Section 61-07-01-13 - Inspection1.Monthly. The director of pharmacy shall inspect, no less than once a month, personally or by qualified designee, all matters within the director's jurisdiction and responsibility and make appropriate written records and notations of such inspections. Such inspections shall verify, at a minimum, that:a. Drugs are dispensed only by pharmacists.b. Ancillary pharmacy personnel are properly directed and supervised.c. Disinfectants and drugs for external use are stored separately and apart from drugs for internal use or injection.d. Drugs requiring special storage conditions to ensure their stability are properly stored.e. Outdated drugs or otherwise unusable drugs have been identified and their distribution and administration prevented. An area must be designated for authorized storage of such drugs prior to their proper disposition.f. Distribution and administration of controlled substances are properly and adequately documented and reported by both pharmacy and medical personnel.g. Emergency drugs designated pursuant to subsection 4 of section 61-07-01-05 are adequate and in proper supply both within the pharmacy and at outside storage locations.h. All necessary and required security and storage standards are met.i. Metric-apothercaries' weight and measure conversion tables and charts are reasonably available to all medical personnel.j. All policies and procedures of the director and of appropriate committees of the hospital relevant to pharmacy are followed.k. The telephone number of the regional poison control information center should be posted by all telephones in the nursing stations where drugs are stored.2.Annual. The board of pharmacy shall inspect, no less than once a year, by one of its members or by its qualified designee, all aspects of the management and operation of all hospital pharmacies in the state, to verify compliance with the law, this chapter, and such other standards as may be appropriate to ensure that the health, safety, and welfare of patients of the hospital serviced by the pharmacy are protected. Written reports of an inspection must be filed with the board and the director. Any discrepancies or deficiencies noted must be corrected within a reasonable time. Written notice of such corrections must be filed with the board. Board recommendations may be questioned by written notice to the executive secretary of the board of pharmacy. Consideration must be given by the board's inspector or designee to giving thirty days' notice of an inspection to the director of the pharmacy to be visited. Consideration must also be given to any recent survey by the joint commission on accreditation of health care organizations.N.D. Admin Code 61-07-01-13
General Authority: NDCC 28-32-02
Law Implemented: NDCC 43-15-10(9), 43-15-10(12), 43-15-10(14)