OAR 855-041-6540
Automated Distribution Cabinets


(1)

Each ADC must be under the control of the pharmacy. The PIC must establish policies and procedures to meet the requirements of all applicable state and federal laws and regulations.

(2)

Policies and procedures addressing the operation of the ADC must be maintained in the pharmacy. They must include:

(a)

Training of personnel granted access to the ADC;

(b)

System operation, safety, security, access, accuracy and patient confidentiality;

(c)

Cabinet replenishment procedures;

(d)

Downtime procedures;

(e)

A procedure for securing and accounting for any wasted, discarded or unused drug in accordance with existing state and federal laws and regulations.

(3)

All events involving the contents of the ADC must be recorded and must include:

(a)

Identity of ADC accessed;

(b)

Identification of the individual accessing the ADC;

(c)

Type of transaction;

(d)

Date and time of transaction;

(e)

Name, strength, dosage form and quantity of the drug accessed;

(f)

Name of the patient or patient identifier for whom the drug was ordered;

(g)

Such additional information as the PIC may deem necessary.

(4)

Only a pharmacist, pharmacy technician, certified pharmacy technician, intern or other person designated by the PIC may have access to the ADC.

(5)

Stocking drugs in an ADC:

(a)

Only a pharmacy technician, certified pharmacy technician, intern, pharmacist or other licensed healthcare personnel designated by the PIC may stock drugs in the ADC;

(b)

A pharmacist must visually or electronically verify the name, strength and accuracy of the drug to be released from the central pharmacy for restocking;

(c)

When a barcode or other electronic system is used to confirm the accuracy of the replenishment of the stock in an ADC, the system must receive an initial quality assurance validation;

(d)

When all drug doses for an individual storage unit or bin have been packaged in one container, a single barcode verification may be used;

(e)

The PIC must monitor the accuracy of the replenishment of drugs with a quality assurance process that includes:

(A)

Reconciling the ADC fill list with established unit specific drugs using the drug profile, ADC discrepancy and inventory reports; and

(B)

Monitoring the accuracy of the restocking and withdrawal procedures used by all hospital staff approved for drug administration.

(f)

The PIC may permit medical supplies and devices to be included in the ADC.

(6)

All drugs stored in the ADC must be packaged and labeled in accordance with state and federal laws and regulations.

(7)

A drug that has been removed from the ADC for any purpose may not be returned to the system unless:

(a)

A pharmacist has examined the drug, the packaging, and the labeling and determined that reuse of the drug is appropriate; or

(b)

It is a drug, such as a multi-dose vial, which has been exempted by the appropriate hospital committee.

(8)

At the time of loading, unloading, inventorying, removing or accessing any controlled substance from the ADC, a blind count or confirmation of the correct count must be conducted. Any discrepancy must be reported immediately to the PIC or pharmacist on duty who is responsible for reconciliation of the unresolved discrepancy or proper reporting of the loss.

Source: Rule 855-041-6540 — Automated Distribution Cabinets, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=855-041-6540.

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 855-041-6540’s source at or​.us