<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002 { 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.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004 { 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="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000000">44:73:08</span></a></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001"> </span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0">MEDICATION CONTROL</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001"> </span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001"> </span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">Section</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:01"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Repealed.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:01.01"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:01.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">    Policies and procedures.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:02"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Written orders for medication required.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:03"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Medication therapy reviewed monthly.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:04"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Storage and labeling of medications.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:05"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Control and accountability of medications.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:06"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Documentation of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">medication </span><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">disposal.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:07"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Medication administration.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:08"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Medication records.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:09"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Administration of facility pharmacy.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:10"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Stock of legend drugs prohibited -- Exception.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:11"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Controlled drugs kept for emergency use.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:12"><span style="white-space: pre-wrap;" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000004">44:73:08:12</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dC0-000003">        Self administration of drugs.</span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001"> </span></p><p dir="ltr" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023dP0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb92ad6b6-a02a-4ca9-998f-7fb08a49023d000001"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 44:73:08:01 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 44:73:08:01"> <META NAME="Description" Content="Administrative Rules 44:73:08:01 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} /* Page Definitions */ @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 63.35pt 49.7pt 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:73:08:01.&nbsp;&nbsp;Medication control in hospitals and nursing facilities.</b> Repealed.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> SL 1975, ch 16, &#167;&nbsp;1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; transferred from &#167;&nbsp;44:04:08:01, repealed, 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0 { 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.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003 { 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="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:01.01"><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000000">44:73:08:01.01</span></a><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">.  Policies and procedures.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> Each facility shall establish and </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">implement the following policies</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> and procedures for medication control</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (1)  A requirement that each resident's prescribing physician, physician assistant, or nurse practitioner provide to the facility electronic or written signed orders for</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  A</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">ny medications taken by the resident;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">uthorization for medications kept on the </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">resident</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> or in the room of the resident; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  R</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">elease of medications;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (2)  Provisions for proper storage of prescribed medications so that the medications are inaccessible to residents </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> visitors with requirements for:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  Separate storage of poisons, topical medications, and oral medications;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  Each resident's medication to be stored in the container in which it was originally received and not transferred to another container; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  A medication prescribed for one resident </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">that is </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">not to be administered to any other resident;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (3)  </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">The s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">elf-administration of medications </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> be accomplished with the supervision of a designated employee of the facility</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">. The requirement must contain:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  A description of the responsibility of the resident, the resident's family members and the facility </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">personnel</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  The provision of written educational material explaining to the resident and the resident's family the resident's rights and responsibilities associated with self-administration; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (4)  </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">Provision for</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> proper disposition of medic</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">ations due to:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  Resident</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> discharge or death</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  O</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">utdated</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> medication;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> or</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  T</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">he prescription is </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">being discontinued by the physician, physician assistant, or nurse practitioner</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">The facility shall establish</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> written policies and procedures </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">for</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> the manner of issuance, proper storage, control, accountability, and administration of medications or drugs in accordance with pharmaceutical and nursing practices as well as professional standards.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    The facility and </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">the facility's </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">pharmacist shall establish a system of records of receipt and disposition for all controlled drugs in sufficient detail to enable an accurate reconciliation. The facility and pharmacist shall ensure the drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled. The facility and pharmacist shall have policies and procedure</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> for the periodic reconciliation of all controlled substances. The policies and procedure</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> minimize the time between the actual loss or diversion and the time of detection and follow-up to determine the extent of the loss.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    If a loss or diversion of controlled substances is identified, the facility and pharmacist shall evaluate the residents potentially affected</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> consistent with </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">the resident's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> comprehensive assessment and plan of care. If </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">policies and procedures</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> have not been effective in preventing the loss or diversion of controlled substances, the facility and pharmacist </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> review and revise related controls and procedures as necessary.