The purpose of this section is to ensure that patient pharmaceutical needs are met consistent with chapter 246-945 WAC and the following requirements:

(1) The licensee must establish and implement written policies to address the type, indications, dosage, contraindications, and side effects of any drug to be used by patients within the facility.

(2) The licensee must ensure that only local anesthetics are used. Inhaled nitrous oxide can be used as an analgesic.

(3) The licensee must ensure:

(a) Drugs are only administered by personnel or clinical staff licensed to administer drugs;

(b) Drugs kept anywhere in the center are clearly labeled with drug name, strength, and expiration date;

(c) Expired drugs are removed from the storage units and destroyed properly;

(d) Drugs are stored and secured in specifically designated cabinets, closets, drawers, or storerooms and made accessible only to authorized persons;

(e) Poisonous or caustic medications and materials including housekeeping and personal grooming supplies must show proper warning or poison labels and must be stored safely and separately from other medications and food supplies;

(f) Drugs requiring refrigeration must be kept in a separate refrigeration unit according to manufacturer's directions;

(g) Schedule II-IV controlled substances are:

(i) Kept in a separate locked storage container within a lockable room; and

(ii) If heat sensitive, kept in a refrigeration unit within a lockable room;

(iii) Schedule II-IV controlled substances no longer needed by the patient must be disposed of in compliance with chapter 246-945 WAC.

(4) Administration of medications stored at the birth center is the responsibility of the legally authorized practitioner who is administering that medication.