2006 Nebraska Revised Statutes - § 71-2413 — Drugs to be included in emergency boxes; requirements; removal; conditions; notification of supplying pharmacist; expired drugs; treatment; examination of emergency boxes; written procedures; establishment.

Section 71-2413
Drugs to be included in emergency boxes; requirements; removal; conditions; notification of supplying pharmacist; expired drugs; treatment; examination of emergency boxes; written procedures; establishment.

(1) The supplying pharmacist and the medical director and quality assurance committee of the institution shall jointly determine the drugs, by identity and quantity, to be included in the emergency boxes. Such drugs shall then be approved in advance of placement in emergency boxes by the Board of Pharmacy, unless such drugs are included on a general list of drugs previously approved by the board for use in emergency boxes. The board may adopt a general list of drugs to be included in emergency boxes. The supplying pharmacist shall maintain a list of emergency box drugs in the pharmacy of the supplying pharmacist which is identical to the list on the exterior of the emergency box and shall make such list available to the department upon request. The supplying pharmacist shall obtain a receipt upon delivery of the emergency box to the institution signed by the director of nursing of the institution which acknowledges that the drugs initially placed in the emergency box are identical to the initial list on the exterior of the emergency box. The receipt shall be retained by the supplying pharmacist for a period of two years.

(2) Except for the removal of expired drugs as provided in subsection (4) of this section, drugs shall be removed from emergency boxes only pursuant to a prescription. Whenever access to the emergency box occurs, the prescription and proof of use shall be provided to the supplying pharmacist and shall be recorded on the resident's medical record by authorized personnel of the institution. Removal of any drug from an emergency box by authorized personnel of the institution shall be recorded on a form showing the name of the resident who received the drug, his or her room number, the name of the drug, the strength of the drug, the quantity used, the dose administered, the route of administration, the date the drug was used, the time of usage, the disposal of waste, if any, and the signature of the authorized personnel. The form shall be maintained at the institution for a period of twenty-four months from the date of removal with a copy of the form to be provided to the supplying pharmacist.

(3) Whenever an emergency box is opened, the supplying pharmacist shall be notified by the charge nurse or the director of nursing of the institution within twenty-four hours and the supplying pharmacist or another pharmacist designated by the supplying pharmacist shall restock and refill the box, reseal the box, and update the drug listing on the exterior of the box within seventy-two hours.

(4) Upon the expiration of any drug in the emergency box, the supplying pharmacist or another pharmacist designated by the supplying pharmacist shall replace the expired drug, reseal the box, and update the drug listing on the exterior of the box. The expired drug shall be immediately destroyed within the institution by a pharmacist, and such destruction shall be witnessed and documented by such pharmacist. If the expired drug is a controlled substance listed in Schedule II, III, IV, or V of section 28-405, it shall be destroyed pursuant to subdivision (3)(f)(iv) of section 28-414. Records pertaining to the documentation of expired drugs which are destroyed shall be maintained at the institution for a period of five years from the date of destruction with a copy of such records to be provided to the supplying pharmacist. Emergency drugs shall be considered inventory of the pharmacy of the supplying pharmacist until such time as they are removed for administration or destruction.

(5) Authorized personnel of the institution shall examine the emergency boxes once every twenty-four hours and shall immediately notify the supplying pharmacist upon discovering evidence of tampering with any emergency box. Proof of examination by authorized personnel of the institution shall be recorded and maintained at the institution for a period of twenty-four months from the date of examination.

(6) The supplying pharmacist and the medical director and quality assurance committee of the institution shall jointly establish written procedures for the safe and efficient distribution of emergency box drugs.

Source:

Laws 1994, LB 1210, § 185

Laws 1999, LB 828, § 166

Laws 2001, LB 398, § 71

~Reissue Revised Statutes of Nebraska