Section 7.12.475. Drugs, chemicals, and biologicals.

	(a)  A frontier extended stay clinic that dispenses drugs, chemicals, and biologicals must  
		(1) employ a pharmacist on a regular or consultant basis;  
		(2) procure and maintain a sufficient quantity of drugs, chemicals, and biologicals, consistent with the formulary developed and approved under 7 AAC 12.465(b)(6), to meet patient needs, including those drugs, chemicals, and biologicals listed in 7 AAC 12.485(c)(1);  
		(3) inventory emergency drugs, chemicals, and biologicals at least every 30 days and restock, as necessary;  
		(4) dispose of drugs, chemicals, and biologicals that have been discontinued or have expired;  
		(5) ensure that only authorized staff have access to the clinic's stock of drugs, chemicals, and biologicals;  
		(6) ensure that drugs, chemicals, and biologicals are properly labeled regarding their content and strength;  
		(7) ensure that drugs, chemicals, and biologicals requiring refrigeration are stored separate from food; and  
		(8) document and evaluate prescribed drug distribution errors to  
			(A) prevent reoccurrence; and  
			(B) ensure the accuracy and adequacy of the clinic's prescribed drug distribution system.  
	(b)  A standing order for a prescribed drug must specify the circumstances for administration, dosage, route, duration, and frequency of administration. The order must be reviewed annually and, if necessary, renewed. When a standing order is implemented for a specific patient, the person who prescribed the order must date and sign the order, and enter it into the patient's record within three days.  
	(c)  A verbal order for a prescribed drug may be given only to an individual who is authorized by the clinic's medical staff to receive orders given by a person legally authorized to prescribe drugs. An individual who receives a verbal order must promptly record the order in the patient's medical record, identify the name of the person who prescribed the order, and sign the record.  
	(d)  Before allowing a patient to leave or be transferred out of the clinic, the clinic must ensure that each prescribed drug supplied by the clinic is properly labeled and prepared in accordance with state and federal law for use outside of the clinic.  

Authorities

47.32.010;47.32.030

Notes

Authority

AS 47.32.010 AS 47.32.030

History

Eff. 12/3/2006, Register 180