Bill Text: CA SB443 | 2017-2018 | Regular Session | Amended
Bill Title: Pharmacy: emergency medical services automated drug delivery system.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2017-10-10 - Chaptered by Secretary of State. Chapter 647, Statutes of 2017. [SB443 Detail]
Download: California-2017-SB443-Amended.html
Amended
IN
Assembly
July 20, 2017 |
Senate Bill | No. 443 |
Introduced by Senator Hernandez |
February 15, 2017 |
LEGISLATIVE COUNSEL'S DIGEST
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 4034.5 is added to the Business and Professions Code, to read:4034.5.
An “emergency medical services automated drug delivery system” or “EMSADDS” means an automated drug delivery system that stores and distributes drugs for the sole purpose of restocking a secured emergency pharmaceutical supplies container that is used by an emergency medical services agency to provide emergency medical services.SECTION 1.SEC. 2.
Section 4119 of the Business and Professions Code is amended to read:4119.
(a) Notwithstanding any other law, a pharmacy may furnish a dangerous drug or dangerous device to a licensed health care facility for storage in a secured emergency pharmaceutical supplies container maintained within the facility in accordance with facility regulations of the State Department of Public Health set forth in Title 22 of the California Code of Regulations and the requirements set forth in Section 1261.5 of the Health and Safety Code. These emergency supplies shall be approved by the facility’s patient care policy committee or pharmaceutical service committee and shall be readily available to each nursing station. Section 1261.5 of the Health and Safety Code limits the number of oral dosage form or suppository form drugs in these emergency supplies to 48.(c)(1)Notwithstanding any other law, a pharmacy orwholesaler may furnish dangerous drugs or dangerous devices into an emergency medical services automated drug delivery system (EMSADDS) located within a county operated fire department. Dangerous drugs and dangerous devices stored or maintained in an EMSADDS shall be used for the sole purpose of restocking a secured emergency pharmaceutical supplies container as authorized in subdivision (b). The EMSADDS may be used only if all
of the following conditions are met:
(A)The county fire department obtains a license from the board to operate the EMSADDS on the premise of a fire station. A separate license shall be required for each location. As part of its license
application, the county shall provide the address of the fire station, the name of the county medical director responsible for overseeing the emergency medical services system, the name of the designated pharmacist, the policies and procedures detailing the provisions under which the EMSADDS will operate, and the name and license number of the pharmacy or wholesaler that will furnish the dangerous drugs and dangerous devices.
(B)Each EMSADDS shall collect, control, and maintain all transaction information necessary to accurately track the movement of drugs into and out of the system for purposes of security, accuracy, and accountability.
(C)The county
medical director and designated pharmacist shall develop, adopt, and maintain policies and procedures detailing the provisions under which the EMSADDS will operate. At a minimum, the policies and procedures shall address (i) inventory controls, (ii) training, (iii) storage and security of the dangerous drugs and dangerous devices, and (iv) safeguards to limit access to the EMSADDS to only authorized staff.
(D)A pharmacist shall stock and inventory the dangerous drugs and dangerous devices in EMSADDS.
(E)The designated pharmacist shall review, on a monthly basis, the operation of the EMSADDS for compliance with inventory controls specified in the policies and procedures.
(F)The county medical director and designated pharmacist shall be jointly responsible for monthly review of the county fire department’s
training, storage, and security of dangerous drugs and dangerous devices and the restocking procedures, including, but not limited to, a review of the use of EMSADDS records to verify that only authorized staff, as provided for in this section, access and
remove dangerous drugs and dangerous devices from the EMSADDS.
(G)The county fire department shall limit access to the EMSADDS to only employees of the county that are licensed by the state as paramedics or pharmacists or to the fire department’s medical director.
(H)A record of each access to the EMSADDS shall be maintained for at least three years in a readily retrievable
form. The records shall include the identity of the licensed paramedic or
pharmacist or the fire department’s medical director who accessed the system as well as the drug, dosage, form, and quantity removed.
(2)A violation of any of the provisions of this subdivision shall constitute unprofessional conduct and provides the board the authority to take action against the county fire department’s license for the EMSADDS.
An “emergency medical services automated drug delivery system” or “EMSADDS” means an automated drug delivery system that stores and distributes drugs for the sole purpose of restocking a secured emergency pharmaceutical supplies container that is used by an emergency medical services agency to provide emergency medical services.