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; 28 SDR 83, effective December 16, 2001; 29 SDR 81, effective December 11, 2002; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:02"><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">44:04:08:02</span></a><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0 { 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.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afe000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000003 { 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="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:02"><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000000">44:73:08:02</span></a><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000001">.  Written orders for medication required.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> All medications administered to </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">a resident must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> be ordered electronically or in writing and signed by the prescriber. Verbal orders for medications may be taken only when there is an urgent need to initiate or change an order and accepted only by a pharmacist or licensed nurse. The prescriber shall sign or initial </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">any verbal</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> orders for residents on the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">prescriber's </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">next visit to the facility.</span></p><p dir="ltr" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afe000002"> </span></p><p dir="ltr" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">    </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; 26 SDR 96, effective January 23, 2000; 30 SDR 84, effective December 4, 2003; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:03"><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000003">44:04:08:03</span></a><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">.</span></p><p dir="ltr" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">    </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">.</span></p><p dir="ltr" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">    </span><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeC0">.</span></p><p dir="ltr" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="see6ad4d4-6e99-48c6-8b3b-0ffcb8e24afe000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0 { 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.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bd000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000003 { 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="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:03"><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000000">44:73:08:03</span></a><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000001">.  Medication therapy reviewed monthly.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> The pharmacist shall review </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">a resident's medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> regimen at least monthly. The pharmacist shall review the resident's diagnosis, </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> regimen, and any pertinent laboratory findings and dietary considerations. The pharmacist shall report potential </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> therapy irregularities and make recommendations for improving the </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> therapy of the resident to the attending physician, physician assistant, or nurse practitioner</span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> and the administrator. The pharmacist shall document the review by preparing a monthly report of the potential irregularities and recommendations. The administrator shall retain the report in the facility</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> for one year</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">. A copy of the medication review </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> be in the resident</span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">'s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> medical record.</span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bd000002"> </span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">    The pharmaceutical service </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> be under the supervision of a licensed pharmacist who provides consultation and oversees all aspects of the pharmaceutical service.</span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bd000002"> </span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">    </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> 15 SDR 155, effective April 20, 1989; 22 SDR 70, effective November 19, 1995; 26 SDR 96, effective January 23, 2000; 28 SDR 83, effective December 16, 2001; 38 SDR 115, effective January 9, 2012; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:03.01"><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000003">44:04:08:03.01</span></a><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">.</span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">    </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">.</span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">    </span><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdC0">.</span></p><p dir="ltr" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sacc0aa2a-10e9-47b2-9ae6-d610f0d9a5bd000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s0940aa17-298b-4769-9d06-f94164fe0599P0 { 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.s0940aa17-298b-4769-9d06-f94164fe0599C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0940aa17-298b-4769-9d06-f94164fe0599C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0940aa17-298b-4769-9d06-f94164fe0599C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0940aa17-298b-4769-9d06-f94164fe0599000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0940aa17-298b-4769-9d06-f94164fe0599C0-000003 { 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="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:04"><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000000">44:73:08:04</span></a><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000001">.  Storage and labeling of medications.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">A facility shall store a</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">ll medications in a well</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">-</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">illuminated, locked storage area that is well</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">-</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">ventilated, maintained at a temperature appropriate for </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> storage, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">accessible to those with authority to administer medications, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">and inaccessible to residents </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> visitors at all times. Medications suitable for storage at room temperature </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be maintained between </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">fifty-nine</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">eighty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> degrees Fahrenheit</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">, or fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> degrees centigrade. Medications that require refrigeration </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be maintained between </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">thirty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">forty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> degrees Fahrenheit</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">or two</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">eight</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> degrees centigrade. Poisons and medications prescribed for external use </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be stored separately from medications</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> prescribed for internal use</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">, locked</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and made inaccessible to residents</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and visitors</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">Any resident medication that is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> facility-administered </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be stored in the container in which </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">it was</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> originally received and may not be transferred to another container. </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">S</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">ingle dose</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> medication received by a resident from a physician, physician assistant, or nurse practitioner must be identified as single dose</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">. Each prescription </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> container, including manufacturer's complimentary samples, </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be labeled with the resident's name</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">the name of the resident's </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">physician, physician assistant, or nurse practitioner</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">the medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> name and strength</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">the </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">directions for use</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> and </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">the </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">prescription date.