NAC639.4996. Establishment and review of policies and procedures by pharmacist.

     1. A surgical center for ambulatory patients shall employ or enter into a contract with a pharmacist to establish policies and procedures which:

     (a) Are consistent with the policies and procedures developed pursuant to NAC 639.477;

     (b) Require the maintenance of records in accordance with the provisions of NAC 639.485 and 639.486;

     (c) Address the purchase, storage, maintenance of records and dispensing of drugs and investigational drugs;

     (d) Require maintenance of a perpetual inventory of all controlled substances;

     (e) Prescribe the procedure for quarantining and destroying drugs and investigational drugs that are expired, adulterated, mislabeled or otherwise unsafe for human use;

     (f) Require the storage of drugs and investigational drugs in accordance with the specifications of the manufacturer;

     (g) Ensure that the surgical center dispenses drugs and investigational drugs in accordance with applicable state and federal laws; and

     (h) Ensure that all compounding is:

          (1) Performed by a registered pharmacist in accordance with the provisions of this chapter and chapter 639 of NRS; or

          (2) If performed by an employee of the surgical center, other than a registered pharmacist, performed:

               (I) In accordance with the provisions of this chapter and chapter 639 of NRS;

               (II) In a location designated for compounding that is clean and disinfected before each act of compounding; and

               (III) By a person who has completed training for the type of compounding that will be performed.

     2. The policies and procedures established pursuant to subsection 1 must be maintained, reviewed at least annually, and dated upon adoption and amendment.

     3. The pharmacist employed by or contracted with a surgical center for ambulatory patients pursuant to subsection 1 may establish the policies and procedures required pursuant to that subsection with the assistance of a practitioner or an employee or contractor of the surgical center.

     (Added to NAC by Bd. of Pharmacy, eff. 10-24-97; A by R116-08, 9-18-2008)