Okla. Stat. tit. 59, § 59-374: Medication services procedures

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.