<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.sdfd40575-b93a-41ce-9115-92a33240be04P0 { margin-top: 0; line-height: 12.0pt; 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; } span.sdfd40575-b93a-41ce-9115-92a33240be04C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdfd40575-b93a-41ce-9115-92a33240be04C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdfd40575-b93a-41ce-9115-92a33240be04000001 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdfd40575-b93a-41ce-9115-92a33240be04000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sdfd40575-b93a-41ce-9115-92a33240be04P0-000003 { margin-top: 0; line-height: 12.0pt; 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; } span.sdfd40575-b93a-41ce-9115-92a33240be04C0-000004 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sdfd40575-b93a-41ce-9115-92a33240be04C0-000005 { 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="sdfd40575-b93a-41ce-9115-92a33240be04P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000000">44:75:08</span></a></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04000001"> </span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0">MEDICATION CONTROL</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04000002"> </span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04000002"> </span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">Section</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:01"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Policies and procedures.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:02"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Written orders for medication required.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:03"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        </span><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">Repealed</span><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:04"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Storage and labeling of medications.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:05"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Control and accountability of medications.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:06"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Documentation of </span><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004"> disposal.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:07"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Medication administration.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:08"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Medication records.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:09"><span style="white-space: pre-wrap;" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000005">44:75:08:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04C0-000004">        Administration of facility pharmacy.</span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04000002"> </span></p><p dir="ltr" class="sdfd40575-b93a-41ce-9115-92a33240be04P0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdfd40575-b93a-41ce-9115-92a33240be04000002"> </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.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0 { margin-top: 0; line-height: 12.0pt; 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; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003 { 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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:01"><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000000">44:75:08:01</span></a><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">.  Policies and procedures.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> Each facility shall establish and </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">implement written policies</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> and procedures for medication control that include:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (1)  A requirement that each patient'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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  A</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">ny medications taken by the patient;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">uthorization for medications kept on the </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">patient</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> or in the room of the patient; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  R</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">elease of medications;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (2)  Provisions for proper storage of prescribed medications so that the medications are inaccessible to patients </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> visitors with requirements for:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  Separate storage of poisons, topical medications, and oral medications;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  Each patient'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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  A medication prescribed for one patient </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">that is </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">not to be administered to any other patient;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (3)  Self-administration of medications to be accomplished with the supervision of a licensed nurse to include:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  A description of the responsibilities of the patient, the patient's family members, and the facility </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">personnel</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  The provision of written educational material explaining to the patient and the patient's family the patient's rights and responsibilities associated with self-administration; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (4)  The proper disposition of </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">medications due to:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  Patient</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> discharge or death of the patient</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  Outdated medication;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> or</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  T</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">he prescription </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">being discontinued by the physician, physician assistant, or nurse practitioner</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">The facility shall also establish</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> written policies and procedures </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">for</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> 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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">For the purpose of subdivision (3), the phrase, self-administration of medications, means the removal of the correct dosage from the pharmaceutical container and self-injecting, self-ingesting, or self-applying the medication with no assistance or with assistance from qualified personnel of the facility for the correct dosage or frequency</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">(9).</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </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.sa57878b5-8145-40b9-9173-18b4f1670b4dP0 { margin-top: 0; line-height: 12.0pt; 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; } span.sa57878b5-8145-40b9-9173-18b4f1670b4dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000001 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa57878b5-8145-40b9-9173-18b4f1670b4d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000003 { 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="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:02"><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000001">44:75:08:02</span></a><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000">.  Written orders for medication required.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> All medications administered to patients </span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> be ordered electronically or in writing and dated, timed, and authenticated by the prescriber. Verbal orders for medications or drugs 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 in hospitals. The prescriber shall date, time, and authenticate the orders for hospital patients on the next visit to the facility. </span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">A facility shall establish a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> policy on stop orders for antibiotics, anticoagulants, and controlled drugs based on recommendations of the medical staff.</span></p><p dir="ltr" class="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4d000002"> </span></p><p dir="ltr" class="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">    </span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">.</span></p><p dir="ltr" class="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">    </span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">(9).</span></p><p dir="ltr" class="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">    </span><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000000">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="sa57878b5-8145-40b9-9173-18b4f1670b4dC0">.</span></p><p dir="ltr" class="sa57878b5-8145-40b9-9173-18b4f1670b4dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sa57878b5-8145-40b9-9173-18b4f1670b4d000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 44:75:08:03 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 44:75:08:03"> <META NAME="Description" Content="Administrative Rules 44:75:08:03 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 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; font-size:10.0pt; font-family:"Times",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:75:08:03.&nbsp;&nbsp;Medication therapy review.</b> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Repealed</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>; 42 SDR 173, effective June 21, 2016</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&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.s609b3667-d938-42fd-9e0d-97a08ab3051aP0 { margin-top: 0; line-height: 12.0pt; 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; } span.s609b3667-d938-42fd-9e0d-97a08ab3051aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s609b3667-d938-42fd-9e0d-97a08ab3051a000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000003 { color: black; background: white; font-family: Times; font-size: 10pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000004 { 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="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:04"><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000000">44:75:08:04</span></a><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000001">.  