Section 11-99-72 - Pharmaceutical services(a) The facility shall employ a licensed pharmacist, or shall have formal arrangements with a licensed pharmacist to provide consultation on methods and procedures for ordering, storage, administration, disposal, recordkeeping of drugs and biologicals, and provision for emergency service.(b) There shall be a current pharmacy policy manual developed and approved by the pharmacist, physician, and licensed nursing staff which: (1) Includes policies and procedures and defines the functions and responsibilities relating to pharmacy services.(2) Is revised as necessary to keep abreast of current developments in overall drug usage.(3) Governs the safe administration and handling of all drugs.(4) Includes policies regarding self-administration of drugs.(5) Includes a formulary appropriate to the facility.(c) Medications administered to a resident shall be ordered either in writing or verbally by a physician so authorized by facility policy. (1) Physician's verbal orders for prescription drugs shall be given only to a licensed nurse, pharmacist, or another physician.(2) All verbal or telephone orders for medication shall be recorded and signed by the person receiving them and shall be countersigned by the attending physician within seventy-two hours.(3) All orders shall be reviewed by the physician at least every ninety days.(d) Each drug shall be rechecked and identified immediately prior to administration.(e) Medications shall not be used for any resident other than the one for whom they were issued.(f) Only appropriately licensed and trained staff shall be allowed to administer drugs and shall be responsible for proper recording of the medication including the route of administration. Medication errors and drug reactions shall be recorded in the resident's chart and reported immediately to the physician who ordered the drug and an incident report shall be prepared. All incident reports shall be kept available for inspection by the director.(g) Drugs shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security. (1) All drugs shall be kept under lock and key except when authorized personnel are in attendance.(2) All security requirements of federal and state laws shall be satisfied as they refer to storerooms and pharmacies.(3) Poisons, drugs used externally, and drugs taken internally shall be stored in locked, well-marked separate cabinets, at all locations.(h) There shall be written policies and procedures governing resident self-administration of drugs. These shall include at least the following: (1) Procedures for physician documentation in the resident's record that a plan of self-administration should be developed.(2) Supervision of resident self-administration by an appropriately trained staff member.(3) Provision for appropriate storage of the drugs.(4) Documentation in the resident's record of resident compliance with the drug regimen.[Eff. APR 29, 1985] (Auth: HRS §§ 321-9, 321-10, 321-11, 333-53) (Imp: HRS § 333-53)