Mich. Admin. Code R. 338.3153a

Current through Vol. 24-18, October 15, 2024

Section R. 338.3153a - Medication orders for patients in medical institutions

Rule 53a.

(1) A licensee shall include all of the following information in a prescription for controlled substance medications to be dispensed for administration to an inpatient in a medical institution:

(a) The patient's name.

(b) The prescriber's name, address, and DEA number. In place of including the address and DEA number on each medication order, the pharmacy may maintain a separate list of prescribers. The list must contain the prescriber's name, address, and DEA number.

(c) The prescriber's signature.

(d) The name, dose, and frequency of administration of the medication.

(e) The date of the medication order.

(2) If alternative therapy has been evaluated and the immediate administration of a controlled substance, including a schedule 2 medication, is necessary for the proper treatment of a patient, a pharmacist may dispense the controlled substance for administration to the inpatient if all of the following conditions are met:

(a) The oral order of the prescriber is committed to a written or electronic order in the patient chart by a nurse licensed under part 172 of the code, MCL 333.17201 to 333.17242, a physician's assistant licensed under part 170 of the code, MCL 333.17001 to 333.17097, or part 175 of the code, MCL 333.17501 to 333.17556, or a pharmacist licensed under part 177 of the code, MCL 333.17701 to 333.17780, who has communicated directly with the prescriber.

(b) The order states the name of the prescriber and the name of the nurse, physician's assistant, or pharmacist who received the verbal order.

(c) The order is forwarded to the pharmacy.

(d) The prescriber signs the original order at the next visit or within 7 days.

(3) A licensee shall preserve an original order for a period of 5 years after the patient discharge date and the original order must be readily retrievable. After 2 years, a licensee may make an electronic duplicate of the original order that becomes the original order. If a licensee maintains patient records electronically, a printed copy must be immediately available for a current inpatient and within 48 hours on request of an authorized agent of the board for a patient discharged in the last 5 years.

Mich. Admin. Code R. 338.3153a

1980 AACS; 1992 AACS; 2002 AACS; 2013 AACS; 2022 AACS; 2024 MR 10, Eff. 5/28/2024