Storage and labeling of medications.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">A facility shall store a</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">ll medications in a well illuminated, locked storage area that is well</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">-</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">ventilated, maintained at a temperature appropriate for </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> storage, and inaccessible to patients</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">visitors at all times. Medications suitable for storage at room temperature </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be maintained between </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">fifty-nine</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">eighty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> degrees Fahrenheit </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">or fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> degrees centigrade. Medications that require refrigeration </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be maintained between </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">thirty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">forty-six</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> degrees Fahrenheit </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">or two</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">eight</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> degrees centigrade. Poisons and medications prescribed for external use </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be stored separately from medications</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> prescribed for internal use</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">, locked</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and made inaccessible to patients</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and visitors.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    Locked storage does not apply to drugs and medications needed for emergency use in intensive care, emergency room, neonatal intensive care, pediatric intensive care, or coronary care units. </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">M</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">edications utilized in these care units </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be in a storage area that is readily available to the professional staff but inaccessible to patients or visitors.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    The medication of each patient for whom medications are facility-administered </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be stored in the containers in which </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">the medication was</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> originally received. Special modification of this requirement may be made if single dose packaging is used. Each prescription drug container, including manufacturer's complimentary samples, </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be labeled with the patient's name</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> physician, physician assistant, or nurse practitioner s name</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> name and strength</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> directions for use</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> and prescription date.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">A c</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">ontainer with </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">a medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> that will not be used within </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> days of issue or with contents that expire in less than </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">thirty</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> days of issue </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> bear an expiration date. If a single dose system is used, the drug name and strength, expiration date, and a control number </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be on the unit dose packet.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    A co-located hospital and assisted living center may procure and stock, including in bulk form, non</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">-</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">legend medications and administer them in accordance with written policies and procedures that provide for oversight by qualified personnel.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    If a stock bottle system is used in a facility with a licensed pharmacy, the container </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be labeled with the drug name and strength, expiration date, and a control number. Any container with a worn, illegible, or missing label </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> be destroyed pursuant to §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000003"> </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:06"><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000004">44:73:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">. </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">A l</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">icensed pharmacist</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> responsible for the labeling, relabeling, or altering of labels on medication containers.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000004">34-12-13</span></a><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">(9).</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">    </span><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0-000004">34-12-13</span></a><span style="white-space: pre-wrap;" class="s609b3667-d938-42fd-9e0d-97a08ab3051aC0">.</span></p><p dir="ltr" class="s609b3667-d938-42fd-9e0d-97a08ab3051aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s609b3667-d938-42fd-9e0d-97a08ab3051a000002"> </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.s6831ffe9-4b53-489b-88e2-19e20b1eac62P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s6831ffe9-4b53-489b-88e2-19e20b1eac62C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6831ffe9-4b53-489b-88e2-19e20b1eac62000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000003 { 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="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:05"><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000000">44:75:08:05</span></a><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000001">.  Control and accountability of medications.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">A m</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">edication brought from </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">a patient's </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">home may be used if ordered by the attending physician, physician assistant, or nurse practitioner, and, if prior to administration, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">it </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">is identified as the prescribed </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">medication</span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">. Medications prescribed for one patient may not be administered to another. Patients may not keep medications on their person or in their room without a physician's, physician assistant</span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">'s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">, or nurse practitioner's order allowing self-administration. </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">T</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">he patient's physician, physician assistant, or nurse practitioner </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">must authorize</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> the release of any medication to a patient upon discharge, transfer, or temporary leave from the facility. The release of medication </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> be documented in the patient's record, indicating quantity, </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> name, and strength. The facility shall maintain records that account for all medications from their receipt through administration, destruction, or return.</span></p><p dir="ltr" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62000002"> </span></p><p dir="ltr" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">    </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">.</span></p><p dir="ltr" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">    </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">(9).</span></p><p dir="ltr" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">    </span><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62C0">.</span></p><p dir="ltr" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6831ffe9-4b53-489b-88e2-19e20b1eac62000002"> </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.s9ebbae19-8916-4af4-816d-8a25e49f8f94P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94000003 { 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="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:06"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000000">44:75:08:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">.  Documentation of </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">medication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001"> disposal.