NAC639.477. Policies and procedures for distribution of drugs.

     1. All medical facilities and correctional institutions shall develop and carry out written policies and procedures for the distribution of drugs in that facility or institution. The standards for accreditation of the American Correctional Association and the National Commission of Correctional Health Care must be used as a guideline for these policies and procedures by a correctional institution. The standards for accreditation of the American Correctional Association may be obtained by writing to the American Correctional Association, Publishing and Periodicals Division, 206 North Washington Street, Suite 200, Alexandria, Virginia 22314, or by calling [phone] ext. 0129. The standards of accreditation of the National Commission of Correctional Health Care may be obtained by writing to the National Commission of Correctional Health Care, 1145 West Diversey Parkway, Chicago, Illinois 60614.

     2. The written policies and procedures must include procedures regarding:

     (a) Controlled substances.

     (b) Investigational drugs.

     (c) Prepackaging and manufacturing.

     (d) Stop orders.

     (e) Orders for medication.

     (f) Physicians’ orders.

     (g) Floor stocks.

     (h) Reports of adverse reactions.

     (i) Drugs brought into the facility by patients.

     (j) Medications for furloughs.

     (k) The self-administration of drugs.

     (l) Emergency supplies of drugs.

     (m) A formulary.

     (n) Monthly inspections of nursing stations and storage areas for drugs.

     (o) Samples of drugs.

     (p) Reports of defects in drug products.

     (q) The recall of drugs.

     (r) Outdated drugs.

     (s) The routine distribution of medication for inpatients.

     (t) The preparation and distribution of IV admixtures.

     (u) The handling of orders for medication if a pharmacist is not on duty.

     (v) Requests for drugs that are not listed on the formulary.

     (w) Administering medication.

     (Added to NAC by Bd. of Pharmacy, eff. 3-27-90; A 9-12-91)