Pharmaceutical Services or Medications
The ASC provides drugs and biologicals in a safe and effective manner, in accordance with accepted professional practices and under the direction of an individual designated responsible for implementation and storage.
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ACLS Medications
A complete copy of the current ACLS algorithm must be available on the emergency cart.
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Refrigerator Medications Storage Parameters
Tips and storage parameters of refrigerated medications in the ASC to comply with Medicare requirement.
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High Alert Medications Look Alike Sound Alike Medications
A list of high alert and look alike sound alike medications are present in the facility. Processes are in place to prevent errors from administration of these medications.
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Refrigerator Medications
Form an instructions for use (IFU) library for the medications inside your refrigerator. Make sure you know the storage requirements and the temperature parameters. Have a discussion with your inspector regarding what is inside the refrigerator.
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Narcotics Lock Box
Narcotics or Controlled Substances must be locked in the narcotics lock box.
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Multidose Vial Storage Area
A multidose vial of medication must be opened in a non patient care area. You are required to document the day or opening or expiration (this will be 28 days from the opening date, or manufacturer's expiration date, whichever is sooner). Draw up the medication from the multidose vial to include...
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Monitoring Out-dates Anesthesia Cart
On a monthly basis you must review and check for expired supplies and medications inside the anesthesia cart. Outdated medications are removed and destroyed in accordance with federal, state and local pharmacy regulations.
