Nev. Admin. Code § 449.99758

Current through June 11, 2024
Section 449.99758 - Pharmaceutical services; labeling and storage of drugs and biologicals
1. A recovery center shall provide such pharmaceutical services, including, without limitation, acquiring, receiving, dispensing and administering drugs and biologicals, as are required to meet the needs of the patients admitted to the center. The recovery center shall provide such drugs and biologicals as are needed or obtain them from a qualified outside source pursuant to NAC 449.99754.
2. A recovery center shall employ or otherwise obtain the services of a registered pharmacist who shall:
(a) Provide consultations on all matters relating to the pharmaceutical services provided by the center;
(b) Establish a system of records for the receipt and disposition of all controlled substances in the center in sufficient detail to ensure an accurate reconciliation; and
(c) Ensure that those records are in order and that an account of all controlled substances in the center is maintained and periodically reconciled.
3. The regimen of drugs for each patient admitted to the recovery center must be reviewed at least once each month by a registered pharmacist. The pharmacist shall report any irregularities he or she discovers to the patient's attending physician and the chief administrative nurse of the recovery center. The physician and chief administrative nurse shall take such actions as they deem necessary in the response to the report.
4. Drugs and biologicals provided by a recovery center must be:
(a) Labeled in accordance with state and federal law and accepted professional standards. Each label must include the appropriate accessory and cautionary instructions and the expiration date, if applicable.
(b) Stored in accordance with state and federal law in locked compartments with proper controls for the temperature. Only authorized personnel may have access to the keys to unlock such compartments. Substances listed as schedule II controlled substances pursuant to chapter 453 of NRS and other drugs that have the potential for abuse must be stored separately in a locked compartment that is immovable, unless the recovery center uses a system to distribute the substances or drugs in single-unit packages, the quantity stored is minimal and any dosage that is missing can be readily detected.
5. A recovery center that operates a pharmacy shall obtain a license from the State Board of Pharmacy pursuant to NRS 639.2177 and comply with the regulations adopted by the State Board of Pharmacy pursuant to that section.
6. A chart order for a patient at a recovery center must be signed by the prescribing practitioner within the time period set forth in NRS 639.23275.
7. As used in this section, "practitioner" has the meaning ascribed to it in NRS 639.0125.

Nev. Admin. Code § 449.99758

Added to NAC by Bd. of Health by R121-16A, eff. 9/21/2017; A by R048-22A, eff. 12/29/2022

NRS 439.200, 449.0302, 449.0303