(1) A policy and procedure manual as it relates to parenteral products shall be available for inspection at the pharmacy. The manual shall be reviewed and revised on an annual basis by the on-site pharmacist-in-charge.

(2) The manual shall include policies and procedures for:

(a) Clinical services;

(b) Parenteral product handling, preparation, dating, storage, and disposal;

(d) Disposal of unused supplies and medications;

(e) Drug destruction and returns;

(f) Drug dispensing;

(g) Drug labeling—relabeling;

(h) Duties and qualifications for professional and nonprofessional staff;

(i) Equipment;

(j) Handling of infectious waste pertaining to drug administration;

(k) Infusion devices and drug delivery systems;

(l) Dispensing of investigational medications;

(m) Training and orientation of professional and nonprofessional staff commensurate with the services provided;

(n) Quality assurance;

(o) Recall procedures;

(p) Infection control:

(i) Suspected contamination of parenteral products;

(ii) Orientation of employees to sterile technique;

(q) Sanitation;

(r) Security;

(s) Transportation; and

(t) Absence of a pharmacist.

[Statutory Authority: RCW 18.64.005 and chapter 18.64A RCW. WSR 91-18-057 (Order 191B), recodified as § 246-871-020, filed 8/30/91, effective 9/30/91. Statutory Authority: RCW 18.64.005. WSR 90-03-055 (Order 026), § 360-16A-030, filed 1/17/90, effective 2/17/90.]

PDFWAC 246-871-020

Policy and procedure manual.