NAC639.688. Written policies and procedures regarding provision of services related to parenteral therapy.

In addition to the requirements of NAC 639.67015 and 639.67017, any pharmacy, other than an institutional pharmacy, engaged in the practice of compounding and dispensing parenteral solutions shall have written policies and procedures relating to:

     1. The qualifications and training of employees of the pharmacy to compound and dispense parenteral solutions.

     2. A determination of the necessity for administering the medication a patient requires in a parenteral form.

     3. The compounding and control of the quality of parenteral solutions.

     4. The distribution and delivery of parenteral solutions.

     5. The clinical monitoring of parenteral therapy.

     6. The availability of a practitioner, pharmacist and nursing personnel during the administration of parenteral therapy to a patient.

     7. The availability of products and equipment which are necessary during the administration of parenteral therapy to a patient.

     8. The communication of orders among the practitioner, pharmacist and nursing personnel for a patient who requires parenteral therapy.

     9. The coordination of the care of a patient who requires parenteral therapy by the pharmacist, practitioner and nursing personnel, including documentation of participation in any conference relating to the care of that patient.

     10. The education of a patient relating to:

     (a) The self-administration of a parenteral solution;

     (b) The proper maintenance and storage of a parenteral solution; and

     (c) The operation of devices used to administer parenteral solutions.

     11. The cleaning and maintenance of equipment used to administer a parenteral solution furnished to a patient by the pharmacy.

     12. The provision of services relating to parenteral therapy furnished by the pharmacy in an emergency.

     (Added to NAC by Bd. of Pharmacy, eff. 8-14-87; A 7-7-94; R035-06, 9-18-2008)