Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
Section 11-99-22 - Pharmaceutical services
Current through February, 2024
(a) The facility shall employ a licensed pharmacist, or shall have formal arrangements with a licensed pharmacist to provide consultation on methods and procedures for ordering, storage, administration, disposal, record-keeping of drugs and biologicals, and provision for emergency service.
(b) Medications administered to a resident shall be ordered either in writing or verbally by a physician so authorized by facility policy.
(c) Each drug shall be rechecked and identified immediately prior to administration.
(d) Medications shall not be used for any resident other than the one for whom they were issued.
(e) Only appropriately trained staff shall be allowed to administer drugs and shall be responsible for proper recording of the medication, including the route of administration. Such persons shall have satisfactorily completed a course of training in the administration of drugs, which course has been approved by the department. Medication errors and drug reactions shall be recorded in the resident's chart and reported immediately to the physician who ordered the drug and an incident report shall be prepared. All incident reports shall be kept available for inspection by the director.
(f) Facility staff which makes available medications for residents shall receive appropriate instruction in medications.
(g) Drugs shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security.
(h) There shall be written policies and procedures governing resident self-administration of drugs. These shall include at least the following: