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Chapter 480-30 DISPENSING OF DRUGS UNDER AUTHORITY OF JOB DESCRIPTION OR NURSE PROTOCOL

Rule 480-30-.01 Definitions

For purpose of these Rules and Regulations, the following definitions apply:

(a) "Dispensing procedure" means a written document signed by a licensed pharmacist and a licensed practitioner which document establishes the appropriate manner under which drugs may be dispensed under authority of a nurse protocol or job description.
(b) "Drugs" shall mean any dangerous drug under O.C.G.A. §§ 16-13-71, et seq., or, where applicable, any controlled substance under O.C.G.A. §§ 16-13-21, et seq.
(c) "Job description" means a document signed by a licensed practitioner that describes the duties which may be performed by a physician's assistant, by which document the physician delegates to that physician's assistant the authority to perform certain medical acts pursuant to O.C.G.A. § 43-34-26.1.
(d) "Nurse protocol" means a document mutually agreed upon and signed by a nurse and licensed physician by which document the physician delegates to that nurse the authority to perform certain medical acts pursuant to O.C.G.A. § 43-34-26.1(b).

Rule 480-30-.02 General Requirements

Any person who dispenses drugs in accordance with a dispensing procedure and under the authority of a job description or nurse protocol shall comply with all record keeping, labeling, packaging, and storage requirements imposed upon pharmacists and pharmacies with regard to such drugs pursuant to O.C.G.A. Title 26, Chapter 4, Title 16, Chapter 13, and those regulations contained in this Chapter.

Rule 480-30-.03 Labeling

All drugs dispensed in accordance with a dispensing procedure and under authority of a job description or nurse protocol must be labeled with the following information:

(a) Date and identifying serial number;
(b) Name of patient;
(c) Name of practitioner prescribing;
(d) The name, address and telephone number of the facility where the drugs are dispensed in accordance with a dispensing procedure and under the authority of a job description or nurse protocol;
(e) Name of drug and strength;
(f) Directions for use to the patient;
(g) The expiration date of the drug; and
(h) Any information required by the Drug Enforcement Administration or the Food and Drug Administration.

Rule 480-30-.04 Packaging

All drugs dispensed in accordance with a dispensing procedure or under authority of a job description or nurse protocol must be dispensed in containers meeting the requirements of the Food and Drug Administration and the Consumer Protection Agency, including the use of child-proof and moisture-proof containers.

Rule 480-30-.05 Storage

(1) Any person dispensing drugs in accordance with a dispensing procedure and under authority of a job description or nurse protocol shall exercise diligent care in protecting drugs and records possessed from loss or theft. Agents of the Georgia Drugs and Narcotics Agency (GDNA) shall have the responsibility of offering to such persons written recommendations concerning the satisfactory storage, keeping, handling, and security of such drugs and records. When not in actual use, all drugs shall be stored in a place which is secured.
(2) All drugs which bear or are required to bear, upon the package, the words,"Caution, Federal Law Prohibits Dispensing Without a Prescription" or words of like import, shall be stored in a secured area. All drugs shall be stored beyond the normal reach of small children.
(3) No person dispensing drugs in accordance with a dispensing procedure and under authority of a job description or nurse protocol shall operate in any manner or dispense any drugs under unclean, unsanitary, overcrowded, or unhealthy conditions, or under any condition which endangers the health, safety, or welfare of the public.
(4) All outdated and deteriorated drugs shall be removed from stock at regular intervals of not more than six months duration, and under no circumstances will any drug be dispensed which bears a date of expiration which has been reached, or is in a deteriorated condition.

Rule 480-30-.06 Inspection of Records

GDNA agents shall have the authority to conduct inspections or audits of all records of drugs received and/or disposed of by any person dispensing drugs in accordance with a dispensing procedure and under authority of a job description or nurse protocol. GDNA agents shall have the authority to examine and copy all such records, and to examine and inventory all prescription drug orders.

Rule 480-30-.07 Submission of Dispensing Procedure for Board Review

All licensed pharmacists who sign a dispensing procedure must submit such document to the Georgia State Board of Pharmacy for review. Any such dispensing procedure must be in conformity with this Chapter and O.C.G.A. § 43-34-26.1, and shall include the names of all persons dispensing drugs pursuant to such dispensing procedure.