Section 1140-04-.18 - MONTHLY INSPECTIONSThe pharmacist in charge shall be responsible (personally or by qualified designee) for documented monthly inspections of all drugs, devices and related materials kept at nursing stations, surgery, delivery rooms, emergency rooms, clinics, and any other area of the facility. Records of such inspections shall be dated, signed and maintained so as to be readily retrievable at the pharmacy practice site for at least two (2) years. These inspections must assure the following:
(1) Test reagents, germicides, and disinfectants are stored separately from drugs, devices and related materials;(2) External drugs, devices and related materials are stored separately from internal drugs, devices and related materials;(3) Thermolabile drugs are stored at the proper temperature;(4) Drugs, devices and related materials requiring special storage conditions to ensure their stability are properly stored;(5) There are no outdated or deteriorated drugs, devices or related materials;(6) All drugs, devices and related materials are properly labeled;(7) Emergency drugs, devices and related materials are stored in accordance with rule 1140-04-.10;(8) Medicine cabinets, carts and storage areas are accessible to authorized personnel only;(9) Dispensing of controlled substances is properly and adequately documented;(10) Telephone numbers of regional poison control centers and other emergency assistance organizations are posted;(11) Metric-apothecaries' weight and measure conversion tables and charts are available; and(12) Adequate pharmaceutical references for the drugs administered in that location are available.(13) Upon request, the Board may waive selected portions of these requirements so long as any waiver granted is consistent with the Board's authority under Tenn. Code Ann. Title 63, Chapters 1 and 10, and Tenn. Code Ann. Title 4, Chapter 5.Tenn. Comp. R. & Regs. 1140-04-.18
Original rule filed February 7, 1983; effective March 9, 1983. Repeal and new rule filed May 11, 1998; effective July 25, 1998. Amendments filed November 22, 2016; effective 2/20/2017.Authority: T.C.A. §§ 63-10-204, 63-10-304, 63-10-404(8), (14), and (28), and 63-10-504(b)(1) and (2).