1. Chapter 15. Hospital Pharmacy Jeffery D. Evans, Pharm.D. Associate Professor of Pharmacy Practice ULM COP

2. Chapter 15 Purpose – To regulate the practice of hospital pharmacies Impact – Significantly clarifies rules for hospitals

3. Introductions (1501 – 1503) Hospital pharmacies follow chapter 11 if not changed in chapter 15 Hospital pharmacies must be in a licensed hospital

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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.