OAR 855-041-6410
Emergency Department Distribution

(1)

A practitioner or associate practitioner with prescriptive authority in Oregon who is a member of the hospital’s medical staff may dispense an emergency supply of drugs to a patient examined by them or by an associate practitioner subject to the following requirements:

(a)

The prescriber shall offer the patient the option of being provided a prescription that may be filled at the pharmacy of the patient’s choice.

(b)

During consultation with the patient or the patient’s caregiver, the prescriber shall clearly explain the appropriate use of the drug supplied and the need to have a prescription for any additional supply of the drug filled at a pharmacy of the patient’s choice.

(c)

The patient must be given instructions on the use and precautions for taking the drug;
Labeling

(d)

The drug is in a manufacturer’s unit-of-use container, such as an inhaler, or hospital pre-pack that has been labeled by the pharmacy with:

(A)

Name of drug, strength, and number of units. When a generic name is used, the label must also contain the identifier of the manufacturer or distributor;

(B)

Accessory cautionary information as required for patient safety;

(C)

Product identification label if the drug is not in unit-of-use packaging;

(D)

An expiration date after which the patient should not use the drug; and

(E)

Name, address and phone number of the hospital pharmacy.

(e)

The following information must be added to the drug container by the practitioner or nurse before dispensing to the patient:

(A)

Name of patient;

(B)

Directions for use by the patient;

(C)

Date of issue;

(D)

Unique identifying number as determined by policy and procedure;

(E)

Name of prescribing practitioner; and

(F)

Initials of the dispensing nurse or practitioner.
Distribution Record

(f)

A prescription or record of the distribution must be completed by the practitioner or nurse. This record must contain:

(A)

Name of patient;

(B)

Date of issuance;

(C)

Drug name and strength distributed;

(D)

Units issued;

(E)

Name of practitioner;

(F)

Initials of the dispensing nurse or practitioner; and

(G)

Instructions given to the patient as labeled.

(g)

Any additional information required by state and federal laws and regulations for the distribution of a drug to an outpatient;

(h)

The record must be reviewed and documented by a pharmacist for accuracy and completeness. The pharmacist shall review the record of dispensing of drugs within 24 hours. However, if the pharmacy is closed, records shall be reviewed during the first day the pharmacy is open but not to exceed 72 hours following the dispensing; and

(i)

Errors and discrepancies will be included in hospital and pharmacy QA review process and available to the Board.

(2)

A controlled substance may only be distributed or dispensed to an outpatient by the examining practitioner after the patient has been examined by the practitioner and a legitimate medical purpose for a controlled substance has been determined. Distribution of a controlled substance must comply with all applicable state and federal laws and regulations.

(3)

The CPO or PIC and appropriate hospital committee will establish a limited selection and quantity of drugs to be included in the Emergency Department formulary and the amount contained in each prepak that may be distributed to meet only the acute care needs of a patient; for example, an emergency supply of drugs. The amount dispensed may not exceed a 48 hour supply except for:

(a)

A drug in the manufacturer’s unit-of-use packaging such as an inhalant or a topical drug;

(b)

A full course of therapy that may be dispensed if in the professional judgment of the pharmacist or practitioner this would be in the patient’s best interest such as an antibiotic;

(4)

Any additional preparation for use of the medication must be completed prior to discharge; for example, reconstituting antibiotics;
Automated Dispensing Machine

(5)

For the purpose of this rule an Automated Dispensing Machine (ADM) is a machine or contrivance which will prepare a completed and labeled prescription which is ready for dispensing to the patient or patient’s representative.

(6)

An Automated Dispensing Machine; may only be located within the Emergency Department in a secure environment that has no direct public access, and when used, must be part of the discharge procedure;

(7)

When the patient or patient’s representative receives the prescription from an ADM;

(a)

A registered nurse or practitioner or pharmacist must be present at the time of dispensing; and

(b)

A registered nurse or practitioner or pharmacist will grant access to the ADM for the release of the drugs to be dispensed using a password protected or biometric security system; and

(c)

The patient or patient’s representative will obtain the drug using a specific patient access code.

