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12VAC5-381-350 — Pharmacy services
VirginiaregulationVirginia Department of Health, Office of Licensure and Certification· effective 2006-01-01
What this rule requires your agency to do
- 1Develop written policies and procedures for administration of home infusion therapy medications covering the enumerated elements, including a plan of care, prescriber-order-based initiation and monitoring for adverse reactions, home-environment assessment, and communication with prescriber and provider pharmacy (subsection C 1–5).(12VAC5-381-350 — Pharmacy services)
- 2Ensure all prescription drugs are prescribed and properly dispensed to the client per Title 54.1 Chapters 33 and 34 and the Board of Pharmacy regulations, except for drugs authorized by § 54.1-3408 (e.g., emergency epinephrine, IV-line saline/heparin flushes, adult immunizations) that a nurse may give under established protocol (subsection A).(12VAC5-381-350 — Pharmacy services)
- 3Maintain a complete and accurate record of medications prescribed, administration data, client assessments, monitoring lab tests/results, and communications with prescriber and pharmacy provider (subsection C 6).(12VAC5-381-350 — Pharmacy services)
- 4Educate/instruct clients, family, or caregivers involved in infusion therapy administration in medication storage, supply/equipment handling, safety precautions, problem recognition, and emergency actions, and provide initial and retraining of all staff providing infusion therapy (subsection C 7–8).(12VAC5-381-350 — Pharmacy services)
- 5Limit medication administration: home attendants may administer only normally self-administered drugs as allowed by § 54.1-3408; any other drug shall be administered only by a licensed nurse or physician assistant (subsection B).(12VAC5-381-350 — Pharmacy services)
- 6Employ a registered nurse trained and competent in infusion therapy to supervise medication administration by staff, ensure compliance with laws/regulations and policies, and conduct periodic staff competency assessments (subsection D).(12VAC5-381-350 — Pharmacy services)
Applies to: personal care
Governs medication management for home care organizations, requiring compliant prescribing/dispensing of prescription drugs, limiting who may administer medications (home attendants only for normally self-administered drugs; others only by a licensed nurse or physician assistant), and mandating detailed written policies for home infusion therapy plus a qualified RN to supervise medication administration and staff competency. Framework topic: Clinical Operations / Medication Management.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.