18VAC110-20-500. Licensed emergency medical services agencies program.
http://leg1.state.va.us/cgi-bin/legp504.exe?000+reg+18VAC110-20-500
The pharmacy may prepare a drug kit for a licensed emergency medical services agency provided:
1. The pharmacist-in-charge of the hospital pharmacy shall be responsible for all controlled drugs contained in this drug kit.
2. The drug kit is sealed in such a manner that it will preclude any possibility of loss of drugs.
3. Drugs may be administered by a technician upon an oral order or written standing order of an authorized medical practitioner in accordance with §54.1-3408 of the Code of Virginia. Oral orders shall be reduced to writing by the technician and shall be signed by a medical practitioner. Written standing orders shall be signed by the operational medical director for the emergency medical services agency. The technician shall make a record of all drugs administered to a patient. This administration record shall be signed by the medical practitioner who assumes responsibility for the patient at the hospital. If the patient is not transported to the hospital or if the attending medical practitioner at the hospital refuses to sign the record, a copy of this record shall be signed and placed in delivery to the hospital pharmacy who was responsible for that kit exchange by the agency's operational medical director within seven days of the administration.
4. When the drug kit has been opened, the kit shall be returned to the pharmacy and exchanged for an unopened kit. The record of the drugs administered shall accompany the opened kit when exchanged. An accurate record shall be maintained by the pharmacy on the exchange of the drug kit for a period of one year.
5. The record of the drugs administered shall be maintained as a part of the pharmacy records pursuant to state and federal regulations for a period of not less than two years.
Statutory Authority
§§54.1-2400, 54.1-3307, and 54.1-3312 of the Code of Virginia.