Current through Register Vol. 35, No. 18, September 24, 2024
A facility with two or more residents that is licensed
pursuant to this rule and that assists with self-administration or safeguards
medications for residents shall have a current custodial drug permit issued by
the state board of pharmacy.
A.
Procurement, labeling and storage: The facility shall provide
assistance to the resident in obtaining the necessary medications, treatment
and medical supplies as identified in the ISP. The facility shall procure,
label and store medications for residents who require assistance with
self-administration of medication in compliance with state and federal laws.
(1) All medications, including
nonprescription drugs, shall be stored in a locked compartment or in a locked
room, as approved by the board of pharmacy and the key shall be in the care of
the administrator or designee.
(2)
Internal medication shall be kept separate from external medications. Drugs to
be taken by mouth shall be separated from all other delivery forms.
(3) A separate, locked refrigerator shall be
provided by the facility for medications. The refrigerator temperature shall be
kept in compliance with the state board of pharmacy requirements for
medications.
(4) All medications,
including nonprescription medications, shall be stored in separate compartments
for each resident and all medications shall be labeled with the resident's
name.
(5) A resident may be
permitted to keep his or her own medication in a locked compartment in his or
her room for self-administration, if the physician's order deems it
appropriate.
(6) The facility shall
not require the residents to purchase medications from any pharmacy.
(7) Medical gases (oxygen) and equipment used
for the administration of inhalation therapy and for resuscitative purposes
shall comply with the national fire protection association (NFPA) 99.
(8) A proof of use record shall be maintained
separately for each schedule II through IV drug (controlled substances). The
proof of use sheet shall document:
(a) the
type and strength of the schedule II through IV drugs;
(b) the date and time staff assisted with
self-administration;
(c) the
resident's name;
(d) the
prescriber's name;
(e) the
dose;
(f) the signature of the
person assisting with delivery of the medication; and
(g) the balance of medication
remaining.
(9) Any
remaining medication discontinued by a physician's order, or upon discharge or
death of the resident shall be inventoried and moved to a separate locked
storage container. Such discontinued medications shall be destroyed upon the
next quarterly visit by the consulting pharmacist in accordance with
16.19.11.10 NMAC.
(10) The record
of medication destruction shall be signed by the administrator or designee and
the pharmacist and shall be kept on file at the facility.
B.
Consulting pharmacist: The
facility shall maintain records demonstrating that the consulting pharmacist
provides the following oversight and guidance.
(1) Reviews the medication regimen as needed,
but at least quarterly/every three months, to determine that all medications
and records are accurate and current. All irregularities shall be reported to
the administrator of the facility and these irregularities shall be resolved by
the administrator within 72 hours.
(2) A system of records of receipt and
disposition of all drugs in sufficient detail to enable an accurate
reconciliation.
(3) Consultation
shall be provided on all aspects of pharmacy services in the facility,
including reference information regarding side effects and, when needed,
physician consultation in cases involving the use of psychotropic
medications.
(4) The consulting
pharmacist will be responsible for assuring that the facility meets all
requirements for storage, labeling, destruction and documentation of
medications as required by the state board of pharmacy, 16.19.11.10 NMAC and
8.370.14 NMAC.