37.106.1844 SPECIALTY MENTAL HEALTH FACILITY: PHARMACEUTICAL SERVICES
(1) A specialty mental health facility must have pharmaceutical services that meet the needs of the patients and include either a pharmacy directed by a registered pharmacist or a drug storage area under the supervision of a consulting pharmacist who develops, supervises, and coordinates all the facility's pharmacy services.
(2) The facility must ensure that:
(a) The pharmacy or drug storage area is administered in accordance with accepted professional principles.
(b) When a pharmacist is not available, drugs and biologicals are removed from the pharmacy or storage area solely by the personnel designated in writing in medical staff and pharmaceutical services policies, and in a manner consistent with federal and state law.
(c) All compounding, packaging, and dispensing of drugs and biologicals is under the supervision of a pharmacist and performed in a manner consistent with federal and state law and rules.
(d) Drugs and biologicals are kept in a locked storage area.
(e) Outdated, mislabeled, or otherwise unusable drugs and biologicals are removed from the facility and destroyed.
(f) Drug administration errors, adverse reactions, and incompatibilities are immediately reported to the attending practitioner.