(8)

Only a pharmacy technician, certified pharmacy technician, intern or pharmacist may access the drug supply in the ADM.

(9)

The CPO or PIC will establish policies and procedures for use of the ADM including, but not limited to emergency access and down time procedures for the ADM.

(10)

Upon written request, the Board may waive any of the requirements of this rule if a waiver will further public health or safety. A waiver granted under this section shall only be effective when it is issued in writing and will be time limited.

Source: Rule 855-041-6410 — Emergency Department Distribution, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=855-041-6410.

855–041–1001
Definitions 855–041–1010
Personnel (Both Retail and Institutional Drug Outlets) 855–041–1015
Operation of Pharmacy (Both Retail and Institutional Drug Outlets) 855–041–1020
Security of Prescription Area 855–041–1025
Disposal of Drugs 855–041–1030
Reporting Drug Loss 855–041–1035
Minimum Equipment Requirements (Both Retail and Institutional Drug Outlets) 855–041–1036
Proper Storage of Drugs 855–041–1040
Drug Outlet Procedures 855–041–1045
Returned Drugs and Devices 855–041–1046
Secure and Responsible Drug Disposal 855–041–1050
Pharmacy Depots 855–041–1055
Confidentiality 855–041–1060
Non-Resident Pharmacies 855–041–1080
Pharmacy Registration (Both Retail and Institutional Drug Outlets) 855–041–1085
Change of Location of a Pharmacy (Both Retail and Institutional Drug Outlets) 855–041–1090
Change of Business Name, Closure (Both Retail and Institutional Drug Outlets) 855–041–1095
Pharmacy Advertising 855–041–1105
Requirements for Prescriptions 855–041–1110
Tamper-resistant Prescription 855–041–1115
Verification of Prescription Authenticity 855–041–1120
Prescription Refills 855–041–1125
Prescription Expiration 855–041–1130
Prescription Labeling 855–041–1131
Prescription Reader Accessibility 855–041–1132
Limited English Proficiency and Accessibility 855–041–1135
Defines Labeling and Container Requirements for Repackage Drugs 855–041–1140
Customized Patient Medication Packages 855–041–1145
New Containers 855–041–1160
Prescription Records and Retention 855–041–1165
Patient Medical Record 855–041–1170
Grounds for Discipline 855–041–2100
Operation of a Double Set-Up Pharmacy in a Retail Drug Outlet 855–041–2115
Transfer of Prescription Information Between Pharmacies 855–041–2310
Definitions 855–041–2320
Epinephrine 855–041–2340
Naloxone 855–041–3000
Central Fill and Remote Processing Outlet Designations and Consulting/Drugless Pharmacy Outlets - Purpose and Scope 855–041–3005
Central Fill - Purpose and Scope 855–041–3010
Central Fill - Definitions 855–041–3015
Central Fill - General Requirements 855–041–3020
Central Fill - Policies and Procedures 855–041–3025
Central Fill - Labeling 855–041–3030
Central Fill - Records 855–041–3035
Central Fill - Delivery of Medications 855–041–3040
Central Fill - Filled Prescriptions 855–041–3045
Central Fill - Prohibited Practices 855–041–3100
Remote Processing - Purpose and Scope 855–041–3105
Remote Processing - Definitions 855–041–3110
Remote Processing - General Requirements 855–041–3115
Remote Processing - Policies and Procedures 855–041–3120
Remote Processing - Records 855–041–3125
Remote Processing - Prescription or Drug Order Processing 855–041–3130
Remote Processing - Prohibited Practices 855–041–3300
Consulting/Drugless Pharmacy - Purpose and Scope 855–041–3305
