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(1) The bureau’s standard operating procedures for the proper management of pharmaceuticals shall include:

(a) A formulary specifically developed for stock medications maintained within bureau facilities. Such formulary shall be in accordance with WAC 360-16-070 (clinic dispensary);

(b) A policy regarding the prescription of all medications, with particular attention to behavior modifying medications and those subject to abuse;

(c) A policy regarding medication dispensing and administration which shall include, but not be limited to:

(i) Non-medical personnel delivering medication(s) to prisoners;

(ii) Disposition of medication(s) brought in by prisoners at the time of admission to the facility;

(iii) Packaging of medication(s): The medications system shall insure that all medications are kept in containers which have been labeled securely and legibly by a pharmacist or the prescribing physician or in their original container labeled by their manufacturer. Medications shall not be transferred from the original container except for the preparation of a dose administration;

(iv) Safeguards with regard to delivery of medications to prisoners; and

(v) Disposition of unused medication(s);

(d) A policy regarding the maximum security storage and weekly inventory of all controlled substances, prescription medication(s), syringes, needles and surgical instruments. The bureau shall provide for a consulting pharmacist to determine that medication(s) have been properly managed.

(2) The person delivering medication(s) shall be accountable for following the orders of medical staff. (Added by Amended Ord. 94-041, May 25, 1994; Amended by Amended Ord. 08-137, Nov. 10, 2008, Eff date Jan. 1, 2009).