The pharmaceutical service shall have written policies and procedures for control and accountability, drug distribution, and assurance of quality of all drugs and biological products throughout the hospital. The pharmacist-in-charge shall provide the current license for the institutional pharmacy from the SC Board of Pharmacy, the individual's professional license, and the professional licenses of all personnel working within the pharmacy upon request of the Departments inspectors. The pharmacist-in-charge of an institutional pharmacy shall establish written policies and procedures to provide for access to drugs by the medical staff whenever a licensed pharmacist is not physically present in an institutional facility by use of night cabinets and/or by access to the pharmacy. A licensed pharmacist must be on call at all times.
S.C. Code Regs. § 61-16.1205