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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