6 Colo. Code Regs. § 1011-1-21-8
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-21-8 - PHARMACEUTICAL SERVICES8.1 The hospice shall develop and maintain written policies and procedures for the administration and provision of pharmaceutical services that are consistent with the needs of the patient as determined by the hospice's medical director, patient's attending physician or nurse practitioner.8.2 Medications ordered shall be consistent with the hospice philosophy which focuses on palliation and are consistent with professional practice and regulations of the Colorado Board of Pharmacy.8.3 Managing medications and biologicals(A) The hospice shall ensure that the interdisciplinary group confers with an individual with education and training in medication management as defined in hospice policies and procedures and State law, who is an employee of or under contract with the hospice to ensure that medications and biologicals meet each patient's needs.(B) A hospice inpatient facility shall provide pharmacy services under the direction of a qualified licensed pharmacist who is an employee of or under contract with the hospice. The pharmacist services shall include evaluation of a patient's response to medication therapy, identification of potential adverse medication reactions, and recommended appropriate corrective action.8.4 Ordering of medications (A) Only a licensed health care professional with prescriptive authority may order medications for the patient.(B) If the prescription medication order is verbal or given by or through electronic transmission: (1) The order shall be given only to a licensed nurse, nurse practitioner, pharmacist, or physician; and(2) The individual receiving the order shall record and sign it immediately and have the prescribing person sign it in accordance with state and federal law.8.5 Administration of medication and biologicals(A) The interdisciplinary group, as part of the review of the plan of care, shall determine the ability of the patient and/or family to safely self-administer medications and biologicals to the patient in his or her home.8.6 Dispensing and storage of medications and biologicals(A) The hospice shall obtain medications and biologicals in compliance with state and federal law including Colorado Board of Pharmacy rules.(B) Medications and biologicals shall be labeled in accordance with currently accepted professional practice and shall include appropriate usage, cautionary instructions, and an expiration date (if applicable).(C) The hospice shall have written policies and procedures specific to the patient's care setting for the management and disposal of the patient's medications. At the time medications are first ordered the hospice shall: (1) Provide a copy of the hospice written policies and procedures on the management and disposal of medications to the patient or patient representative and family;(2) Discuss the hospice policies and procedures for managing the safe use and disposal of medications with the patient or representative and the family in a language and manner that they understand to ensure that these parties are educated regarding the safe use and disposal of medications;(3) Document in the patient's clinical record that the written policies and procedures for managing medications was provided and discussed; and(4) Advise that if medications (including controlled substances) have been obtained by prescription for the patient, they are the property of the patient.(D) The hospice shall have a written policy regarding the management and use of emergency kits for as needed medications ordered for an individual patient. The use of an emergency kit that is not prescribed for an individual patient shall be consistent with the Colorado Board of Pharmacy regulations.