New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 371 - DEVELOPMENTAL DISABILITIES
Part 2 - REQUIREMENTS FOR INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
Section 8.371.2.94 - PHARMACY SERVICES

Universal Citation: 8 NM Admin Code 8.371.2.94

Current through Register Vol. 35, No. 18, September 24, 2024

Any facility licensed pursuant to these regulations that supervises the administration or self-administration of medications for clients must have a current custodial care facility license issued by the New Mexico board of pharmacy.

A. The facility must make formal arrangements for qualified pharmacy services, including provision for emergency service.

B. Have a current pharmacy manual that:

(1) includes policies and procedures and defines the functions and responsibilities relating to pharmacy services;

(2) is revised annually to keep abreast of current developments in services and management techniques;

(3) have a formulary system approved by a responsible physician and pharmacist and other appropriate staff. Copies of the facility's formulary system and of the American Hospital Formulary Service must be located and available in the facility.

C. Pharmacist:

(1) Pharmacy services must be provided under the direction of a qualified pharmacist.

(2) The pharmacist must:
(a) when a client is admitted obtain, if possible, a history of prescription and non-prescription drugs used and enter this information in the client's record;

(b) receive the original, or a direct copy, of the physician's drug treatment order;

(c) maintain for each client an individual record of all prescription and nonprescription medication dispensed, including quantities and frequency of refills;

(d) participate, as appropriate, in the continuing interdisciplinary evaluation of individual clients for the purpose of beginning, monitoring and following up on individualized habilitation programs;

(e) establish quality specifications for drug purchases and insure that they are met.

(3) A pharmacist must regularly review the medication record of each client for potential adverse reactions, allergies, interactions, contraindications, rationality and laboratory test modifications and advise the physician of any recommended changes with reasons and with an alternate drug regimen.

(4) The responsible pharmacist, physician, nurse and other professional staff must write policies and procedures that govern the safe administration and handling of all drugs. The following policies and procedures must be included:
(a) self-administration of drugs, whether prescribed or not.

(b) the pharmacist or an individual under the pharmacist's supervision must compound, package, label and dispense drugs including samples and investigational drugs. Proper controls and records must be kept of these processes.

(c) each drug must be identified up to the point of administration.

(d) whenever possible, the pharmacist must dispense drugs that require dosage measurements in a form ready to be administered to the client.

D. Drugs and medications:

(1) A medication must be used only by the client for whom it is issued. Only appropriately trained staff may administer drugs.

(2) Any drug that is discontinued or outdated and any container with a worn, illegible or missing label must be returned to the pharmacy for proper disposition.

(3) The facility must have:
(a) an automatic stop order on all drugs;

(b) a drug recall procedure that can be readily used;

(c) a procedure for reporting adverse drug reactions to the Food and Drug Administration;

(d) an emergency kit available to each living unit and appropriate to the needs of its clients.

(4) Medication errors and drug reactions must be recorded and reported immediately to the practitioner who ordered the drug.

E. Drug storage:

(1) The facility must store drugs under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation and security.

(2) The facility must store drugs used externally and drugs taken internally on separate shelves or in separate cabinets.

(3) The facility must keep medication that is stored in a refrigerator containing other items in a separate compartment with proper security.

(4) If there is a drug storeroom separate from the pharmacy, an inventory of receipts and issues of all drugs from that storeroom must be kept.

(5) The facility must meet the drug security requirements of federal and state laws that apply to storerooms, pharmacies and living units.

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.
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