Hospital self-service employee prescription kiosks
||As used in this rule:
means any day that is not a Saturday or a Sunday and not a day on which
governmental offices of the state of Ohio or banks in the state of Ohio are
required or permitted to be closed.
means any dangerous drug identified by at least one of the following
||Carcinogenicity, teratogenicity, or developmental
||Reproductive toxicity in humans;
||Organ toxicity at
low dose in humans or animals; or
new drugs that mimic existing hazardous drugs in structure or
||"Self-service employee prescription kiosk" or "kiosk"
means a self-service kiosk for the pickup of new or refill prescriptions only
for hospital employees and their family members.
employee prescription kiosk shall meet all the security requirements of this
rule and be located either:
||On the campus of a hospital licensed as a terminal
distributor of dangerous drugs and located in the immediate proximity of a
pharmacy, unless otherwise approved by an agent of the board;
||At a location that is licensed as a terminal
distributor of dangerous drugs that not located on the campus of a hospital but
is owned by the hospital.
||Only a dangerous
drug prescription dispensed by a hospital-owned pharmacy may be provided to the
patient or employee representative of the patient via a self-service kiosk. A
kiosk shall not provide any of the following:
||Any drug that
must be refrigerated; or
||Any hazardous drug, except for conventionally
manufactured hazardous drugs that are tablets or capsules that do not require
any further manipulation other than counting or repackaging.
kiosk located in accordance with paragraph (B)(2) of this rule shall be placed
in an area that is restricted to hospital employees and is secured by both a
physical barrier with suitable locks and an electronic barrier to detect
||All kiosks shall be continuously monitored by one or
more video cameras that possess the capability of having its picture recorded.
The video camera(s) shall provide one hundred per cent video coverage of the
kiosk. Camera recordings shall be maintained for at least ninety days and shall
made available within three business days of a request by an agent of the state
board of pharmacy. The kiosk location must have adequate lighting to produce
clear digitally recorded and still picture production.
||A kiosk shall
only be stocked by a hospital employed pharmacist, pharmacy intern, certified
pharmacy technician, registered pharmacy technician or qualified pharmacy
||A dispensing pharmacy described in paragraph (C) of
this rule shall maintain an appropriate recordkeeping system that will provide
accountability for proper receipt of all prescriptions provided to a patient or
employee representative of the patient via a self-service
||A kiosk shall employ a method of two-factor
authentication to identify a patient or employee representative of the patient
such that a finished prescription is delivered from a kiosk only to its
||A kiosk must prominently display notification that
patient counseling is available pursuant to agency 4729 of the Administrative
Code. Counseling may be provided by a pharmacist reachable at a toll-free
telephone number who has access to the patient profile. Instructions on how to
contact a pharmacist via toll-free telephone must be displayed by the kiosk and
must also be printed on the customer receipt or included with the patient
||A self-service employee prescription kiosk shall meet
all of the following:
||Is electronically protected against unauthorized
||Be bolted to the floor or installed in a
||Be constructed in such manner as to prevent tampering,
break-in and theft of inventory; and
||Is able to
||Sound an alarm if a break-in is attempted;
||Transmit a notification to on-site security if a
break-in is attempted.
||Prior to the
deployment of a kiosk, the responsible person at the location licensed as a
terminal distributor of dangerous drugs shall test the kiosk to ensure that it
releases drugs properly. The responsible person shall monitor performance of
the kiosk on an ongoing basis and test the kiosk for accuracy whenever any
change or upgrade is made.
||All drugs and
devices in a kiosk shall be maintained in a clean and orderly condition. Kiosks
shall be maintained at temperatures which will ensure the integrity of the
drugs as stipulated by the USP/NF and/or the manufacturer's or distributor's
||Dangerous drugs stored in a kiosk that are not picked
up by a patient may be returned to stock shelves in accordance with rule
of the Administrative Code.
||Prior to the
operation of a kiosk, the board shall receive a request for approval from the
responsible person on the terminal distributor of dangerous drugs license. Upon
notification, the board shall conduct an inspection of the area where the kiosk
shall be located and review system specifications to determine if it meets the
requirements of this rule.
||If an inspection
does not result in the approval of a kiosk, the responsible person named on the
terminal distributor of dangerous drugs license may request an in-person
meeting with the board to appeal the denial.
Cite as Ohio Admin. Code 4729-17-11
Five Year Review (FYR) Dates: