A pharmacist in an infusion pharmacy shall adhere to the policies and procedures set forth in Regulation .06 of this chapter.
A pharmacist shall:
Provide infusion therapy services in accordance with:
Orders issued by a licensed authorized prescriber of record; and
Where applicable, protocols issued by a licensed authorized prescriber of record.
Perform and document initial and ongoing assessments of the appropriateness of infusion therapy using the following information:
Patient demographics including:
Name;
Address;
Telephone number;
Gender; and
Date of birth;
Emergency contact information;
Diagnoses, including:
Diagnosis being treated; and
Concurrent conditions, including pregnancy and lactation status if applicable;
Medical history;
Allergies;
If applicable, height;
Weight;
Parenteral medication orders, including length of therapy;
Parenteral infusion access device:
Location;
Type; and
If available, date of placement;
Ongoing medication profile review and reconciliation at end of therapy;
First dose status;
Caregiver information including, but not limited to:
Name;
Address;
Phone number; and
Relationship to patient;
If applicable, contact information for other agencies or individuals involved in the patient’s home care;
Documented applicable medical and social factors and functional limitations which may affect infusion therapy including but not limited to:
Language;
Sight;
Hearing;
History of IV drug abuse;
History of drug or alcohol abuse; or
Other physical or mental limitations; and
If applicable to therapy, baseline labs;
Create a patient care plan specific to the patient’s:
Diagnosis;
Prescribed therapy; and
Concurrent conditions;
When compounding sterile preparations, comply with COMAR 10.34.19;
If sterile compounding is outsourced, comply with COMAR 10.34.04;
As applicable, retrieve and assess lab values and other monitoring parameters;
Document in the patient chart:
New prescription orders;
Changes in prescription orders;
Information obtained from the patient or caregiver; and
Other necessary information obtained from the:
Patient;
Caregiver;
Infusion nurse;
Licensed authorized prescriber of record; or
Other sources relevant to patient care;
Verify prescription label accuracy;
Communicate as appropriate, throughout the patient’s therapy with the:
Licensed authorized prescriber of record or agent of the licensed authorized prescriber of record;
Patient’s infusion nurse;
Patient; and
Caregiver; and
Review therapy-specific considerations such as pain and nutrition status.