Area for Storage of Medications

Appropriate space and security will be maintained for the safekeeping of all medical and surgical supply items; careful 
attention will be given to the appropriate storage of drugs.
All medications will be kept in the appropriate storage area required by the class of medication.  Refrigerated medications require complex monitoring, and refrigerator will only be unlocked for daily use after medical director deems overnight temperature was safe.  Controlled substances will be kept in the double-locked storage area. 
All storage will be arranged in an orderly fashion and will be kept clean.  All medications will be kept in labeled bins.  
Special purpose medications and preparations will be placed away from other items in storage; such storage will be appropriately labeled. Parenteral medications, oral medications and topicals will be stored separately. No concentrated electrolytes will be stored in patient care units or areas. Medications that are easy to confuse; look or sound alike medications or reagents and chemicals that may be mistaken for medications are segregated. The Medical Director and the Clinical Supervisor will have access to the keys for all locked storage; keys will be locked in the facility at the end of each day.  


Look alike Sound alike Drugs:

Because our facility only offers a limited amount of procedures, for a specific population, with a limited amount of ailments we only require a limited amount of medications. We therefore will make every effort to reduce the amount of superfluous and redundant medications within the facility.  This is especially important regarding look alike sound alike medications. Effort will be made to avoid look alike sound alike drugs in this facility. If we encounter a medication that is necessary for the safety and function of our office that is a look alike sound alike to another medication we store, then every reasonable effort will be made to limit errors and mistakes. This will include physical separation from the other medication and clear labeling. Staff members who use the medication will be instructed, informed and educated as to the difference of the medications, the difference in packaging, the difference in mechanism of action, the symptoms of an improper administration and how manage such a situation. Only licensed independent practitioners are allowed to administer medications in our practice. 

All drugs will be stored at the proper temperature according to product label:
1.  Room temperature is defined between 59F and 86F. Room temperature will be maintained by room thermostat
2.  Preparations requiring refrigeration as per manufacturers guidelines will
    be kept at a temperature that is maintained between 40F 
    and 46F.

3. Only drugs approved by the medical director will be allowed to be stored in refrigerator.
Outdated drugs will be removed from the medication cabinet, 
labeled as expired, and stored in a separate locked storage 
area until they can be disposed of or returned for credit.

Approved By Governing Board    
Control #272.1