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">A c</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">ontainer with </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">a medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> that will not be used within </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> days of issue or with contents that expire in less than </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> days of issue </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> bear an expiration date. If a single</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">-</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">dose system is used, the </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> name and strength, expiration date, and a control number </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be on the unit dose packet.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    A facility 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="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    Any container with a worn, illegible, or missing label </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> be destroyed pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:06"><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000003">44:73:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">. </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">A l</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">icensed pharmacist</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> responsible for the labeling, relabeling, or altering of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">label on </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">a </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">medication container.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> SL 1975, ch 16, § 1; 4 SDR 14, effective September 14, 1977; 5 SDR 29, effective October 22, 1978; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 15 SDR 155, effective April 20, 1989; 22 SDR 70, effective November 19, 1995; 26 SDR 96, effective January 23, 2000; 27 SDR 59, effective December 17, 2000; 28 SDR 83, effective December 16, 2001; 38 SDR 115, effective January 9, 2012; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:04"><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000003">44:04:08:04</span></a><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">    </span><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s0940aa17-298b-4769-9d06-f94164fe0599C0">.</span></p><p dir="ltr" class="s0940aa17-298b-4769-9d06-f94164fe0599P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0940aa17-298b-4769-9d06-f94164fe0599000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0 { 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.s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8bf498d6-aa50-4893-82af-2e34cad4fb0d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000003 { 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="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:05"><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000000">44:73:08:05</span></a><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000001">.  Control and accountability of medications.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">A m</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">edication brought from </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">a resident's </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">home may be used if ordered by the </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">resident's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> physician, physician assistant, or nurse practitioner and, if prior to administration, is identified as the prescribed </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">. </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">No r</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">esident may keep medications on </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">the resident's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> person or in </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">the resident's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> room without </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">an order from </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">a physician, physician assistant, or nurse practitioner allowing self-administration. </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">The facility must receive w</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">ritten authorization </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">from</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> the resident's physician, physician assistant, or nurse practitioner </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">before releasing</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> any medication to a resident upon discharge, transfer, or temporary leave from the facility. The release of medication </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> be documented in the resident's record, indicating quantity, drug name, and strength. The facility shall maintain records that account for all medications and drugs from their receipt through administration, destruction, or return.</span></p><p dir="ltr" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0d000002"> </span></p><p dir="ltr" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">    </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; 26 SDR 96, effective January 23, 2000; 28 SDR 83, effective December 16, 2001; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:04.01"><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000003">44:04:08:04.01</span></a><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">.</span></p><p dir="ltr" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">    </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">.</span></p><p dir="ltr" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">    </span><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dC0">.</span></p><p dir="ltr" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bf498d6-aa50-4893-82af-2e34cad4fb0d000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0 { 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.s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:06"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000000">44:73:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001">.  Documentation of </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001"> disposal.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">A facility shall ensure that a l</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">egend </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> not controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> destroyed or disposed of by a nurse and another witness. Destruction or disposal of medication controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> be witnessed by two persons, both of whom </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">must be</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> a nurse or pharmacist, as designated by facility policy. </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">The following are authorized m</span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">ethods of destruction or disposal:</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    (1)  </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">U</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">sing a professional waste hauler to take the medications to a permitted medical waste facility or by facility disposal at a permitted municipal solid waste landfill. Prior to disposal all medications </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> be removed from original containers and made unpalatable by the addition of adulterants and alteration of solid dosage forms by dissolving or combination into a solid mass;</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    (2)  Return to the dispensing pharmacy for destruction according to federal and state regulations;</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    (3)  Return to an authorized reverse distributor company licensed by the South Dakota Board of Pharmacy; or</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    (4)  Release to resident upon discharge after authorization by the resident's prescribing practitioner.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">The facility shall document</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> destruction or disposal of medications in the resident's record. The documentation </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> include the method of disposition</span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> the medication name</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> strength, prescription number, quantity, date of disposition</span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> and the name of any person who witnessed the destruction or disposal.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">A facility may return m</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">edication, excluding those controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">, contained in unit dose packaging meeting the requirements of § </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:13:02.01"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">20:51:13:02.