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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 535. Oklahoma State Board of Pharmacy |
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Chapter 15. Pharmacies |
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Subchapter 6. Hospital Drug Room |
SECTION 535:15-6-6. Physical and library requirements
Latest version.
- A hospital drug room shall have sufficient facilities to insure that drugs are prepared in sanitary, well-lighted and enclosed places, and which meet the other requirements of this Chapter.(1) Equipment and materials. Each hospital drug room shall have sufficient equipment and physical facilities for proper compounding, dispensing and storage of drugs.(A) For compounded sterile preparations:(i) If a laminar hood is used, a hospital drug room shall comply with 535:15-9-6 and 535:15-9-10, 1 through 5.(ii) If a laminar hood is not used, a closed system for parenteral admixtures should be utilized. If sterile compounding must be done, an area must be designated for that activity. This area must be at least a counter used for only this purpose and be away from patient care areas. Acceptable aseptic techniques shall be used.(B) A library shall be maintained which includes four of the following current references (not more than 2 years old or most recent). Current electronic sources may be substituted for two hard copy information sources:(i) Drug interactions;(ii) Drug compatibility;(iii) Poison and antidote information;(iv) Toxicology;(v) Pharmacology;(vi) Microbiology;(vii) Patient counseling;(viii) Rational therapy;(ix) Dispensing information; and,(x) Applicable USP standards(C) The library shall include the latest copy of Oklahoma State Laws and Rules Pertaining to the Practice of Pharmacy and a recent copy of Oklahoma State Bureau of Narcotics & Dangerous Drugs Control Rules.(2) Storage. All drugs bearing a federal legend such as "RX Only" and medications administered in the hospital shall be stored in designated areas within the hospital which are sufficient to insure proper sanitation, temperature, light, ventilation, moisture control, segregation and security. The storage shall be as directed by the PIC and shall remain under the supervision of such pharmacist.(3) Alcohol and flammables. Alcohol and flammables shall be stored in areas that shall, at a minimum, meet basic local building code requirements for the storage of volatiles and such other laws, ordinances or regulations as may apply.(4) Unattended areas. In the absence of authorized personnel in a hospital medication area, such area shall be locked.(5) Security. All areas occupied by a hospital drug room shall be capable of being locked by key or combination to prevent access by unauthorized personnel.