Specifications include, but are not limited to: •Providing consultation on all aspects of the provision of pharmacy services in the facility.•Establish a system of records of receipt and disposition of all controlled drugs in sufficientdetail to enable an accurate reconciliation. •Determine that drug records are in order and that an account for all controlled drugs is maintained and periodically reconciled.•Review each resident’s drug regimen at least monthly.•Report an irregularity to the attending physician and the director of nursing and ensure these reports are acted upon. •Ensure each resident’s drug regime is free from unnecessary drugs including:oExcessive doseoExcessive duration oWithout adequate monitoringoWithout adequate indication for use.oDrugs in the presence of adverse consequences which indicate the dose should be reduced or discontinued•Ensure all diagnoses related to prescribed medications are present in the clinical records and MDS.•Complete medication regime review of all new admission on the day of admission an notify the provider of any significant issues.•Ensure regulatory requirements for psychotropic drug use are met including but not limited to: oPsychotropic drugs are not ordered or given unless it is necessary to treat a specific condition as diagnosed and documented in the cli nical record. oGradual dose reductions and behavioral interventions are attempted and documentedas required. oPRN psychotropic drug use is limited to a medication that is necessary to treat a specific condition diagnosed and documented in the clinical record and is limited to 14 days, oPRN anti-psychotic drugs are limited to 14 days and are not renewed without the at tending or prescribing physician evaluated the resident for appropriateness of that medication.
