing employees, including one (1) session that includes indications, contraindications and possible side effects of commonly used medications;

 

(d)Establish a system of records of receipt and disposition of all controlled substances in sufficient detail to enable an accurate reconciliation; and

 

(e)Determine that drug records are in order and that an account of all controlled substances is maintained and periodically reconciled.

 

3224.4If the facility has an on-site pharmacy, it shall be administered by the supervising licensed pharmacist.

 

3224.5If the facility does not have a pharmacy, it shall arrange for prompt and convenient methods to obtain prescribed medications and biologicals twenty-four (24) hours a day from a provider pharmacy and shall contract with a consultant pharmacist who shall supervise pharmaceutical services.

 

3224.6Any arrangement by a facility to obtain prescribed medications and biologicals from a provider pharmacy shall be pursuant to a written agreement between the facility and the provider pharmacist; any arrangement by the facility to employ a consultant pharmacist shall be pursuant to a written agreement between the facility and the consultant pharmacist.

 

3224.7If the facility does not have a pharmacy but maintains a supply of medications, the consulting or supervisory pharmacist shall do the following:

 

(a)Control all bulk medications and maintain records of receipt and disposition;

 

(b)Dispense medication, properly label them, and make them available to appropriate licensed nursing employees;

 

(c)Provide for emergency withdrawal of medications from the medication supply; and

 

(d)Be a member of the Infection Control Committee and be available for resident care meetings.

 

3224.8Controlled substances shall be handled and managed in accordance with the District of Columbia Uniform Controlled Substances Act of 1981, effective August 5, 1981, D.C. Law 4-29, D.C. Code 33-501 et seq.

 

source

Notice of Final Rulemaking published at 49 DCR 473 (January 18, 2002).