N.J. Admin. Code § 13:39-9.17

Current through Register Vol. 56, No. 11, June 3, 2024

Section 13:39-9.17 - Drug-dispensing devices

(a) Where the use of a drug-dispensing device is approved as an integral part of the drug distribution system by the facility, the pharmacist-in-charge and the Pharmacy and Ther-apeutics Committee, the device may be used when the pharmacist is not on duty (absent during either the day or night), provided that any absence of the pharmacist does not exceed 24 hours, or when the pharmacist is on duty, provided that proper review of the use of the drug-dispensing device can be ascertained. The supervision of any drug dispensing device so utilized shall be the responsibility of the pharmacist-in-charge servicing the health care facility. The drug-dispensing device data shall be checked for accuracy every 24 hours by a pharmacist and so documented.

(b) Packaging and labeling of medication for drug-dispensing devices, when done by the pharmacy, shall be performed under the immediate personal supervision of a pharmacist in the employ of or under contract to the facility.

(c) Stocking of the drug-dispensing devices with prepackaged medications shall be performed by or under the supervision of a pharmacist.

(d) The cleanliness of the drug dispensing devices shall be maintained by a pharmacist or by a person under the supervision of a pharmacist.

(e) Controlled substances and other medications to which, in the professional judgment of the pharmacist-in-charge, access should be limited, shall be secured within the drug dispensing device to limit access to single medications only and shall be checked and documented by the pharmacist or his or her designee who shall be a licensed health care professional, every 24 hours. Other than a pharmacist, only authorized registered nurses, licensed practical nurses, practitioners, pharmacy technicians, interns and externs shall have access to the medication in each drug-dispensing device. The activity regarding all medication, including the identity of the person accessing the medication, shall be recorded and available to the pharmacist.

(f) All medications withdrawn from a drug dispensing device require a medication order by an authorized practitioner. All such medication orders shall be checked by the pharmacist within 24 hours from the time of the original order and so noted on the pharmacy's patient medication profile.

(g) When there is no pharmacy on the premises and when the drug-dispensing devices are an integral part of the approved drug distribution system of the facility, the devices shall be controlled by the pharmacist-in-charge who is responsible for the pharmaceutical services of the institution. Under these circumstances, the time between medication order checks shall not exceed 24 hours.

N.J. Admin. Code § 13:39-9.17

Recodified from 13:39-9.6 and amended by R.1994 d.351, effective 7/18/1994.
See: 26 N.J.R. 1596(a), 26 N.J.R. 2905(b).
Amended by R.1999 d.214, effective 7/19/1999.
See: 31 N.J.R. 1151(a), 31 N.J.R. 1932(a).
Rewrote the section.
Recodified from N.J.A.C. 13:39-9.14 and amended by R.2005 d.25, effective 1/18/2005.
See: 36 N.J.R. 3345(a), 37 N.J.R. 295(a).
In (b), substituted "immediate personal" for "direct" preceding "supervisor of a pharmacist"; in (c) and (d), deleted "direct" preceding "supervision of a pharmacist"; in (e), substituted "technicians, interns and externs" for "supportive personnel" following "authorized prescribers or designated pharmacy"; deleted (h). Former N.J.A.C. 13:39-9.17, Drug information and education, recodified to N.J.A.C. 13:39-9.20.
Amended by R.2010 d.090, effective 6/21/2010.
See: 42 N.J.R. 132(a), 42 N.J.R. 1221(a).
In (a), (e) and (g), deleted "registered" preceding "pharmacist-in-charge" throughout; in (b), substituted "by the pharmacy" for "in the facility"; in (e), inserted "health care" and substituted "practitioners," for "physicians, authorized prescribers or designated"; in (f), substituted "practitioner" for "prescriber"; and in (g), deleted "licensed" preceding "pharmacy".