<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.05.05.10" title_num="10" subtitle_num="05" chapter_num="05" heading="Pharmaceutical Services.">
  <paragraph num="A.">
    <text>The freestanding ambulatory surgical facility shall:</text>
    <paragraph num="(1)">
      <text>Provide drugs and biologicals under the direction of an authorized prescriber; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Develop and implement policies and procedures for pharmacy services in accordance with accepted professional practice.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Administration of Drugs.</text>
    <paragraph num="(1)">
      <text>Staff shall prepare and administer drugs according to established policies and acceptable standards of practice.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Staff shall report adverse reactions to the patient's health care practitioner and document these reactions in the patient's medical record.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Only physicians or registered nurses shall administer blood and blood products.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Orders given orally for drugs and biologicals shall be followed by a written order which is signed by the authorized prescriber.</text>
    </paragraph>
  </paragraph>
</regulation>