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">A facility shall ensure that a l</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">egend drug not controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> destroyed or disposed of by a nurse and another witness. Destruction or disposal of medications controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> be witnessed by two persons, both of whom </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must be</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> a nurse or pharmacist, as designated by facility policy. Methods of destruction or disposal may include:</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (1)  Disposal by using 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="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> 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="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (2)  Return to the dispensing pharmacy for destruction according to federal and state regulations;</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (3)  Return to an authorized reverse distributor company licensed by the South Dakota Board of Pharmacy; or</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (4)  Release to patient upon discharge after authorization by the patient's prescribing practitioner.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">The facility shall document</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> destruction or disposal of medications in the patient's record</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> include the method of disposition; the medication name</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> strength</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> prescription number</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> quantity</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> date of disposition; and the name of any person who witnessed the destruction or disposal.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">A facility may return m</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">edication, excluding those controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">, 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="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">20:51:13:02.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> to the dispensing pharmacy for credit and redispensing.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    Any medication held for disposal must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> be physically separated from the medications being used in the facility</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> locked </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">in an area </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">with </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">limited </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">access</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">The facility shall establish </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">a system to reconcile, audit, </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">and</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> monitor </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">medication held for disposal</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> to prevent diversion.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">(9).</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-12-13</span></a><span style="white-space: pre-wrap;" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </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.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003 { 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="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:07"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000000">44:75:08:07</span></a><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000001">.  Medication administration.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">The healthcare personnel administering medication to a patient shall record the administration </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">in the patient's medical record. Medication errors and drug reactions </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> be reported to the patient's physician, physician assistant, or nurse practitioner and an entry made in the patient'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="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">. The facility shall make</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> the list available to </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">its</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> nursing </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">personnel</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">. All medications </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> be administered to patients by personnel acting under delegation of a licensed nurse, or licensed to administer medications.</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164000002"> </span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    A person may not administer medications prepared by another person</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> unless the medication was prepared by</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> a pharmacist.</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164000002"> </span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    Medication administration </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> comply with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:02"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">44:75:08:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:05"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">44:75:08:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">, 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="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> and for supervision in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">. The supervising nurse shall provide an orientation to the unlicensed assistive personnel who will administer medications. The orientation </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> be specific to the facility and relevant to the patients receiving administered medications.</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164000002"> </span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">.</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">(9).</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">    </span><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164C0">.</span></p><p dir="ltr" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7f49b8c1-f751-4b6e-94cc-5a957cc3f164000002"> </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.s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s76572132-ed73-4c9f-8b94-ec6c311c7fa6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000003 { 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="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:08"><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000000">44:75:08:08</span></a><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000001">.  Medication records.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">A facility must use m</span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">edication administration records and regularly check</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> the record</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> against the practitioner's orders. Each medication administered </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> be recorded in the patient's medical record and signed by the individual </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">administering the medication</span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">.</span></p><p dir="ltr" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6000002"> </span></p><p dir="ltr" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">    </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">.</span></p><p dir="ltr" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">    </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">(9).</span></p><p dir="ltr" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">    </span><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6C0">.</span></p><p dir="ltr" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s76572132-ed73-4c9f-8b94-ec6c311c7fa6000002"> </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.s3b9291d4-7fe4-4304-8e77-af8433f6f075P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s3b9291d4-7fe4-4304-8e77-af8433f6f075C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3b9291d4-7fe4-4304-8e77-af8433f6f075000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000003 { 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="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:09"><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000000">44:7</span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000000">5</span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000000">:08:09</span></a><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000001">.  Administration of facility pharmacy.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">A </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">facility with a licensed full or part-time pharmacy </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">must have its pharmaceutical service</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> directed by a licensed pharmacist accountable to the administration of the facility.</span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075000002"> </span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">Only prepackaged or a single dose </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">drugs</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> may be removed from the pharmacy when the pharmacist is not available. </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">A drug</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> 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="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">the removal must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> be made by the designated nurse or the physician, physician assistant, or nurse practitioner </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">removing the drug</span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">.</span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075000002"> </span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">    </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">; 50 SDR 62, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">.</span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">    </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">(9).</span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">    </span><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075C0">.</span></p><p dir="ltr" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3b9291d4-7fe4-4304-8e77-af8433f6f075000002"> </span></p></div></body></html>