Pa. Code 709.32

Medication control

This regulation requires Pennsylvania licensed drug and alcohol treatment projects ('projects') that provide pharmaceutical services to maintain pharmacy and DEA licensure, follow strict protocols for verbal/telephone medication orders (with written authentication within 24 hours for detoxification levels of care, or 3 business days otherwise), and implement written policies covering medication administration, controlled substance storage, storage area inspections, drug accountability, security, and documentation of medication errors and adverse reactions in client records.

28 Pa. Code § 709.32 - Medication control 

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(a)
 Projects furnishing pharmaceutical services shall present a license from the Department of Health's Board of Examiners or the Department of State's State Board of Pharmacy and a DEA registration to Department employees. Other notices of review or inspection, or both, shall be made available upon request.

(b)
 Verbal orders for medication can be given only by a physician or other medical professional authorized by State and Federal law to prescribe medication and verbal orders may be received only by another physician or medical professional authorized by State and Federal law to receive verbal orders. When a verbal or telephone order is given, it has to be authenticated in writing by a physician or other medical professional authorized by State and Federal law to prescribe medication. In detoxification levels of care, written authentication shall occur no later than 24 hours from the time the order was given. Otherwise, written authentication shall occur within 3 business days from the time the order was given.

(c)
 The project shall have and implement a written policy and procedures regarding all medications used by clients which shall include, but not be limited to:
(1)
 Administration of medication, including the documentation of the administration of medication:
(i)
 By individuals permitted to administer by Pennsylvania law.

(ii)
 When self administered by the client.

(2)
 Drug storage areas including, but not limited to, the secure storage of controlled substances and other abusable drugs in accordance with State and Federal regulations and program requirements.

(3)
 Inspection of storage areas that ensures compliance with State and Federal laws and program policy. The policy must include, but not be limited to:
(i)
 What is to be verified through the inspection, who inspects, how often, but not less than quarterly, and in what manner it is to be recorded.

(ii)
 Disinfectants and drugs for external use are stored separately from oral and injectable drugs.

(iii)
 Drugs requiring special conditions for storage to insure stability are properly stored.

(iv)
 Outdated drugs are removed.

(v)
 Copies of drug-related regulations are available in appropriate areas.

(4)
 Methods for control and accountability of drugs, including, but not limited to:
(i)
 Who is authorized to remove drug.

(ii)
 The program's system for recording drugs, which includes the name of the drug, the dosage, the staff person, the time and the date.

(5)
 Security of drugs, including, but not limited to, the loss, theft or misuse of drugs.

(6)
 Medication errors and drug reactions shall be recorded in the client record. This may be the medical record if a separate medical record is maintained for all clients.

Notes

28
 Pa. Code §
 
709.32

The
 provisions of this § 709.32 amended October 17, 2014,
 effective 
10/18/2014
, 44 Pa.B.
 6660.

The provisions of this § 709.32 amended under section
 2301-A of The Administrative Code of 1929 (
71 P. S. §
 
613.1
).

This section cited in 28 Pa. Code §
 
709.21
 (relating to
 applicability).

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