OAR 855-041-6310
After Hours Access to Pharmacy
(1)
Only one registered nurse supervisor on a shift may have access to the pharmacy and may remove drugs. The nurse supervisor must be designated in writing by the appropriate hospital committee and prior to being permitted to obtain access to the pharmacy, must receive appropriate training in the proper procedures for access, removal of drugs, and recordkeeping;(2)
The PIC or designee must give such education and training, and must require, at a minimum, the following procedures:(a)
A drug may only be removed from the pharmacy on a practitioner’s order that has been posted to the patient’s medical record;(b)
A copy of the practitioner’s order must be left either with the container from which the drug was removed or with an identical unit-dose, and must be placed conspicuously for a pharmacist to verify for accuracy;(c)
A record of each drug removed from the pharmacy by the nurse supervisor must include:(A)
Name and hospital location of the patient;(B)
Name and strength of drug distributed;(C)
Units used;(D)
Date and time of distribution;(E)
Initials of the nurse supervisor distributing the drug;(F)
Date and initials of the pharmacist who confirmed the accuracy of the transaction.
Source:
Rule 855-041-6310 — After Hours Access to Pharmacy, https://secure.sos.state.or.us/oard/view.action?ruleNumber=855-041-6310.