Section 657.23.4. Responsibilities.

The pharmacist in charge and staff pharmacists in any pharmacy providing pharmaceutical services to long-term care facility patients shall share responsibility for:

            1.      Providing drugs pursuant to a medication order for an individual resident, properly labeled for that resident, as addressed in rule 657—22.1(155A) or 657—23.13(124,155A).

            2.      Dispensing drugs for residents of long-term care facilities consistent with the drug distribution system described in the facility’s policies and procedures.

            3.      Affixing labels to each container of drugs for residents in long-term care facilities, in compliance with rule 657—22.1(155A), 657—23.13(124,155A), or 657—23.14(124,155A).

            4.      Maintaining records of all transactions of the long-term care pharmacy as may be required by law and maintaining accurate control over and accountability for all drugs and prescription devices.

            5.      Complying with a drug recall procedure, established pursuant to rule 657—8.3(155A), that protects the health and safety of residents including immediate discontinuation of any recalled drug or device and subsequent notification of the prescriber and director of nursing of the facility.

            6.      Providing 24-hour emergency service either directly or by contract with another pharmacy.

            7.      Reviewing patient profiles to ensure the appropriateness of therapy for that resident and the compatibility of the drug and dosage for that resident when processing new medication orders.

            8.      Providing sufficient and accurate information to facility staff regarding the appropriate administration and use of all dispensed drugs and devices.

            9.      Communicating with the consultant pharmacist and the facility regarding concerns and resolution thereof.

[ARC 1961C, IAB 4/15/15, effective 5/20/15]