In facilities operated by the Oklahoma Department of Veterans Affairs, the following medication services procedures shall be utilized: 1. An inventory record shall be maintained for each Schedule II-V medication distributed to a nursing station such that each dose (unit) is documented; 2. For medications which require a prescription, the resident's full name will be affixed to the resident's individual drawer located on the medication cart; and the medication strength, dosage, and directions for use will be located on the medical administration record (MAR); 3. For over-the-counter medications that are prescribed, the resident's full name will be affixed to the resident's individual drawer located on the medication cart; and the medication strength, dosage, and directions for use will be located on the medical administration record (MAR); 4. When a resident is permanently discharged, the unused medication shall be returned to the facility pharmacy as required by United States Department of Veterans Affairs guidelines; 5. Noncontrolled medications prescribed for residents who have died and noncontrolled medications which have been discontinued shall be returned to the facility pharmacy; and 6. Facilities may maintain nonprescription drugs as bulk medications. Bulk medications may include drugs listed in a formulary developed by the facility pharmacist, medical director, and director of nursing. Nonformulary over-the-counter medications may be prescribed if the resident has therapeutic failure, drug allergy, drug interaction or contraindication to the over-the- counter formulary. In addition, bulk dispensing of prescription medications may include controlled and noncontrolled medications. Facilities shall establish policies and procedures to assure the safe administration of all medications and full accountability of controlled medications.
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