Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-750 - Hospice Rule
Section R432-750-24 - Pharmaceutical Services
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall establish and implement written policies and procedures to govern the procurement, storage, administration, and disposal of any drugs and biologicals in accordance with federal and state laws.
(2) A licensed pharmacist shall supervise pharmaceutical services. The pharmacist's duties shall include the following:
(3) The licensee shall establish and implement written policies and procedures for drug control and accountability. Records of receipt and disposition of each controlled drug shall be maintained for accurate reconciliation.
(4) The pharmaceutical service shall ensure that drugs and biologicals are labeled based on currently accepted professional principles, and include the appropriate accessory and cautionary instructions, as well as the expiration date when applicable.
(5) The licensee shall provide secure storage for medications. Medications that require refrigeration shall be maintained between 36 and 46 degrees Fahrenheit (F).
(6) The licensee shall provide separately locked compartments for storage of controlled drugs as well as other drugs subject to abuse. Only authorized personnel, in accordance with state and federal laws, shall have access to the locked medication compartments.
(7) Controlled drugs no longer needed by the patient shall be disposed of by the pharmacist and a registered nurse. The hospice shall maintain written documentation of the disposal.
(8) An inpatient hospice licensee shall maintain an emergency drug kit appropriate to the needs of the facility, assembled in consultation with the pharmacist and readily available for use. The pharmacist shall check and restock the kit at least monthly.