Okla. Admin. Code § 535:15-5-9

Current through Vol. 42, No. 4, November 1, 2024

Section 535:15-5-9 - Hospital pharmacy physical requirements

A hospital pharmacy shall have sufficient facilities to ensure that drugs are prepared in sanitary, well-lighted and enclosed places, and which meet the other requirements of this Chapter. The following are in addition to the equipment requirements listed in 535:15-3-4.

(1)Equipment and materials. Each hospital pharmacy shall have sufficient equipment and physical facilities for proper compounding, dispensing and storage of drugs.

(2)Sterile compounds. For sterile compounded preparations, a hospital must comply with 535:15-10 Part 3.

(3)Storage. All pharmaceuticals bearing a federal legend such as "RX Only" and medications administered in the hospital shall be stored in designated areas within the hospital which are sufficient to insure proper sanitation, temperature, light, ventilation, moisture control, segregation and security. The storage shall be as directed by the Director of Pharmacy and shall remain under the direct supervision of a pharmacist.

(4)Alcohol and flammables. Alcohol and flammables shall be stored in areas that shall, at a minimum, meet basic local building code requirements for the storage of volatiles and such other laws, ordinances or regulations as may apply.

(5)Unattended areas. In the absence of authorized personnel in a hospital medication area, such area shall be locked and inspected on a regular schedule of at least monthly as directed by the Director of Pharmacy.

(6)Security.

(A) All areas occupied by a hospital pharmacy shall be capable of being locked by key or combination to prevent access by unauthorized personnel.

(B) There shall be access control and video recording systems in place to provide protection against theft and diversion.

Okla. Admin. Code § 535:15-5-9

Amended at 9 Ok Reg 2141, eff 6-11-92; Amended at 10 Ok Reg 3171, eff 6-25-93; Amended at 18 Ok Reg 2738, eff 7-1-01; Amended at 22 Ok Reg 2172, eff 7-1-05

Amended by Oklahoma Register, Volume 32, Issue 23, August 17, 2015, eff. 8/27/2015.

Amended by Oklahoma Register, Volume 40, Issue 22, August 1, 2023, eff. 9/1/2023

Amended by Oklahoma Register, Volume 41, Issue 22, August 1, 2024, eff. 8/11/2024