1. Section 1:Medication Storage, Packaging and Labeling

2. Labeling Are all of the resident’s Rx and OTC medication(s) properly labeled? • Important to be aware of the Board of Pharmacy Regulations on labeling of medications • Per the existing COMAR for 10.34.23.09 • Labeling of Patient Medications. Should contain: (1) Name and address of the pharmacy; (2) Date of dispensing; (3) Prescription number assigned by the pharmacy; (4) Name of the resident; (5) Name (brand or generic), quantity, and strength of the drug; (6) Name of the prescriber; (7) Expiration date of the drug when required by law; (8) Required precautionary information regarding controlled substances; and (9) Further cautionary information as may be required or desirable for proper use of the medication. • Over the Counter Medications: • The facility must have a current physician’s order for OTC medications. The OTC medication must be received at the ALP in the unopened, manufacturers, sealed container. • At a minimum, the current physician’s order should be entered onto the Medication Administration Record (MAR) and the OTC medication should be identified with the resident’s name. Ref: http://www.dsd.state.md.us/comar/comarhtml/10/10.34.23.09.htm accessed June 16, 2010 http://dhmh.maryland.gov/ohcq/download/memo/faq_comar10.07.14.pdf accessed June 16, 2010

3. Storage & Packaging Questions to address and considerations: • Is each of the resident’s medications stored in the original container or unit dose packaging? • Is each of the resident’s medications stored in a secure location? • Is each of the resident’s medication stored at the proper temperature? • Examples: insulin, vaccinations and eye drops • Is each of the resident’s medications' expiration date current?

4. Controlled Substances • Additional Requirements and Resources • State of Maryland DHMH Division of Drug Control http://www.dhmh.state.md.us/drugcont/ • Is the resident receiving a controlled substance (II-V)? • If YES, is each controlled substance counted and recorded before the close of every shift or 24 hours? • If YES, are all controlled substance administrations documented? • If YES, are Schedule II and III substances under a double lock system (even if self-medicating)?