N.J. Admin. Code § 8:43G-23.2

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-23.2 - Pharmacy policies and procedures

(a) The pharmacy and therapeutics committee, or its equivalent, shall review, approve, and ensure implementation of policies and procedures addressing at least the following areas:

1. Outpatient pharmacy services;

2. Administration of drugs;

3. Use of patients' previously acquired drugs, including requirement for physician orders and pharmacy identification of the drugs before use;

4. Admixture of intravenous solutions, including quality control and safety procedures for laminar airflow hoods and labeling;

5. Storage and distribution of drugs, including at least dispensing devices (if used in the hospital), emergency drugs and kits, and control and accountability of controlled substances in accordance with applicable laws and regulations;

6. Stop orders and discontinue orders, including the length of time all orders stay in effect, stoppage of drugs on the day a patient undergoes surgery in conformance with the prescriber's specifications, and notification of the prescriber of the expiration of a drug order;

7. Identification, reporting, reviewing, and monitoring of adverse drug reactions and medication errors;

8. Identification and prevention of food/drug interactions and responsibility of pharmacy, nursing, and dietary services, including responsibility for the following:

i. Ensuring that appropriate food or fluid requirements are met when administering medication;

ii. Adjusting the contents of the patient's meal tray whenever an increase or decrease in a specific nutrient is ordered; and

iii. Educating the patient about potential food/drug interactions prior to discharge and

9. Current reference materials kept at drug distribution stations and in the pharmacy, and made available to medical and nursing staff;

10. Control and limitation of use of drugs marked "sample";

11. Approval and maintenance of an up-to-date formulary;

12. Pharmacists' clarifications of physician orders; and

13. Self-administration of drugs, if permitted by the hospital, including a requirement for written prescriber orders, storage of drugs, labeling of drugs, documentation of self-administration in the patient medical record, patient training and education, and precautions to ensure that a patient does not take the drugs of another patient.

N.J. Admin. Code § 8:43G-23.2

Amended by R.1992 d.72, effective 2/18/1992.
See: 23 N.J.R. 2590(a), 24 N.J.R. 590(a).
Text on self-administration of drugs added at (a)13.
Amended by R.1999 d.436, effective 12/20/1999.
See: 31 N.J.R. 367(a), 31 N.J.R. 614(a), 31 N.J.R. 4293(c).
Rewrote (a)8.