<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:07:04"><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000000">44:70:07:04</span></a><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000001">.  Storage and labeling of medications.</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> All medications </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be stored in a well illuminated, locked storage area that is well ventilated, maintained at a temperature appropriate for </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">medication</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> storage, and inaccessible to residents</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> visitors at all times. Medications suitable for storage at room temperature </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be maintained between </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">fifty-nine</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">eighty-six</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> degrees Fahrenheit</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">, or between fifteen</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">thirty</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> degrees centigrade. Medications that require refrigeration </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be maintained between </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">thirty-six</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">forty-six</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> degrees Fahrenheit</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">, or between</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">two</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">eight</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> degrees centigrade. Poisons and medications prescribed for external use </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be stored separately from medications</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> prescribed for internal use</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">, locked, and made inaccessible to residents</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and visitors</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    The medications or drugs of each resident for whom </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">a medication is</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> facility-administered </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be stored in the container in which </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">it was</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> originally received and may not be transferred to another container. </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">S</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">ingle dose </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">medication received by a resident from a physician, physician assistant, or nurse practitioner must be identified as single dose</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">. Each prescription </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">medication</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> container, including manufacturer's complimentary samples, </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be labeled with the resident's name</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">; the name of the resident's</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> physician, physician assistant, or nurse practitioner</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">;</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">medication</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> name and strength</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">;</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> directions for use</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">;</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> and prescription date.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">A c</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">ontainer with </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">a medication</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> that will not be used within </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">thirty</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> days of issue or with contents that expire in less than </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">thirty</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> days of issue </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> bear an expiration date. If a single</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">-</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">dose system is used, the </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">medication</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> name and strength, expiration date, and a control number </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be on the unit dose packet.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">If a facility is</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> co-located </span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">with a </span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">nursing facility </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">or</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> hospital, or </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">has a nurse present at the facility twenty-four hours per day, the facility</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> may procure and stock, including in bulk form, nonlegend medications and administer them in accordance with written policies and procedures that provide for oversight by qualified personnel.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    Any container with a worn, illegible, or missing label </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">must</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> be destroyed pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:07:06"><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000003">44:70:07:06</span></a><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">. Licensed pharmacists are responsible for the labeling, relabeling, or altering of labels on medication containers.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000001">Source:</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> 38 SDR 115, effective January 9, 2012</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">; 50 SDR 19, effective August 30, 2023</span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000001">General Authority:</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000003">34-12-13</span></a><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">(9).</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">    </span><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000001">Law Implemented:</span><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0-000003">34-12-13</span></a><span class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dC0">.</span></p><p dir="ltr" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128dP0"><span xml:space="preserve" class="sc7f34ce0-fb9f-45b8-87ad-48db7bd8128d000002"> </span></p></div></body></html>