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§ 72377. Pharmaceutical Service -Equipment and Supplies.

22 CA ADC § 72377BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 22. Social Security
Division 5. Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 3. Skilled Nursing Facilities
Article 3. Required Services (Refs & Annos)
22 CCR § 72377
§ 72377. Pharmaceutical Service -Equipment and Supplies.
(a) There shall be adequate equipment and supplies necessary for the provision of pharmaceutical services within the facility including at least the following:
(1) Refrigerator with an accurate thermometer.
(2) Lockable drug cabinets, drawers, closets or rooms.
(3) Drug service trays and/or carts.
(4) Drug preparation counter area and convenient water source.
(5) Reference materials containing drug monographs on all drugs in use in the facility. Such monographs shall include information concerning generic and brand names, if applicable, available strengths and dosage forms and pharmacological data including indications and side effects.
(b) Emergency supplies as approved by patient care policy committee or pharmaceutical service committee shall be readily available to each nursing station. Emergency drug supplies shall meet the following requirements:
(1) Legend drugs shall not be stored in the emergency supply, except under the following conditions:
(A) Injectable supplies of legend drugs shall be limited to a maximum of three single doses in ampules or vials or one container of the smallest available multi-dose vial and shall be in sealed, unused containers.
(B) Sublingual or inhalation emergency drugs shall be limited to single sealed containers of the smallest available size.
(C) Not more than six emergency drugs in solid, oral dosage form or suppository dosage form for anti-infective, antidiarrheal, antinausea, or analgesic use may be stored if in sealed containers. Not more than four doses of any one drug may be so stored.
(2) The emergency drug supply shall be stored in a portable container which is sealed in such a manner that the tamper-proof seal must be broken to gain access to the drugs. The director of nursing service or charge nurse shall notify the pharmacist when drugs have been used from the emergency kit or when the seal has been broken. Drugs used from the kit shall be replaced within 72 hours and the supply resealed by the pharmacist.
(3) The contents of the supply shall be listed on the outside of the container.
(4) The supply shall be checked at least monthly by the pharmacist.
(5) Separate records of use shall be maintained for drugs administered from the supply. Such records shall include the name and dose of the drug administered, name of the patient, the date and time of administration and the signature of the person administering the dose.
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code; Section 4035, Business and Professions Code.
This database is current through 11/13/20 Register 2020, No. 46
22 CCR § 72377, 22 CA ADC § 72377
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