N.J. Admin. Code § 13:39-9.21

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

Section 13:39-9.21 - After hours access to the institutional pharmacy

(a) Only a pharmacist shall have access to the pharmacy stock of controlled dangerous substances in Schedules II through V.

(b) Only a pharmacist shall have access to the institutional pharmacy except that in a pharmacist's absence from an institution, a registered nurse designated by the registered pharmacist-in-charge may obtain medication from the hospital pharmacy as needed in an emergency and not available as floor stock.

(c) A designated registered nurse shall remove only those medication doses which shall be administered prior to the opening of the pharmacy. The designated registered nurse may remove the following from the pharmacy stock of drugs or automated dispensing device:

1. A drug in its original container or a drug pre-packaged by the pharmacy for use in the institution;

2. The required dose(s) of a drug from the original container for a specific patient.

(d) The pharmacist-in-charge shall obtain from the registered nurse on a suitable form a record of any drugs removed showing the following:

1. The name of the drug;

2. The dosage size;

3. The amount taken;

4. The date;

5. The patient's name and location; and

6. The signature of the nurse.

(e) The pharmacist-in-charge shall obtain with the record in (d) above the container from which the required dose(s) was taken for drug administration purposes in order that it may be properly checked by a pharmacist.

(f) All records in (d) above shall be maintained or stored in original hard copy form or in any other media that facilitates the reproduction of the original hard copy, and shall be kept by the pharmacy for five years. The oldest four years of information shall be maintained in such a manner so as to be retrievable and readable within two weeks. The most recent one year of information shall be retrievable and readable within one business day. Records not currently in use need not be stored in the pharmacy, but off-site facilities used to store such records shall be secure. Patient records shall be kept confidential, but shall be made available to persons authorized to inspect them under State and Federal statutes and regulations.

N.J. Admin. Code § 13:39-9.21

Recodified from 13:39-9.9 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 (b) and (c); in (d) and (e), substituted references to registered pharmacists-in-charge for references to pharmacists-in-charge; and in (e), substituted a reference to required doses for a reference to single doses.
Recodified from N.J.A.C. 13:39-9.18 and amended by R.2005 d.25, effective 1/18/2005.
See: 36 N.J.R. 3345(a), 37 N.J.R. 295(a).
Rewrote (f). Former N.J.A.C. 13:39-9.21, Institutional pharmacy staff, recodified to N.J.A.C. 13:39-9.7.
Amended by R.2009 d.305, effective 10/5/2009.
See: 40 N.J.R. 5170(a), 41 N.J.R. 3840(a).
Rewrote (f).
Amended by R.2010 d.090, effective 6/21/2010.
See: 42 N.J.R. 132(a), 42 N.J.R. 1221(a).
In the introductory paragraph of (d) and in (e), substituted "pharmacist-in-charge" for "registered pharmacist in charge".