OAR 855-041-7060: Long Term Care Pharmacy - Drug Distribution and Control

(1) Pharmacies or pharmacists that supply emergency drug kits to and/or accept returned medications from long term care facilities or community based care facilities must: (a) Assist in the establishment and supervision of: (A) The policies and procedures for the safe storage, distribution, administration, and disposition of drugs; (B) The maintenance of controlled drug accountability records; and (C) The policies and procedures for professional advice/medication counseling of patients and/or their care givers. (b) Have some pharmacists visit and provide consultant services on a regular basis; and (c) Supervise the implementation of the policies and procedures involving the security, storage, stocking, labeling, and notification of use of emergency drugs kits and supplemental drug supplies. (2) Arrangements can be made in advance by a provider pharmacy with a long term care facility or a community based care facility to: (a) Provide emergency drug kits to those facilities permitted by their license to have them; and (b) Allow only a designated licensed nurse present in the facility access to the emergency drug kit or the on-site pharmacy pursuant to OAR 855-041-6310. (3) An emergency drug kit consists of those drugs that may be required and are authorized by a practitioner to meet the immediate therapeutic needs of patients, when medication is not readily available directly from a pharmacy. (4) The emergency drug kit inventory is the property of the provider pharmacy, and the provider pharmacy consultant is responsible for developing the policy and procedures for storing and stocking the emergency drug kit. (5) Medication(s) can only be removed from the emergency drug kit or the on-site pharmacy by a designated licensed nurse pursuant to a practitioner's order.