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"(5) participate in programs for sex education and

drug abuse education;

"(6) provide information on the resident's drug regimen to the receiving facility pharmacist, when the

resident is transferred, and, with the approval of the resident or his guardian, to the resident's community pharmacist, his private physician, and/or the community mental retardation service when the resident is discharged from the facility, so as to insure continuity

of care;

"(7) participate in inservice education programs for professional and direct-care staff;

"(8) orient and teach students in pharmacy and other professions, regarding pharmacy's services to the residents and regarding drugs and their uses; and

"(9) participate in public education and informational programs on mental retardation.

"(e) Where appropriate to the facility, there shall be

a pharmacy and therapeutics committee, that includes one

or more pharmacists, to develop policy on drug usage in the 21 facility, and to develop and maintain a current formulary.

This committee shall meet not less than once every three

23 months. Minutes of the committee meetings shall be kept

"(f) Written policies and procedures that govern the

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1 safe administration and handling of all drugs shall be devel2 oped by the responsible pharmacist, physician, nurse, and 3 other professional staff, as appropriate to the facility. The

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compounding, packaging, labeling, and dispensing of drugs,

5 including samples and investigational drugs, shall be done 6 by the pharmacist, or under his direct supervision, with proper controls and records. Each drug shall be identified

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up to the point of administration. Procedures shall be estab9 lished for obtaining drugs when the pharmacy is closed. "(g) The unit dose or individual prescription system

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of drug distribution should be used. Wherever possible, 12 drugs that require dosage measurement shall be dispensed 13 by the pharmacist in a form ready to be administered to

14 the patient.

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“(h) There shall be a written policy regarding the ad16 ministration of all drugs used by the residents, including 17 those not specifically prescribed by the attending practitioner. 18 There shall be a written policy regarding the routine of 19 drug administration, including standardization of abbrevia20 tions indicating dose schedules. Medications shall not be used

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by any resident other than the one for whom they were is

sued. Only appropriately trained staff shall be allowed to

23 administer drugs.

24 “(i) There shall be a written policy governing the self

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administration of drugs, whether prescribed or not.

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1 "(j) Drugs shall be stored under proper conditions of 2 sanitation, temperature, light, moisture, ventilation, segre3 gation, and security. All drugs shall be kept under lock and 4 key except when authorized personnel are in attendance. 5 The security requirements of Federal and State laws shall be 6 satisfied in storerooms, pharmacies, and living units. Poisons, 7 drugs used externally, and drugs taken internally shall be 8 stored on separate shelves or in separate cabinets, at all lo9 cations. Medications that are stored in a refrigerator con10 taining things other than drugs shall be kept in a separate 11 compartment with proper security. A perpetual inventory 12 shall be maintained of each narcotic drug in the pharmacy, 15 and in each unit in which such drugs are kept, and inventory records shall show the quantities of receipts and issues and 15 the person to whom issued or administered. If there is a 16 drug storeroom separate from the pharmacy, there shall be

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a perpetual inventory of receipts and issues of all drugs by 18 such storeroom.

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"(k) The pharmacist should review the drugs in each 20 living wait monthly, and should remove outdated and de21 teriorated drugs and drugs not being used. Discontinued and

outdated drugs, and containers with worn, illegible, or missing labels, shall be returned to the pharmacy for proper dis

position.

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1 "(1) There shall be automatic stop orders on all drugs. 2 There shall be a drug recall procedure that can be readity 3 implemented. Medication errors and drug reactions shall be 4 recorded and reported immediately to the practitioner who 5 ordered the drug. There shall be a procedure for reporting 6 adverse drug reactions to the Federal Food and Drug Ad7 ministration. The pharmacist shall be responsible for the stor8 age and dispensing of investigational drugs. The pharmacist 9 shall provide the residential staff with pharmacological and 10 other necessary information on investigational drugs, includ11 ing dosage form, dosage range, storage, adverse reactions, and contraindications.

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usage,

"(m) There shall be an emergency kit-

“(1) readily available to each living unit; and

"(2) constituted so as to be appropriate to the needs

of its residents.

"(n) Pharmacy services shall be

"(1) directed by a professionally competent and

legally qualified pharmacist who is a graduate of a

school of pharmacy accredited by the American Council

21 on Pharmaceutical Education, or its equivalent, and who

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serves on a full-time or part-time basis, as the activity

of the service requires;

"(2) staffed by a sufficient number of competent

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personnel, consistent with the facility's needs, and in

cluding

"(A) pharmacists necessary to provide comprehensive pharmacy services;

"(B) technicians and clerical personnel to relieve the pharmacist of nonprofessional and clerical duties;

"(3) pharmacists should have had training and/or experience in providing services to the mentally retarded, and should be sensitive to their needs; and

“(4) all pharmacists shall be familiar with, and adhere to, the code of ethics of the American Pharmaceutical Association.

"(o) Appropriate to the size of the facility, there should

15 be a staff development program, designed to maintain and 16 improve the skills of its pharmacy staff through means

17 such as

"(1) staff meetings and inservice training;

"(2) seminars, workshops, conferences, and insti

tutes;

"(3) college and university courses;

"(4) participation in professional organizations;

"(5) participation in interdisciplinary groups;

"(6) visits to other facilities; and