Rule 15-16-1-52.18.13 - Medication ControlThe facility shall have written policies and procedures designed to ensure that all medications are dispensed and administered safely and properly in accordance with the applicable federal, state, and local laws and regulations.
1. Medication orders shall be written only by authorized prescribers.2. An up-to-date list of authorized prescribers shall be available in all areas where medication is dispensed.3. Telephone orders shall be accepted only from individuals on the list of authorized prescribers.4. Telephone orders shall be limited to emergency situations that have been defined in writing in the facility's policies and procedures manual.5. Telephone orders shall be accepted and written in the patient's record only by staff authorized to administer medication.6. Telephone orders shall be signed by an authorized prescriber on the next regular working day, but in all events within 72 hours.7. A written order signed by the authorized prescriber shall be included in patient's record.8. Medication orders that contain abbreviations and chemical symbols shall be carried out only if the abbreviations and symbols are on a standard list approved by the physician members of the professional staff.9. There shall be automatic stop orders on specified medications. Refer to Rule 52.18.5.10. There shall be a specific routine of drug administration, indicating dose schedules and standardization of abbreviations.11. Only pharmacists, physicians, registered nurses, or licensed practical nurses shall administer medications.12. Self-administration of medication shall be permitted only when specifically ordered by the responsible physician.13. Drugs brought into the facility by patients shall not be administered unless they can be absolutely identified, and unless written orders to administer these specific drugs are given by the responsible physician. If the drugs that the patient brings to the facility are not to be used, they shall be packaged, sealed, and stored, and, if approved by the responsible physician, they shall be returned to the patient, family, or significant others at the time of discharge.14. The patient and, when appropriate, the family shall be instructed about which medications if any, are to be administered at home.15. Medications administered, medication errors, and adverse drug reactions shall be documented in the patient's record.16. Facilities should implement a reporting system under which the reporting program of the federal Food and Drug Administration and the drug manufacturer are advised of unexpected adverse drug reactions.17. There shall be methods of detecting drug side effects of toxic reactions.18. Investigational drugs shall be used only under the direct supervision of the principal investigator and with the approval of research review committee and either the physician members of the professional staff or an appropriate committee of the professional staff.19. A central unit shall be established where essential information on investigational drugs, such as dosage form, dosage range, storage requirements, adverse reactions, usage, and contraindications, is maintained.20. Investigational drugs shall be properly labeled.21. Nurses may administer investigational drugs only after receiving basic pharmacologic information about the drugs. 22. The facility shall have specific methods for controlling and accounting for drug products.23. The pharmacy service shall maintain records of its transactions as required by law and as necessary to maintain adequate control of, and accountability for, all drugs.24. These records shall document all supplies issued to units, departments, or services of the facility, as well as all prescription drugs dispensed.25. Records and inventories of the drugs listed in the current Comprehensive Drug Abuse Prevention and Control Act shall be maintained as required by the act and regulations.26. Distribution and administration of controlled drugs are adequately documented, and inspections of these records by the pharmacist is documented.15 Miss. Code. R. 16-1-52.18.13
Miss. Code Ann. § 41-9-17