Chapter 15. Hospital Pharmacy

Jeffery D. Evans, Pharm.D.Associate Professor of Pharmacy Practice

ULM COP

Chapter 15

• Purpose– To regulate the practice of hospital pharmacies

• Impact– Significantly clarifies rules for hospitals

Introductions (1501 – 1503)

• Hospital pharmacies follow chapter 11 if not changed in chapter 15

• Hospital pharmacies must be in a licensed hospital

Permit and PIC (1505 – 1507)

• Permit follows all of the permit requirements from Chapter 11

• PIC– Must have two years of being a licensed

pharmacist

Maintaining control of the drugs (1509)

• PIC in charge of all drug dispersing

• Hospital Pharmacies must maintain perpetual inventories of C-I and C-II CDSs

• CDSs records must also identify who administered the CDS

It is not a prescription (1511 – 1515)

• Prescription Drug orders are reviewed before the patient uses the medication unless…

• Labels must include– Name and location of patient– Drug name and strength– Dose

• Ambulance Service Drugs– Hospitals must keep track if they supply drugs to ambulances

Drug Cabinets (not ADSs) and returns (1517 - 1519)

• These should only be used when a pharmacist is not available. There are several rules for these, and the PIC is responsible for all of them

• The hospital pharmacy may return drugs if they have not left the hospital

Offsite and outpatient (1521 – 1523)

• Not all hospitals have pharmacies– Thus offsite pharmacies may provide services– As long as there is always a pharmacist on call

• Hospital Pharmacies may dispense to out patients under certain circumstances– I would know these

Offsite processing of medical orders (1525)

• Allows orders to be sent offsite but requires the pharmacist to have access to everything as if they were on site.