Section 109.65. Recording of drugs administered

(a) Each dose of drug shall be recorded in the medical record of the patient and properly signed after the drugs have been administered.

(b) Any medication error or apparent drug reaction shall be reported immediately to the practitioner who ordered the drug. Any entry of the medication given in error or the apparent drug reaction, or both, shall be properly recorded in the medical record of the patient. Any adverse drug reaction shall be immediately noted on the medical record of the patient in the most conspicuous manner possible, in order to notify everyone treating the patient throughout the duration of his hospitalization of his drug sensitivity and thereby prevent a recurrence of adverse reaction. Notification of all drug sensitivities, including any apparent adverse reaction, shall be sent to the physician and to the director of pharmaceutical services. Records of drug sensitivities shall be retained in accordance with § 113.23(e) (relating to records).

Notation

Cross References

This section cited in 28 Pa. Code § 113.23 (relating to records).