Section 61-03-02-03 - Physical requirements of provider pharmacy licensed on premises or other pharmacy1.Area. The pharmacy serving a long-term care facility as an institutional drug outlet shall have floor space allocated to it to ensure that drugs are prepared in sanitary, well-lighted and enclosed places, and meet the other requirements of this section. Floor space shall be allotted to conduct the activities involved with the scope of pharmaceutical services provided.2.Equipment and materials. The pharmacy serving a long-term care facility as an institutional drug outlet shall have equipment and physical facilities for proper compounding, dispensing, and storage for drugs, including parenteral preparations. As a minimum, the pharmacy shall have the following: a. Minimum equipment listed in section 61-02-01-03.b. Drugs to meet the needs of the patients of the long-term care facility.c. A pharmacy policy and procedures manual in compliance with section 61-02-01-18.d. Pharmaceutical reference books, which shall include one recent edition (not over five years from publication date) from at least two of the following categories, one of which must include dispensing information:(1) Drug dispensing information from one of the following:(a) United States pharmacopoeia dispensing information.(b) Facts and comparisons.(2) Categories to choose from: Drug interactions - poison and antidote information -chemistry toxicology - pharmacology - bacteriology - sterilization and disinfection - patient counseling - rational therapy - parenteral admixtures.
3.Drug room. The drug room of a long-term care facility may utilize the technical equipment and other requirements of a licensed pharmacy for compliance.4.Storage.a. All drugs shall be stored in designated areas within the pharmacy to ensure proper sanitation, temperature, light, ventilation, moisture control, and security. Unattended areas: In the absence of a pharmacist, and whenever any area of a pharmacy serving a long-term facility as an institutional drug outlet is not under the personal and direct supervision of a pharmacist, such areas shall be locked. All areas occupied by a pharmacy serving a long-term care facility as an institutional drug outlet shall be capable of being locked by key or combination, so as to prevent access by unauthorized personnel.
b. When drugs to be dispensed are stored in a long-term facility drug room, the consulting pharmacist shall verify that space will be available at each unit for storage, safeguarding, and preparation of medication doses for administration and shall include provision of at least the following: (1) A locked drug cabinet or room shall be equipped to ensure physical separation of individual patient prescribed medications. Medications may be stored in these secured individual patient storage areas, or secured portable storage carts providing separate compartments for individual patients may be used.(2) A container or compartment which is capable of securing controlled substances with a lock or other safeguard system shall be permanently attached to storage carts or medication rooms.N.D. Admin Code 61-03-02-03
Effective August 1, 1983.Amended by Administrative Rules Supplement 2014-354, October 2014, effective 10/1/2014. .General Authority: NDCC 28-32-02, 43-15-10(12), 43-15-10(14)
Law Implemented: NDCC 28-32-02, 43-15-10(12), 43-15-10(14)