All medications must be stored in a well illuminated, locked storage area that is well ventilated, maintained at a temperature appropriate for medication storage, and inaccessible to patients and visitors at all times. Medications suitable for storage at room temperature shall be maintained between fifty-nine and eighty-six degrees Fahrenheit or fifteen and thirty degrees centigrade. Medications that require refrigeration shall be maintained between thirty-six and forty-six degrees Fahrenheit or two and eight degrees centigrade. Poisons and medications prescribed for external use must be stored separately from medications prescribed for internal use, locked, and made inaccessible to patients and visitors.
Locked storage does not apply to drugs and medications needed for emergency use in intensive care, emergency room, neonatal intensive care, pediatric intensive care, or coronary care units. Medications utilized in these care units shall be in a storage area that is readily available to the professional staff but inaccessible to patients or visitors.
The medication of each patient for whom medications are facility-administered must be stored in the containers in which the medication was originally received and may not be transferred to another container. Special modification of this requirement may be made if single dose packaging is used. Each prescription drug container, including manufacturer's complimentary samples, must be labeled with the patient's name, physician, physician assistant, or nurse practitioner's name, medication name and strength, directions for use, and prescription date.
A container with a medication that will not be used within thirty days of issue or with contents that expire in less than thirty days of issue must bear an expiration date. If a single dose system is used, the medication name and strength, expiration date, and a control number must be on the unit dose packet.
A co-located hospital and assisted living center may procure and stock, including in bulk form, nonlegend medications and administer them in accordance with written policies and procedures that provide for oversight by qualified personnel.
If a stock bottle system is used in a facility with a licensed pharmacy, the container shall be labeled with the drug name and strength, expiration date, and a control number. Any container with a worn, illegible, or missing label shall be destroyed pursuant to § 44:73:08:06. Licensed pharmacists are responsible for the labeling, relabeling, or altering of labels on medication containers.
S.D. Admin. R. 44:75:08:04
General Authority: SDCL 34-12-13(9).
Law Implemented: SDCL 34-12-13(9).