S.D. Admin. R. 20:51:29:19.02

Current through Register Vol. 50, page 162, June 24, 2024

Section 20:51:29:19.02 - Exception to ratio for hospital, mail order, and long-term care pharmacy

The maximum ratio of pharmacy technicians to pharmacists that may be on duty in a hospital, mail order, and long-term care pharmacy will be determined by the pharmacist in charge. However, all of the following requirements must be met:

(1) Medication is dispensed pursuant to a legal prescription;

(2) The technology includes tablet or product imaging and or bar code scanning, or both, to insure accuracy in the prescription filling process;

(3) A role-based access software automation system that places stop points within the prescription filling process is used, which requires a pharmacist's intervention before allowing the prescription to move to the next step in the prescription dispensing process;

(4) Pharmacy software that screens and detects drug allergies, identifies drug interactions, and checks age appropriate dosage ranges is used;

(5) A pharmacist reviews clinically significant computer warnings of drug interactions. therapy duplications, and contraindications;

(6) Electronic surveillance technology is used to control access or to provide continuous monitoring of all areas where drugs are stored or dispensed or both:

(7) All non-pharmacist personnel who input patient drug information into a computer or whose duties include receiving, packaging, shipping of drugs, or who have access to any areas where drugs are dispensed are registered as pharmacy technicians and meet the requirements in chapter 20:51:29;

(8) In hospital and long-term care pharmacies, nursing personnel in facilities served by the pharmacy have telephone access to a pharmacist 24 hours a day, 7 days a week. In mail order pharmacies, a patient has access to a pharmacist 24 hours a day. 7 days a week on a dedicated pharmacist staff line:

(9) Drug information, both electronic and hard copy, is readily available to pharmacists;

(10) A quality assurance program that identifies and evaluates dispensing errors, accompanied by a continuous quality improvement program that assures very high dispensing accuracy rates in place;

(11) There are written policies and procedures for all pharmacy functions - clerical, supportive, technical, and clinical;

(12) There are written policies and procedures for training personnel, including ongoing training programs for all personnel and documentation of that training for each employee;

(13) There is a strict monitoring program designed to prevent diversion of controlled substances. This includes perpetual inventory of all schedule I! controlled drugs as well as selected high-risk schedule III, IV, and V drugs. Routine audits are conducted to review purchases versus dispensing of controlled drugs to deter and detect diversion.

S.D. Admin. R. 20:51:29:19.02

36 SDR 21, effective 8/17/2009; 42 SDR19, effective 8/19/2015.

General Authority: SDCL 36-11-11(1)(14).

Law Implemented: SDCL 36-11-11(14).