N.J. Admin. Code § 8:111-14.4

Current through Register Vol. 56, No. 12, June 17, 2024

Section 8:111-14.4 - Additional standards for facilities that provide medically monitored detoxification services

(a) Any facility that provides medically monitored detoxification services shall, on a quarterly basis, require the pharmacist(s) to inspect all areas of the facility where medications are dispensed, administered or stored. There shall be written policies and procedures requiring the pharmacist(s) to maintain a written record of each inspection.

(b) Each facility providing detoxification services shall appoint a pharmacist as the director of pharmaceutical services or hire a consulting pharmacist to direct, provide and monitor the quality of pharmaceutical services and, in so doing, be responsible for the following:

1. Working with the Pharmacy and Therapeutics Committee or client care policy committee in developing policies and procedures for the delivery of quality pharmaceutical services to clients of the facility;

2. Coordinating and integrating pharmacy services with other client care services to provide a continuum of care;

3. Assisting in the development of job descriptions and assignment of duties to pharmacy personnel, if any;

4. Working with the multidisciplinary team in achieving its goals and duties;

5. Maintaining a record system that identifies the signatures of all authorized prescribers;

6. Maintaining all records of all pharmaceutical services transactions, including a record system for requisition and distribution of pharmaceutical supplies throughout the facility;

7. Conducting a drug regimen review on a schedule developed by the Pharmacy and Therapeutics Committee or client care committee; and

8. Establishing standards to ensure compliance with (c) and (d) below.

(c) Every facility that provides detoxification services shall have a unit dose medication distribution system that complies with the following:

1. Each client shall have a separate receptacle labeled with his or her first and last name and room number that contains his or her own medications;

2. Each medication shall be individually wrapped, labeled with its generic name, trade name (if appropriate), strength, lot number or reference code, expiration date, manufacturer's or distributor's name, and ready for administration to the client.

i. If the facility repackages medications in single unit packages, the facility shall establish written standards for labeling packages to assure identification of the lot number or reference code and the manufacturer's or distributor's name in accordance with the USP-NF Online or generally accepted pharmacy practices.

3. Any facility providing detoxification services shall establish a policy for exchange of client medications no less frequently than every three days, with the number of doses during each exchange for each client sufficient for no more than 72 hours. The Pharmacy and Therapeutics Committee shall establish and enforce procedures to insure the accountability for all medications used in the facility; and

4. Any facility providing detoxification services shall establish a process for providing personnel responsible for the administration of the medications with cautionary instructions and additional information as applicable to the medications to be administered.

N.J. Admin. Code § 8:111-14.4

Amended and recodified from 10:161A-14.4 53 N.J.R. 2208(a), effective 12/20/2021