Section 11-99-22 - Pharmaceutical services(a) The facility shall employ a licensed pharmacist, or shall have formal arrangements with a licensed pharmacist to provide consultation on methods and procedures for ordering, storage, administration, disposal, record-keeping of drugs and biologicals, and provision for emergency service.(b) Medications administered to a resident shall be ordered either in writing or verbally by a physician so authorized by facility policy. (1) All verbal or telephone orders for medication shall be recorded and signed by the person receiving them and shall be countersigned by the attending physician within seventy-two hours.(2) All orders shall be renewed by the physician at the time of the resident's visit to the physician or at least every six months.(c) Each drug shall be rechecked and identified immediately prior to administration.(d) Medications shall not be used for any resident other than the one for whom they were issued.(e) Only appropriately trained staff shall be allowed to administer drugs and shall be responsible for proper recording of the medication, including the route of administration. Such persons shall have satisfactorily completed a course of training in the administration of drugs, which course has been approved by the department. Medication errors and drug reactions shall be recorded in the resident's chart and reported immediately to the physician who ordered the drug and an incident report shall be prepared. All incident reports shall be kept available for inspection by the director.(f) Facility staff which makes available medications for residents shall receive appropriate instruction in medications.(g) Drugs shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security. (1) All drugs shall be kept under lock and key except when authorized personnel are in attendance.(2) All security requirements of federal and state laws shall be satisfied as they refer to storerooms and pharmacies.(3) Poisons, drugs used externally, and drugs taken internally shall be stored in locked, well marked separate cabinets, at all locations.(4) Medications that are stored in a refrigerator containing things other than drugs shall be kept apart and in a locked container.(5) If there is a drug storeroom there shall be a perpetual inventory of receipts and issues of all drugs in such storerooms.(6) Discontinued and outdated drugs and containers with worn, illegible, or missing labels shall be returned to the pharmacy or drug room for proper disposition.(h) There shall be written policies and procedures governing resident self-administration of drugs. These shall include at least the following: (1) Procedures for physician documentation in the resident's record that a plan of self-administration should be developed.(2) Supervision of resident self-administration by an appropriately trained staff member.(3) Provision for appropriate storage of drugs.(4) Documentation in the resident's record of resident compliance.[Eff. APR 29, 1985] (Auth: HRS §§ 321-9, 321-10, 321-11, 333-53) (Imp: HRS § 333-53)