Consulting/Drugless Pharmacy - Definitions 855–041–3310
Consulting/Drugless Pharmacy - Registration 855–041–3315
Consulting/Drugless Pharmacy - Personnel 855–041–3320
Consulting/Drugless Pharmacy - Confidentiality 855–041–3325
Consulting/Drugless Pharmacy - General Provisions and Minimum Standards 855–041–3330
Consulting/Drugless Pharmacy - Security Requirements 855–041–3335
Consulting/Drugless Pharmacy - Policies and Procedures 855–041–3340
Consulting/Drugless Pharmacy - Records 855–041–4000
Purpose - Expedited Partner Therapy (EPT) 855–041–4005
Expedited Partner Therapy (EPT) - Procedures 855–041–4025
Purpose and Scope - Home Dialysis 855–041–4035
Home Dialysis - Definitions 855–041–4045
Home Dialysis - Drug Delivery and Control 855–041–4055
Home Dialysis - Duties of the Pharmacist 855–041–4100
Definitions - Automated Pharmacy System 855–041–4110
Remote Dispensing Machine (RDM) - Duties and Responsibilities of the Pharmacist-in-Charge 855–041–4120
Remote Dispensing Machine (RDM) - Drug Delivery and Control 855–041–5005
Definitions - Institutional and Residential Pharmacy Drug Outlets 855–041–5015
Registration 855–041–5050
Remote Distribution Facility (RDF) - Definitions 855–041–5055
Remote Distribution Facility (RDF) 855–041–5100
Definitions - Technician Checking Validation Program (TCVP) 855–041–5120
Technician Checking Validation Program (TCVP) - Hospital and Pharmacist in Charge Requirements 855–041–5130
Technician Checking Validation Program (TCVP) - Technician Eligibility and Training 855–041–5140
Technician Checking Validation Program (TCVP) - Initial Validation Process and Quality Assurance Process 855–041–5150
Technician Checking Validation Program (TCVP) - Checking Procedure 855–041–5160
Technician Checking Validation Program (TCVP) - Eligible Specialized Functions 855–041–5170
Technician Checking Validation Program (TCVP) - Records 855–041–6050
Definitions - Automated Distribution Cabinet (ADC) 855–041–6100
Registration 855–041–6150
General Pharmacy Requirements 855–041–6200
Chief Pharmacy Officer and Pharmacist in Charge 855–041–6220
Records 855–041–6240
Drug Administration 855–041–6250
Patient’s Own Drugs and Other Drugs from Outside Sources 855–041–6260
Investigational Drugs 855–041–6270
Labeling 855–041–6300
Absence of the Pharmacist 855–041–6305
Night Cabinet 855–041–6310
After Hours Access to Pharmacy 855–041–6400
Emergency Dispensing by a Nurse 855–041–6410
Emergency Department Distribution 855–041–6420
Emergency Kit and Code Cart 855–041–6500
Practitioner’s Drug Order 855–041–6510
In-patient Drug Profile 855–041–6520
Cart-Fill 855–041–6530
Robotic Distribution Systems 855–041–6540
Automated Distribution Cabinets 855–041–6550
Secondary and Remote Storage 855–041–6560
Floor-Stock 855–041–6570
Trays and Kits 855–041–6600
Controlled Drug Accountability 855–041–6610
Schedule II Drugs 855–041–6620
Electronic Safe Systems 855–041–6800
Supervision of Consulting Pharmacist 855–041–6840
Drug Distribution and Control from a Drug Room in a Hospital 855–041–7050
Definitions - Long Term Care Pharmacy 855–041–7060
Long Term Care Pharmacy - Drug Distribution and Control 855–041–7070
Long Term Care Pharmacy - Labeling and Distribution 855–041–7080
Pharmaceutical Care in Community Based Care Facilities 855–041–8050
Emergency Drug Supply in Home Health Care Agencies
Last Updated

Jun. 8, 2021

Rule 855-041-6410’s source at or​.us