§ 73375. Pharmaceutical Service -Equipment and Supplies.

(a) There shall be adequate equipment and supplies necessary for the provision of pharmaceutical services within the facility. This includes:

(1) Refrigerator with thermometer.

(2) Lockable drug cabinets, drawers, or closets or rooms.

(3) Drug service trays and/or carts.

(4) Drug preparation counter area and convenient water source.

(5) Syringes, needles, rubber tubing, clamps, droppers, medicine glasses, cups or other small containers which are accurately calibrated.

(6) Reference materials containing drug monographs on all drugs in use in the facility. Such monographs shall include information concerning generic and brand names if applicable, available strengths and dosage forms and pharmacological data including indications and side effects.

(b) Emergency drug supplies as determined by patient care policy committee shall be available. Facilities shall store a supply of emergency legend drugs on at least one nursing station and:

(1) Such drugs shall be limited to a maximum of three single doses in either sealed ampules or vials of any one emergency drug. If an emergency drug is not available in parenteral form, a supply of the drug in inhalation or sublingual form may be maintained in the smallest sealed manufacturer's package. No other oral legend drugs may be so stored.

(2) The emergency drug supply shall be stored in a portable container which is sealed in such a manner that the tamper-proof seal must be broken to gain access to the drugs. The supply shall be opened only in the presence of a physician, pharmacist or licensed nurse. The supervisor of health service shall notify the pharmacist when drugs have been used from the emergency kit or when the seal has been broken. Drugs used from the kit shall be replaced within 72 hours and the supply resealed by the pharmacist.

(3) The contents of the supply shall be listed on the outside of the container.

(4) The supply shall be checked at least monthly by the pharmacist.

(5) Separate records of use shall be maintained for drugs administered from the supply. Such records shall include the name and dose of the drug administered, name of the patient, the date and time of administration and the signature of the person administering the dose.