OAR 851-056-0024
Drug Delivery and Dispensing
(1)
Policies and procedures: A nurse practitioner or clinical nurse specialist with dispensing authority shall follow procedures established by federal and state law for:(a)
Drug dispensing, storage, security and accountability;(b)
Maintenance of all drug records;(c)
Procedures for procurement of drugs.(2)
Dispensing:(a)
Drugs shall be prepackaged by a pharmacy or manufacturer registered with the Oregon State Board of Pharmacy, and provide on the label:(A)
The name and strength of the drug. If the drug does not have a brand name, then the generic name of the drug and the drug manufacturer must be on the label.(B)
The quantity of the drug;(C)
Cautionary statements, if any, required by law;(D)
The name, address, and phone number of the practitioner’s practice site; and(E)
The manufacturer’s expiration date, or an earlier date if preferable, after which the patient should not use the drug.(b)
The nurse practitioner or clinical nurse specialist shall personally dispense drugs which require hand labeling with the following information:(A)
Name of the patient;(B)
Directions for use; and(C)
Physical description, including any identification code that may appear on tablets and capsules.(c)
The nurse practitioner or clinical nurse specialist may delegate the dispensing function to staff assistants under limited circumstances where the staff assistant performs technical support that does not require prescriptive judgment. The staff assistant can dispense only those drugs that are pre-labeled by the dispensing pharmacy with the following information:(A)
Name of the patient;(B)
Name of the prescriber;(C)
Directions for use; and(D)
A physical description, including any identification code that may appear on tablets and capsules.(E)
Staff assistants may complete and label the drug with the patient’s address, date of dispensing, and initials of dispensing personnel and distribute them to the patient.(d)
Drugs shall be dispensed in containers complying with the federal Poison Prevention Packaging Act unless the patient requests a non-complying container.(e)
The nurse practitioner or clinical nurse specialist shall provide a means for patients to receive verbal and written information on drugs dispensed to the patient. The written drug information shall include:(A)
Drug name and class;(B)
Proper use and storage;(C)
Common side effects;(D)
Precautions and contraindications; and(E)
Significant drug interactions.(3)
Drug security, storage and disposal:(a)
In the absence of the person authorized to dispense and prescribe, drugs shall be kept in a locked cabinet or drug room which is sufficiently secure to deny access to unauthorized persons.(b)
Controlled substances shall be maintained in a secure, locked container at all times.(c)
All drugs shall be stored in areas which will assure proper sanitation, temperature, light, ventilation, and moisture control.(d)
Drugs which are outdated, damaged, deteriorated, misbranded, or adulterated shall be physically separated from other drugs until they are destroyed or returned to their supplier.(e)
Controlled substances, which are expired, deteriorated, or unwanted, shall be disposed of in conformance with current State and Federal Regulations, including but not limited to, 21 CFR 1307.21 and OAR 855-080-0105 (Disposal of Drugs).(4)
Drug records:(a)
A drug dispensing record shall be maintained separately from the patient record and kept for a minimum of three years. The dispensing record shall show, at a minimum, the following:(A)
Name of patient;(B)
Brand name of drug, or generic name and manufacturer or distributor;(C)
Date of dispensing; and(D)
Initials of nurse practitioner or clinical nurse specialist.(b)
A physical copy of the prescription for each medication dispensed shall be retained in the patient chart and shall be produced upon request.(c)
All records required by these rules or by federal or state law shall be readily retrievable and available for inspection by the Board and the Board of Pharmacy.(d)
A patient record shall be maintained for all patients to whom the nurse practitioner or clinical nurse specialist dispenses medications.(5)
Clinical nurse specialists and nurse practitioners with dispensing authority shall be responsible for safe storage, distribution, and destruction of all drugs under their authority.(6)
Clinical nurse specialists and nurse practitioners granted dispensing authority under this rule shall comply with the labeling and record keeping requirements of OAR 851-050-0164.(7)
A person granted dispensing authority under this rule shall have available at the dispensing site a hard copy or electronic version of prescription drug reference works commonly used by professionals authorized to dispense prescription medications.(8)
A person granted dispensing authority under this rule shall permit representatives of the Oregon State Board of Pharmacy, upon receipt of a complaint about that person’s dispensing practices and notice to the Board of Nursing, to inspect a dispensing site.
Source:
Rule 851-056-0024 — Drug Delivery and Dispensing, https://secure.sos.state.or.us/oard/view.action?ruleNumber=851-056-0024.