Section 639.720 - Mechanical devices: Use to furnish drugs and medicines for administration to registered patients in medical facility and to patients receiving treatment in emergency room of hospital1. Except as otherwise provided in this section, a mechanical device, other than an automated drug dispensing system licensed pursuant to NAC 639.718 or section 1, may be used to furnish drugs and medicines for administration to registered patients in a medical facility if the pharmacy which supplies drugs and medicines to the medical facility has obtained a license from the Board for a mechanical device pursuant to subsection 4. A license is not required for a mechanical device that meets the requirements of this section and is located inside a hospital licensed pursuant to chapter 449 of NRS.2. The mechanical device must conform to all the following provisions:(a) All drugs and medicines stocked in the device must be approved for use in the device by a registered pharmacist employed by the:(1) Medical facility in which the drug or medicine is administered; or(2) Pharmacy that supplies the medical facility in which the drug or medicine is administered.(b) Access to the device must be: (1) Limited to pharmaceutical technicians, pharmaceutical technicians in training, intern pharmacists, registered pharmacists, licensed practical nurses, registered nurses or other practitioners who are:(I) Authorized by law to prescribe or administer controlled substances, poisons, or dangerous drugs and devices; and(II) Employed by the medical facility or pharmacy that supplies the medical facility.(2) Monitored and controlled by the pharmacy which supplies the medical facility or the registered pharmacist who is employed by the medical facility.(c) Each container of a drug or medicine stored in the device must be labeled in a manner which includes the information required pursuant to subsection 2 of NAC 639.476.(d) The device must be designed in such a manner that:(1) Each time a person obtains access to the device, the device automatically prepares a record which is readily retrievable and which includes:(I) The name, strength, quantity and form of dosage of the drug or medicine which is stocked, inventoried or removed for administration to a patient;(II) The day and time access to the device is obtained;(III) If a drug or medicine is removed for administration to a patient, the name of the patient;(IV) An inventory of the drugs and medicines stored in the device; and(V) The name of the person who obtained access to the device.(2) Access to the device may be obtained only by a person with the use of a code which identifies that person.3. A pharmacy which supplies drugs and medicines to a medical facility which are furnished by a mechanical device pursuant to subsection 1 shall maintain a written policy which sets forth:(a) The duties of all persons who are authorized to obtain access to the device; and(b) The procedure for: (1) Maintaining the security of the drugs and medicines stored in the device during the maintenance and repair of the device;(2) The preparation of an inventory of the drugs and medicines stored in the device; and(3) Stocking the device with drugs and medicines.4. The Board will issue a license for a mechanical device if the Board determines that the mechanical device meets the requirements of this section and the fee required by NAC 639.220 is paid. A license authorizes the use of the mechanical device at the medical facility at which the mechanical device is located.5. Each medical facility that uses a mechanical device pursuant to subsection 1 must make and maintain a record of any waste of a controlled substance in the manner provided in NAC 639.486. The record of any waste of a controlled substance may be prepared: (a) By the mechanical device if the mechanical device is capable of making and maintaining such a record and documenting the record of the waste being witnessed by another person as provided in paragraph (g) of subsection 1 of NAC 639.486; or6. A mechanical device may be used to furnish drugs and medicines for administration to a patient receiving treatment in the emergency room of a hospital. The device must conform to all the following provisions:(a) All drugs and medicines stocked in the device must be approved for use in the device by a registered pharmacist employed by or contracted with the: (1) Hospital in which the drug or medicine is furnished; or(2) Pharmacy that supplies the hospital in which the drug or medicine is furnished.(b) Access to the device for the purposes of stocking, inventory and monitoring must be limited to pharmaceutical technicians, pharmaceutical technicians in training, intern pharmacists or registered pharmacists employed by the hospital or the pharmacy that supplies the hospital.(c) The device must be designed in such a manner that: (1) Each time a person obtains access to the device, the device automatically prepares a record which is readily retrievable and which includes:(I) The name, strength, quantity and form of dosage of the drug or medicine which is stocked, inventoried or removed for administration to a patient;(II) The day and time access to the device is obtained;(III) If a drug or medicine is removed for administration to a patient, the name of the patient;(IV) An inventory of the drugs and medicines stored in the device; and(V) The name of the person who obtained access to the device.(2) Access to the device may be obtained only by a person with the use of a unique code which identifies that person.(d) The device must be located in such a place and manner that a person is unable to remove it from the hospital, and that attempts to obtain access to the device without authorization are visible to employees of the hospital.7. As used in this section, "medical facility" has the meaning ascribed to it in NRS 449.0151.Nev. Admin. Code § 639.720
Bd. of Pharmacy, §639.320, eff. 6-26-80-NAC A 12-21-95; 5-20-96; R017-03, 10-21-2003; R043-07, 10-31-2007; A by R013-21A, eff. 6/13/2022; A by R180-22A, eff. 12/29/2022