ORS 689.605
Power to dispense drugs from hospital pharmacies, drug rooms and penal institutions

  • rules

(1)

In a hospital or long term care facility having a pharmacy and employing a pharmacist, the pharmacy and pharmacist are subject to the requirements of this chapter, except that in a hospital when a pharmacist is not in attendance, pursuant to standing orders of the pharmacist, a registered nurse supervisor on the written order of a person authorized to prescribe a drug may withdraw such drug in such volume or amount as needed for administration to or treatment of an inpatient or outpatient until regular pharmacy services are available in accordance with the rules adopted by the board. However, the State Board of Pharmacy may grant an exception to the requirement for a written order by issuing a special permit authorizing the registered nurse supervisor in a hospital to dispense medication on the oral order of a person authorized to prescribe a drug. An inpatient care facility which does not have a pharmacy must have a drug room. In an inpatient care facility having a drug room as may be authorized by rule of the Department of Human Services or the Oregon Health Authority, the drug room is not subject to the requirements of this chapter relating to pharmacies. However, a drug room must be supervised by a pharmacist and is subject to the rules of the State Board of Pharmacy. When a pharmacist is not in attendance, any person authorized by the prescriber or by the pharmacist on written order may withdraw such drug in such volume or amount as needed for administration to or treatment of a patient, entering such withdrawal in the record of the responsible pharmacist.

(2)

In a hospital having a drug room, any drug may be withdrawn from storage in the drug room by a registered nurse supervisor on the written order of a licensed practitioner in such volume or amount as needed for administration to and treatment of an inpatient or outpatient in the manner set forth in subsection (1) of this section and within the authorized scope of practice.

(3)

A hospital having a drug room shall cause accurate and complete records to be kept of the receipt, withdrawal from stock and use or other disposal of all legend drugs stored in the drug room. Such record shall be open to inspection by agents of the board and other qualified authorities.

(4)

In an inpatient care facility other than a hospital, the drug room shall contain only prescribed drugs already prepared for patients therein and such emergency drug supply as may be authorized by rule by the Department of Human Services.

(5)

The requirements of this section shall not apply to facilities described in ORS 441.065 (Exemption of certain religious institutions).

(6)

A registered nurse who is an employee of a local health department that is registered by the board under ORS 689.305 (Registration of drug outlets) may, pursuant to the order of a person authorized to prescribe a drug or device, dispense a drug or device to a client of the local health department for purposes of caries prevention, birth control or prevention or treatment of a communicable disease. Such dispensing shall be subject to rules jointly adopted by the board and the Oregon Health Authority.

(7)

The board shall adopt rules authorizing a pharmacist to delegate to a registered nurse the authority to withdraw prescription drugs from a manufacturer’s labeled container for administration to persons confined in penal institutions including, but not limited to, adult and juvenile correctional facilities. A penal institution, in consultation with a pharmacist, shall develop policies and procedures regarding medication management, procurement and distribution. A pharmacist shall monitor a penal institution for compliance with the policies and procedures and shall perform drug utilization reviews. The penal institution shall submit to the board for approval a written agreement between the pharmacist and the penal institution regarding medication policies and procedures. [1979 c.777 §38; 1979 c.785 §9d; 1985 c.565 §113; 1989 c.526 §1; 1993 c.272 §2; 1993 c.571 §16; 1995 c.523 §3; 2003 c.617 §2; 2009 c.595 §1103; 2015 c.736 §109]

Source: Section 689.605 — Power to dispense drugs from hospital pharmacies, drug rooms and penal institutions; rules, https://www.­oregonlegislature.­gov/bills_laws/ors/ors689.­html.

Attorney General Opinions

Under former similar statute

Administration of medication by psychiatric aide, (1975) Vol 37, p 478

689.005
Definitions
689.025
Policy
689.035
Short title
689.045
Severability
689.115
Membership
689.135
General powers of board
689.139
State Board of Pharmacy Account
689.145
Enforcement powers of board
689.151
Board control over licensing, standards and discipline
689.153
Continuing authority of board upon lapse, suspension, revocation or voluntary surrender of license or certificate
689.155
Authority of board over medications, drugs, devices and other materials
689.165
Officers
689.175
Compensation of board members and executive director
689.185
Meetings
689.195
Employees
689.205
Rules
689.207
Authority of board to require fingerprints
689.225
License requirement
689.255
Qualifications for licensure by examination
689.265
Qualifications for licensure by reciprocity
689.275
Renewal of licenses
689.285
Continuing education
689.295
Practice of clinical pharmacy
689.305
Registration of drug outlets
689.315
Application
689.325
Required reports
689.335
Certificate required
689.405
Grounds for discipline
689.445
Penalties and reinstatement
689.455
Duty to report suspected violations and prohibited conduct
689.486
When license required
689.490
Board to establish licensing system
689.495
Provision of licensing information
689.497
Report required upon termination of pharmacy technician
689.499
Pharmacy technician specialized education program
689.503
Licensing of pharmaceutical representatives
689.505
Labeling requirements
689.508
Prescription records
689.515
Regulation of generic drugs
689.522
Substitution of biological products for prescribed biological products
689.524
Approval of coverage for biological product
689.525
Out-of-state prescriptions
689.527
Prohibited practices
689.532
Complimentary samples
689.555
Agricultural drugs and certain other substances
689.557
Disposal of marijuana item left at retail drug outlet
689.561
Prescription readers
689.564
Language requirements for prescription drug labels
689.605
Power to dispense drugs from hospital pharmacies, drug rooms and penal institutions
689.615
Display of certificate or license
689.635
Dispensing according to naturopathic formulary
689.645
Vaccines, patient care services, drugs and devices
689.649
Public Health and Pharmacy Formulary Advisory Committee
689.655
Power to administer drugs and devices
689.661
Power to perform tests and examinations related to federally cleared analytes
689.681
Opiate overdose
689.682
Prescription of naloxone
689.684
Administration of naloxone by certain persons
689.686
Notice of availability of naloxone
689.689
Prescription and administration or dispensation of certain contraceptives
689.692
Dispensation of prescription drug containing cannabinoids
689.696
Prescription and dispensation of emergency refills of insulin
689.700
Telepharmacy
689.704
Preexposure and post-exposure antiretroviral therapies
689.770
Definitions for ORS 689.770 to 689.780
689.772
Establishment of program
689.774
Rules
689.776
Inspection
689.778
Eligibility
689.780
Immunity
689.832
Civil penalties
689.854
Civil penalty for violation of ORS 689.515
689.995
Criminal penalties
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