Okla. Admin. Code § 535:15-6-6

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

Section 535:15-6-6 - Physical and library requirements

A hospital drug room 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.

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

(2)Sterile Compounds. For compounded sterile preparations:

(A) If a laminar hood is used, a hospital drug room shall comply with 535:15-9-6 and 535:15-9-10.

(B) If a laminar hood is not used, a closed system for parenteral admixtures should be utilized. If sterile compounding must be done, an area must be designated for that activity. This area must be at least a counter used for only this purpose and be away from patient care areas. Acceptable aseptic techniques shall be used.

(3)Storage. All drugs 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 PIC and shall remain under the supervision of such 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.

(6)Security.

(A) All areas occupied by a hospital drug room 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 § 535:15-6-6

Added at 20 Ok Reg 2479, eff 1-1-04; 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