Chapter 15. Hospital Pharmacy

1. Chapter 15. Hospital Pharmacy Jeffery D. Evans, Pharm.D. Associate Professor of Pharmacy Practice ULM COP

2. Chapter 15 • Purpose • To regulate the practice of hospital pharmacies • Impact • Significantly clarifies rules for hospitals

3. Introductions (1501 – 1503) • Hospital pharmacies follow chapter 11 if not changed in chapter 15 • Hospital pharmacies must be in a licensed hospital

4. Permit and PIC (1505 – 1507) • Permit follows all of the permit requirements from Chapter 11 • PIC • Must have two years of being a licensed pharmacist

5. Maintaining control of the drugs (1509) • PIC in charge of all drug dispersing • Hospital Pharmacies must maintain perpetual inventories of C-I and C-II CDSs • CDSs records must also identify who administered the CDS

6. It is not a prescription (1511 – 1515) • Prescription Drug orders are reviewed before the patient uses the medication unless… • Labels must include • Name and location of patient • Drug name and strength • Dose • Ambulance Service Drugs • Hospitals must keep track if they supply drugs to ambulances

7. Drug Cabinets (not ADSs) and returns (1517 - 1519) • These should only be used when a pharmacist is not available. There are several rules for these, and the PIC is responsible for all of them • The hospital pharmacy may return drugs if they have not left the hospital

8. Offsite and outpatient (1521 – 1523) • Not all hospitals have pharmacies • Thus offsite pharmacies may provide services • As long as there is always a pharmacist on call • Hospital Pharmacies may dispense to out patients under certain circumstances • I would know these

9. Offsite processing of medical orders (1525) • Allows orders to be sent offsite but requires the pharmacist to have access to everything as if they were on site.