Wyoming Administrative Code
Agency 059 - Pharmacy, Board of
Sub-Agency 0001 - Pharmacy, Board of
Chapter 12 - INSTITUTIONAL PHARMACY PRACTICE REGULATIONS
Section 12-12 - Absence of Pharmacist
Universal Citation: WY Code of Rules 12-12
Current through September 21, 2024
(a) General. During such times as institutional pharmacy services are not available on-site, arrangements shall be made in advance by the PIC for provision of drugs by use of floor stock, ADD, and/or access to the institutional pharmacy.
(b) If floor stock is used, the following shall prevail:
(i) In the absence of a
registered pharmacist, medication for inpatients shall be obtained from a
locked cabinet or other enclosure located outside the institutional pharmacy to
which only authorized nurses may have access.
(ii) The PIC shall develop inventory listings
of those drugs to be included in such floor stock, and shall ensure that:
(A) Such drugs are available, properly
labeled;
(B) Such drugs are
prepackaged in appropriately small amounts, unless commercially prepared
packages, (e.g. ophthalmics, otics, topicals, etc.)
(C) All drugs shall be checked and
replenished as needed;
(D) A record
shall be maintained, and shall include:
(I)
The date and time of removal of a drug;
(II) The patient's name and
location;
(III) The name, strength,
dosage form, and quantity of drug removed; and
(IV) The printed name and signature of the
nurse removing the drug.
(E) Written policies and procedures are
established.
(c) Access to the institutional pharmacy. Whenever any drug is not available from floor stock, only supervisory or charge nurses may have access to the institutional pharmacy and may remove drugs.
(i) Removal of any drug from the
institutional pharmacy by an authorized nurse must be recorded showing:
(A) The date and time of the removal of the
drug;
(B) The patient's name and
location;
(C) The name, strength,
dosage form, and quantity of drug removed; and
(D) The printed name and signature of the
nurse.
(ii) The nurse
removing the drug shall leave a copy of the physician's order for the new drug
with the above record.
(iii) The
quantity of drug removed shall not exceed the amount of medication needed until
the institutional pharmacy reopens. Drugs that are usually dispensed as a unit
of use package, such as inhalers, otics, topicals, insulin, and ophthalmics,
are excluded.
(iv) A procedure
shall be established to allow verification by the pharmacist of the drug
removed (such as by leaving the identifying container or unit-dose sample of
the drug with the records).
(d) If off-site pharmaceutical care is provided whenever an institutional pharmacy is closed, then the following requirements must be met:
(i) The
institutional pharmacy shall have a pharmacist on duty at the institutional
facility the minimum number of hours required in this chapter.
(ii) Any pharmacist providing off-site
pharmaceutical care under this section shall be licensed to practice pharmacy
in Wyoming.
(iii) The Board shall
be notified in writing by the institutional pharmacy of any arrangement whereby
pharmaceutical care is provided off-site. This notification shall include the
following:
(A) The name, address, and Wyoming
license number of each pharmacist who will be providing this service.
(B) The name, address, and Wyoming license
number of each pharmacy exchanging information with the institutional
facility.
(C) Description of the
communication link that will be utilized to exchange information between the
institutional facility and the off-site pharmacist.
(D) Description of the scope of work of any
pharmacist who provides off-site pharmaceutical care.
(E) Description of patient information that
is to be shared between the institutional facility and the off-site pharmacist.
At minimum, the off-site pharmacist shall have access to the patient's medical
record.
(iv) A
pharmacist providing off-site pharmaceutical care may perform remote order
processing, if the pharmacist has access to appropriate patient information,
including laboratory results.
(v) A
pharmacist providing off-site pharmaceutical care shall provide the following
services as a minimum:
(A) Review of any new
medication order or change in existing medication order prior to administration
by the nursing staff at the institutional facility.
(B) Communication with the institutional
pharmacy staff on a daily basis or whenever the institutional pharmacy is open
for business.
Disclaimer: These regulations may not be the most recent version. Wyoming 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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