Section R432-150-18 - Pharmacy Services(1) The licensee shall provide, or obtain by contract, routine and emergency drugs, biologicals, and pharmaceutical services to meet each resident's physician's orders for medications.(2) The licensee shall employ or obtain the services of a licensed pharmacist who: (a) provides consultation on the pharmacy services in the facility;(b) establishes a system of records of receipt and disposition of any controlled substances that documents an accurate reconciliation; and(c) determines that drug records are in order and that an account of controlled substances is maintained and reconciled monthly.(3)(a) A licensed pharmacist shall review the drug regimen of each resident at least monthly.(b) The pharmacist shall provide reports of any drug regimen irregularities to the attending physician and the director of nursing or health services supervisors.(c) The physician and director of nursing or health services supervisor shall indicate acceptance or rejection of the pharmacist's irregularity report and document any action taken.(4) Pharmacy personnel shall ensure that labels on drugs and biologicals are in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date.(5)(a) The licensee shall store any drugs and biologicals in locked compartments under proper temperature controls in accordance with Subsections R432-150-18(5)(c)(iii) and (iv), and permit only authorized personnel to have access to the keys.(b) The licensee shall provide separately locked, permanently affixed compartments for storage of controlled substances and other drugs subject to abuse, except when the licensee uses single unit dose package drug distribution systems where the quantity stored is minimal and a missing dose can be readily detected.(c) The licensee may not store non-medication materials that are poisonous or caustic with medications.(d) The licensee shall ensure: (i) containers are clearly labeled;(ii) medication intended for internal use is stored separately from medication intended for external use;(iii) medications stored at room temperature are maintained within 59 and 80 degrees F; and(iv) refrigerated medications are maintained within 36 and 46 degrees F.(6) The licensee shall maintain an emergency drug supply and ensure emergency drug practices adhere to the following: (a) emergency drug containers are sealed to prevent unauthorized use;(b) contents of the emergency drug supply are listed on the outside of the container and the use of contents is documented by the nursing staff;(c) the emergency drug supply is stored and located for access by the nursing staff;(d) the pharmacist inventories the emergency drug supply monthly; and(e) used or outdated items are replaced within 72 hours by the pharmacist.(7) The licensee shall ensure that the pharmacy dispenses drugs and biologicals on a timely basis.(8) The licensee shall limit the duration of a drug order in the absence of the prescriber's specific instructions.(9) The licensee shall ensure drug references are available for any drugs used in the facility and references include generic and brand names, available strength and dosage forms, indications and side effects, and other pharmacological data.(10) The licensee may send drugs with the resident upon discharge, if ordered by the discharging physician provided that a record of the drugs sent with the resident is documented in the resident's health record.(11) The licensee shall ensure disposal of controlled substances are in accordance with the Pharmacy Practice Act.Utah Admin. Code R432-150-18
Amended by Utah State Bulletin Number 2024-01, effective 12/12/2023