Md. Code Regs. 10.34.41.07

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.34.41.07 - Standard Procedures

A. Before a pharmacist administers a maintenance injectable medication, a pharmacist shall have and maintain a written procedure for any maintenance injectable medication that may be administered.

B. A pharmacist shall administer a maintenance injectable medication in accordance with the written procedure, including:

(1) Recording and maintaining the prescription files in accordance with Regulation .05 of this chapter;

(2) Reviewing and screening for the following:

(a) Indications;

(b) Precautions;

(c) Contraindications; and

(d) Allergies;

(3) Reviewing the process for handling adverse reactions, including but not limited to:

(a) Acute anaphylactic reactions; and

(b) Other acute emergencies;

(4) Following injection or administration procedures;

(5) Advising the patient of post-administration procedures, including waiting requirements; and

(6) Documenting and maintaining a maintenance injectable medication record, including:

(a) Patient's:

(i) Name;

(ii) Date of birth;

(iii) Address;

(iv) Consent form;

(v) Authorized prescriber; and

(vi) Administering pharmacist's name and license number;

(b) Administration:

(i) Date;

(ii) Dose;

(iii) Site; and

(iv) Route;

(c) Maintenance injectable medication:

(i) Name, generic or brand;

(ii) Manufacturer;

(iii) Lot number; and

(iv) Expiration date;

(d) Notification to the authorized prescriber that the patient received a specific maintenance injectable medication; and

(e) Verification that the prescription is:

(i) Not for the patient's initial dose, if applicable; or

(ii) For the patient's initial dose and the patient's record contains documented approval from the authorized prescriber.

D. The pharmacist shall:

(1) Sign and date the standard procedure at least annually;

(2) Make the standard procedure available for inspection by the Board upon request; and

(3) Review and update the standard procedure as necessary.

Md. Code Regs. 10.34.41.07

Regulation .07 adopted effective 49:12 Md. R. 640, eff. 6/13/2022