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> to the dispensing pharmacy for credit and redispensing.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    Any medication held for disposal </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> be physically separated from the medications being used in the facility</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> locked in an area </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">accessible to nursing and pharmacy personnel only. The facility shall establish </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">a system to reconcile, audit, </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> monitor </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">medication held for disposal</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> to prevent diversion.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:04.02"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">44:04:08:04.02</span></a><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">    </span><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aC0">.</span></p><p dir="ltr" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7e893f87-4288-46b4-bb34-5d19ad8fa53a000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.se53376c7-bb47-4134-ad05-d79c76977e37P0 { 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.se53376c7-bb47-4134-ad05-d79c76977e37C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se53376c7-bb47-4134-ad05-d79c76977e37C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se53376c7-bb47-4134-ad05-d79c76977e37C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se53376c7-bb47-4134-ad05-d79c76977e37000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se53376c7-bb47-4134-ad05-d79c76977e37C0-000003 { 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="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:07"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000000">44:73:08:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000001">.  Medication administration. </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">The facility personnel administering medication to a resident shall record the administration in the resident's medical record. Medication errors and drug reactions must be reported </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">to the resident's physician, physician assistant, or nurse practitioner and an entry </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">must be </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">made in the resident's medical record. Orders involving abbreviations and chemical symbols may be carried out only if the facility has a standard list of abbreviations and symbols approved by the medical staff or, in the absence of an organized medical staff, by the medical director</span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">The facility shall make the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">list available to </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">all</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> nursing </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">personnel</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">. All medications </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> be administered to residents by personnel acting under </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">delegation of a licensed nurse, or </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">personnel </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">licensed to administer medications.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37000002"> </span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">No personnel may </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">administer </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">medication </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">prepared by another person unless the medication was prepared by </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">a pharmacist.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37000002"> </span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    Medication administration </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> comply with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:02"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">44:73:08:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:05"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">44:73:08:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">, inclusive, and with the requirements for training in §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> and for supervision in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">. The supervising nurse shall provide an orientation to </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">any</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> unlicensed assistive personnel who will administer medications. The orientation </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> be specific to the facility and relevant to the residents receiving administered medications.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37000002"> </span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> SL 1975, ch 16, § 1; 4 SDR 14, effective September 14, 1977; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; 28 SDR 83, effective December 16, 2001; 31 SDR 62, effective November 7, 2004; 38 SDR 115, effective January 9, 2012; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:05"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">44:04:08:05</span></a><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">    </span><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="se53376c7-bb47-4134-ad05-d79c76977e37C0">.</span></p><p dir="ltr" class="se53376c7-bb47-4134-ad05-d79c76977e37P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se53376c7-bb47-4134-ad05-d79c76977e37000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0 { 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.sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfbc841cb-3cd3-4e16-a1fe-3a09627a83ee000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000003 { 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="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:08"><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000000">44:73:08:08</span></a><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000001">.  Medication records.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0"> </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">A facility shall use m</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">edication administration records and regularly check </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">the record </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">against the physician, physician assistant, or nurse practitioner's orders. Each medication administered </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0"> be recorded in the resident's medical record and signed by the individual </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">administering the medication</span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">.</span></p><p dir="ltr" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83ee000002"> </span></p><p dir="ltr" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">    </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">.</span></p><p dir="ltr" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">    </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">.</span></p><p dir="ltr" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">    </span><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeC0">.</span></p><p dir="ltr" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83eeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfbc841cb-3cd3-4e16-a1fe-3a09627a83ee000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sf1f13678-6541-4298-872a-2fbd511cbd67P0 { 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.sf1f13678-6541-4298-872a-2fbd511cbd67C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf1f13678-6541-4298-872a-2fbd511cbd67C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf1f13678-6541-4298-872a-2fbd511cbd67C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf1f13678-6541-4298-872a-2fbd511cbd67000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf1f13678-6541-4298-872a-2fbd511cbd67C0-000003 { 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="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:09"><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000000">44:73:08:09</span></a><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000001">.  Administration of facility pharmacy.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">A facility with a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> full or part-time pharmacy shall </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">have its pharmaceutical service</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> directed by a licensed pharmacist accountable to the administration of the facility.</span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67000002"> </span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">    </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">Only prepackaged or single</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">-</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">dose</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">-</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">unit </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">medications </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">may be removed from the pharmacy when the pharmacist is not available. </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">A medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> may be removed by a designated registered nurse or physician, physician assistant, or nurse practitioner in amounts sufficient only for immediate therapeutic needs. A record of </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">the removal must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> be made by the designated nurse or the physician, physician assistant, or nurse practitioner </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">removing the medication</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">.