Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: The Division of Community and Public Health,
Department of Health and Senior Services has the authority to establish rules
for dispensing medications according to the Strategic National Stockpile Plan
during a governor-declared state of emergency. This rule defines specific terms
and procedures to follow when dispensing medications according to the Strategic
National Stockpile Plan during a governor-declared state of
emergency.
PUBLISHER'S NOTE: The secretary of state has
determined that the publication of the entire text of the material, which is
incorporated by reference as a portion of this rule would be unduly cumbersome
or expensive. This material as incorporated by reference in the rule shall be
maintained by the agency at its headquarters and shall be made available to the
public for inspection and copying at no more than the actual cost of
reproduction. This note applies only to the reference material. The entire text
of the rule is printed here.
(1) Definitions.
(A) Department-The Missouri Department of
Health and Senior Services or its designee.
(B) Dispense-To deliver a drug to an ultimate
user by or pursuant to the lawful order of a practitioner including the
prescribing, administering, packaging, labeling, or compounding necessary to
prepare the substance for such delivery.
(C) Licensed health care provider-Any person
authorized to dispense medication under Missouri law.
(D) Point of Dispensing (POD)-A
pre-identified mass medication dispensing site(s) that allows community members
to quickly and easily receive treatment according to the state Strategic
National Stockpile plan.
(E)
Volunteer-A person who, of his or her own free will, performs any assigned
duties for the department with no monetary or material compensation.
(F) Supervision-General oversight and the
authorization to direct in any given situation. This includes orientation,
initial and ongoing direction, procedural guidance, and periodic inspection and
evaluations.
(2)
Volunteer Qualifications.
(A) A volunteer may
include medical or non-medical personnel.
(B) A volunteer shall be authorized by the
department prior to performance of the assigned task.
(C) A volunteer covered by the provisions of
section
44.105,
RSMo, shall-
1. Fill out an application prior
to volunteering which shall include at a minimum, full name and current
address, volunteer experience, work experience, any current professional
licenses, registrations, or certifications, and any other information relevant
for the duties to be assigned;
2.
Sign an authorization for the department to conduct a background check that may
include the department's Employee Disqualification List and verification of
professional licensure, if applicable;
3. Complete the same confidentiality training
that a paid department employee is required to take;
4. Sign and abide by the same confidentiality
statement that is required of a paid department employee;
5. Complete any health assessment form
required by the department;
6.
Submit to vaccinations, inoculation, or other medication if recommended and
warranted; and
7. Sign a waiver to
hold the department harmless.
(D) Department staff may function as
volunteers when-
1. Providing services with no
monetary or material compensation;
2. Providing services outside their normal
work hours; and
3. Their duties are
not part of their employment job expectations.
(3) Volunteer Training.
(A) Every person wishing to be a volunteer as
defined by section
44.105,
RSMo, must receive training, provided by the department or its designee, or
demonstrate competencies that at a minimum address chain of command, POD
structure and purpose, universal precautions relevant to dispensing of
medications, medication identification and selection process, prescription
labeling requirements, and patient education.
(B) For all individuals that volunteer, at
the time of a governor-declared state of emergency, supervision and training
specific and relevant to that event shall be provided by the department or its
designee.
(4) Volunteer
Management.
(A) Utilization of Volunteers-In
the event of a governor-declared state of emergency, volunteers may be used to
support the department in mass medication dispensing sites including the set
up, operation, and break down of mass medication dispensing sites.
(B) The department shall keep accurate and
current records of every volunteer who has been recruited, trained, and
accepted by the department, including, at a minimum, volunteer applications and
background checks.
(C) All
volunteers must be equipped with proper personal protective equipment as
appropriate for the situation and in accordance to Occupational Safety and
Health Administration Standards ( 29 CFR Part 1910) 2007, which are
incorporated by reference as published by the Office of the Federal Register,
National Archives and Records Administration and are available on the web at
www.osha.gov or by contacting the
Occupational Safety and Health Administration, 200 Constitution Avenue NW,
Washington, D.C. 20210. This rule does not incorporate any subsequent
amendments or additions.
(5) The department may refuse to accept or
assign any individual as a volunteer.
*Original authority: 44.105, RSMo
2007.