1.
Institutions, excluding hospitals, that desire to maintain a stock of
prescription drugs for emergency use by patients who are confined to the
institution, shall obtain an Institutional Emergency Medication Kit (IEMK)
permit from the Mississippi Board of Pharmacy. Emergency use is the procurement
of non-patient assigned medications from a stock supply for the purpose of
initiating medication therapy or supplying non-routine medications to provide
for optimal patient care.
A. Permit. The IEMK
permit shall be classified as either a Manual IEMK or an Automated IEMK. The
manual IEMK permit is required if the dispensing method is such that the
release of each individual dose is not electronically integrated to the
documentation required for each such release. An Automated IEMK permit shall be
required if the dispensing method is such that the release of each individual
dose is electronically integrated to the documentation required for each such
releases. Only one (1) permit, either Manual or Automated, shall be issued per
facility.
B. Application for an
IEMK permit shall be on a form supplied by the Board. The Application for a
Manual IEMK permit shall be accompanied by a fee of One Hundred Dollars
($100.00) and the Application for an Automated IEMK permit shall be accompanied
by a fee of Three Hundred Dollars ($300.00). A separate permit shall be
required for each IEMK and shall be renewed biennially. The Administrator (if a
nursing home or other long-term care facility) or business manager of the
institution shall make application for the IEMK permit. In the event of a
change of the administrator or business manager, a new permit must be obtained.
Any IEMK permit renewal application postmarked after December 31 of the renewal
period shall be returned and a Fifty Dollar ($50.00) late renewal fee shall be
assessed prior to renewal.
C. IEMK
Inventory and Accountability
(1) The contents
of the IEMK are supplied by a pharmacy permitted by the Board. Each IEMK shall
be supplied by only one pharmacy;
(2) The contents of the IEMK are jointly
determined by the consultant pharmacist, medical director, director of nurses
and the pharmacist supplying the IEMK;
(3) The IEMK shall have a "par value" for
each prepackaged product that is stored in the IEMK;
(4) A copy of the inventory of the IEMK is on
file in the institution and at the provider pharmacy and a physical inventory
shall be taken at least annually;
(5) A Manual IEMK permit authorizes an
inventory up to sixty (60) medication items with a limit on the quantity (or
par value) to no more than fifteen (15) units each of the sixty (60) medication
items. A facility may choose to increase six (6) of the medication items to a
maximum of thirty (30) units for those six (6) items. A maximum of ten (10)
medication items may be controlled substances with a maximum limit often (10)
units each. An Automated IEMK permit shall not have any limits on the quantity
of the inventory, except controlled substances shall be limited to a maximum of
twenty (20) medication items with a maximum limit of twenty (20) units
each;
(6) An IEMK withdrawal log
shall be maintained at the institution and all withdrawals of medications from
the IEMK shall be documented as follows:
(a)
name and room number of resident/patient;
(b) drug name, strength, and number of units
withdrawn;
(c) date and time of
withdrawal; and
(d) name of person
withdrawing the medication.
2. Use. Emergency kit medications shall be
administered to patients only for emergencies and when medications are
otherwise unavailable pursuant to a valid medication order or prescription.
Controlled substances may only be administered by licensed healthcare
professionals.
3. Storage and
Security. The IEMK shall be maintained in a securely locked room or cabinet at
the institution. Access to the contents of the IEMK shall be limited to those
licensed personnel designated by the director of nurses and the provider
pharmacist.
4. Controlled
Substances. An IEMK that contains controlled substances (Schedule II, III, IV
and V) shall be subject to the following:
A.
The institution has been issued a controlled substance registration by the
Mississippi Board of Pharmacy;
B.
Controlled substances are stored in a separate locked container; and
C. The withdrawal of controlled substances
shall comply with the Mississippi Pharmacy Practice Regulations and the Drug
Enforcement Administration Regulations.
