Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 34 - BOARD OF PHARMACY
Chapter 10.34.41 - Administration of a Maintenance Injectable Medication
Section 10.34.41.07 - Standard Procedures
Universal Citation: MD Code Reg 10.34.41.07
Current through Register Vol. 51, No. 19, September 20, 2024
A. Before a pharmacist administers a maintenance injectable medication, a pharmacist shall have and maintain a written procedure for any maintenance injectable medication that may be administered.
B. A pharmacist shall administer a maintenance injectable medication in accordance with the written procedure, including:
(1)
Recording and maintaining the prescription files in accordance with Regulation
.05 of this chapter;
(2) Reviewing
and screening for the following:
(a)
Indications;
(b)
Precautions;
(c) Contraindications;
and
(d) Allergies;
(3) Reviewing the process for
handling adverse reactions, including but not limited to:
(a) Acute anaphylactic reactions;
and
(b) Other acute
emergencies;
(4)
Following injection or administration procedures;
(5) Advising the patient of
post-administration procedures, including waiting requirements; and
(6) Documenting and maintaining a maintenance
injectable medication record, including:
(a)
Patient's:
(i) Name;
(ii) Date of birth;
(iii) Address;
(iv) Consent form;
(v) Authorized prescriber; and
(vi) Administering pharmacist's name and
license number;
(b)
Administration:
(i) Date;
(ii) Dose;
(iii) Site; and
(iv) Route;
(c) Maintenance injectable medication:
(i) Name, generic or brand;
(ii) Manufacturer;
(iii) Lot number; and
(iv) Expiration date;
(d) Notification to the authorized prescriber
that the patient received a specific maintenance injectable medication;
and
(e) Verification that the
prescription is:
(i) Not for the patient's
initial dose, if applicable; or
(ii) For the patient's initial dose and the
patient's record contains documented approval from the authorized
prescriber.
D. The pharmacist shall:
(1) Sign and date the standard procedure at
least annually;
(2) Make the
standard procedure available for inspection by the Board upon request;
and
(3) Review and update the
standard procedure as necessary.
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