</span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67000002"> </span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">    </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:06"><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000003">44:04:08:06</span></a><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">.</span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">    </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">.</span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">    </span><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sf1f13678-6541-4298-872a-2fbd511cbd67C0">.</span></p><p dir="ltr" class="sf1f13678-6541-4298-872a-2fbd511cbd67P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf1f13678-6541-4298-872a-2fbd511cbd67000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s2099af03-41bb-416c-b2c8-70198c990f42P0 { 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.s2099af03-41bb-416c-b2c8-70198c990f42C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2099af03-41bb-416c-b2c8-70198c990f42C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2099af03-41bb-416c-b2c8-70198c990f42C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2099af03-41bb-416c-b2c8-70198c990f42C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2099af03-41bb-416c-b2c8-70198c990f42000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:10"><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000000">44:73:08:10</span></a><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000001">.  Stock of legend drugs prohibited -- Exception.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">A facility with a full-time or part-time pharmacist may stock </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">medications in bulk form</span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">The </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">pharmacist </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> supervise the procurement, storage, and dispensing of medications</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> within the facility</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">. </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">A facility without a pharmacy must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> use </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">an</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> emergency drug box </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">or a separate locked cabinet </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">kept on the premises pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:11"><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000002">44:73:08:11</span></a><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">.</span></p><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42000003"> </span></p><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">    </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:07"><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000002">44:04:08:07</span></a><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">; 51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">.</span></p><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">    </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">.</span></p><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">    </span><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s2099af03-41bb-416c-b2c8-70198c990f42C0">.</span></p><p dir="ltr" class="s2099af03-41bb-416c-b2c8-70198c990f42P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2099af03-41bb-416c-b2c8-70198c990f42000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0 { 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.s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5db51a2c-2e21-4696-aef8-79a39a9fabda000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000003 { 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="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:11"><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000000">44:73:08:11</span></a><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001">.  Controlled drugs kept for emergency use.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">A facility may keep c</span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">ontrolled drugs for emergency use under the following circumstances:</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    (1)  The pharmacist supplying the controlled drugs maintains ownership and responsibility for the drugs, including a monthly physical inventory;</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    (2)  The controlled drugs are stored in a manner that allows only those individuals authorized to administer the drugs access to them;</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    (3)  The controlled drugs are stored in a sealed emergency box or in a separate locked cabinet, with a complete and accurate record kept of the drugs in the box or cabinet and of their disposition;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> and</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    (4)  The facility notifies the pharmacist within </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">thirty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> hours after the withdrawal of a Schedule II drug and within </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">seventy-two</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> hours after the withdrawal of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">Schedule III </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">or</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> IV drug.</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:07.01"><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000003">44:04:08:07.01</span></a><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">, 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">; 51 SDR 53, effective November 11, 2024; 52 SDR 41, effective October 27, 2025</span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">.</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">.</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    </span><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">.</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000001">Cross-Reference: </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">Pharmacist controls emergency kit in nursing facility, § </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:15:15.01"><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0-000003">20:51:15:15.01</span></a><span style="white-space: pre-wrap;" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaC0">.</span></p><p dir="ltr" class="s5db51a2c-2e21-4696-aef8-79a39a9fabdaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5db51a2c-2e21-4696-aef8-79a39a9fabda000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.safdb7609-e146-4edb-86ae-5910f4f4abaaP0 { 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.safdb7609-e146-4edb-86ae-5910f4f4abaaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.safdb7609-e146-4edb-86ae-5910f4f4abaa000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000003 { 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="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:12"><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000000">44:73:08:12</span></a><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000001">.  Self-administration of drugs.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0"> </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">A resident with the cognitive ability to perform self-administration may self-administer drugs. At least every three months, a registered nurse, or the resident's physician, physician assistant, or nurse practitioner shall determine and record the continued appropriateness of the resident's ability to self-administer medications. The determination must state whether the resident or healthcare personnel is responsible for storage of the medication and contain documentation of its administration in accordance with this chapter</span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaa000002"> </span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">Any resident who stores a medication in the resident's room or self-administers a medication must have an order from a physician, physician assistant, or nurse practitioner allowing self-administration</span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaa000002"> </span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">If a resident is permitted to self-administer medications, the facility's policies and procedures must be in accordance with this chapter. The facility shall provide written educational material explaining the resident's rights and responsibilities associated with self-administration to the resident and the resident's representative</span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaa000002"> </span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0"> </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">51 SDR 53, effective November 11, 2024</span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">    </span><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="safdb7609-e146-4edb-86ae-5910f4f4abaaC0">.</span></p><p dir="ltr" class="safdb7609-e146-4edb-86ae-5910f4f4abaaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safdb7609-e146-4edb-86ae-5910f4f4abaa000002"> </span></p></div></body></html>