New Mexico Administrative Code
Title 7 - HEALTH
Chapter 9 - NURSING HOMES AND INTERMEDIATE CARE FACILITIES
Part 2 - REQUIREMENTS FOR LONG TERM CARE FACILITIES
Section 7.9.2.57 - PHARMACEUTICAL SERVICES
Universal Citation: 7 NM Admin Code 7.9.2.57
Current through Register Vol. 35, No. 6, March 26, 2024
A. Definitions: As used in this section:
(1) Medication: has the same meaning as the
term "drug".
(2) Prescription
medication: has the same meaning as the term "prescription drug".
B. Services: Each facility shall provide for obtaining medications for the residents from licensed pharmacies.
C. Supervision:
(1) Medication
consultant: Each facility shall retain a registered pharmacist who shall visit
the facility at least monthly to review the drug regimen of each resident and
medication practices.
(2) The
pharmacist shall submit a written report of findings at least monthly to the
facility's administrator.
D. Emergency medication kit:
(1) A facility may have one or more emergency
medication kits available to each charge nurse. All emergency kits shall be
under the control of a pharmacist.
(2) The emergency kit shall be sealed and
stored in a locked area. The facility shall have a policy and procedures for
access by staff to the emergency kit in case of need.
E. Requirements for all medication systems:
(1) Obtaining new
medications: When medications are needed which are not stocked, a licensed
nurse shall telephone an order to the pharmacist who shall fill the
order.
(2) Storing and labeling
medications: All medications shall be handled in accordance with the following
provisions:
(a) The storage and labeling of
medications shall be based on currently acceptable professional
practices.
(b) The consulting
pharmacist shall be responsible to develop policies and procedures governing
all aspects of storage and labeling of medications.
(c) The consulting pharmacist shall be
responsible for assuring the facility meets all requirements for storage and
labeling as required by New Mexico board of pharmacy.
(3) Destruction of medications:
(a) Time limit: Unless otherwise ordered by a
physician, a resident's medication not returned to the pharmacy for credit
shall be removed to a locked storage area when discontinued by a physician's
order. Such discontinued medications will be destroyed within 30 days of the
physician's discontinuance of use.
(b) Procedure: Records shall be kept of all
medication returned for credit or disposal.
(c) Remaining controlled substances: Any
controlled substances remaining after the discontinuance of physician's orders
or the discharge or death of the resident shall be inventoried on the
appropriate U.S. drug enforcement agency form and one copy shall be kept on
file in the facility.
(4) Control of medication:
(a) Receipt of medications: The administrator
or a physician, nurse, or pharmacist, may be an agent of the resident for the
receipt of medications.
(b)
Signatures: When the medication is received by the facility, the person
completing the control record shall sign the record indicating the amount
received.
(c) Discontinuance of
medications: The consulting pharmacist shall assist the facility to develop
policies for the automatic discontinuance of medications.
(5) Proof-of-use record:
(a) For schedule II drugs, a proof-of-use
record shall be maintained which lists, on separate proof-of-use sheets for
each type and strength of schedule II drug, the date and time administered,
resident's name, physician's name, dose, signature of the person administering
dose, and balance.
(b) Proof-of-use
records shall be audited daily by the registered nurse or licensed practical
nurse.
(6) Resident
control and use of medications:
(a) Residents
may have medications in their possession or stored at their bedside on the
order of a physician.
(b)
Medications which, if ingested or brought into contact with the nasal or eye
mucosa, would produce toxic or irritant effects shall be stored and used only
in accordance with the health, safety, and welfare of all residents.
Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.