Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-100 - General Hospital Standards
Section R432-100-26 - Pharmacy Services
Current through Bulletin 2024-06, March 15, 2024
(1) The pharmacy of a licensee currently accredited and conforming to the standards of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is determined to be in compliance with this section. If a licensee is not accredited by JCAHO, then the licensee's pharmacy services shall comply with rules in this section.
(2) A licensed pharmacist shall direct the pharmacy department and service.
(3) The licensee shall employ personnel in keeping with the size and activity of the department and service.
(4) If the licensee uses only a drug room and the size of the hospital does not warrant a full-time pharmacist, a consultant pharmacist may be employed.
(5) The pharmacist is responsible for developing, supervising, and coordinating any of the activities of the pharmacy.
(6) The licensee shall provide access to emergency pharmaceutical services.
(7) The licensee shall ensure the pharmacist is trained in the specific functions and scope of the hospital pharmacy.
(8) The licensee shall provide facilities for the safe storage, preparation, safeguarding, and dispensing of drugs and ensure the following:
(9) The licensee shall maintain records of the transactions of the pharmacy and medication storage unit and coordinated with other hospital records.
(10) The licensee shall maintain a recorded and signed floor-stock controlled substance count once per shift or the facility that shall use automated dispensing technology in accordance with Section R156-17b-605.
(11) The director of the pharmaceutical department or service shall develop written policies and procedures, in coordination with the medical staff, that pertain to the intra-hospital drug distribution system and the safe administration of drugs.