| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.187 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVECLEMENS. |
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| 5 | 5 | | 1370H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter197,RSMo,byaddingtheretoonenewsectionrelatingtomultidose |
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| 8 | 8 | | medicationsgiventopatientsatdischarge. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter197,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection197.180,toreadasfollows: |
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| 12 | 12 | | 197.180.1.Medicationsinmultidosecontainersthatareadministeredtoorused |
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| 13 | 13 | | 2forapatientduringthepatient'shospitalstaymay,ifsoorderedbyanauthorized |
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| 14 | 14 | | 3healthcareprovider,besentwiththepatientatdischargetothepatient'shomeorto |
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| 15 | 15 | | 4anotherhealthcarefacility. |
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| 16 | 16 | | 5 2.Multidosemedicationsshallinclude,butarenotlimitedto,inhalers, |
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| 17 | 17 | | 6ointments,creams,medicationsrequiringtheoriginalcontainerfordispensing,insulin |
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| 18 | 18 | | 7pensandvials,eyedrops,eardrops,wearableoron-bodymedicationdeliverysystems, |
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| 19 | 19 | | 8andinfusionsthatarecurrentlyconnectedtothepatient'sinfusiondevice. |
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| 20 | 20 | | 9 3.Multidosemedicationsshallbelabeledwiththedate,patient'sname, |
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| 21 | 21 | | 10prescriber'sname,nameandaddressofthehospital,medicationnameandstrength, |
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| 22 | 22 | | 11instructionsforuse,andotherpertinentinformation.Labelingshallbeperformedbya |
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| 23 | 23 | | 12pharmacist,prescriber,orregisterednurse.Labeledinstructionsforusemayreferto |
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| 24 | 24 | | 13specificwritteninstructionsprovidedbyapharmacist,prescriber,orregisterednurseat |
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| 25 | 25 | | 14thetimeofdischarge. |
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| 26 | 26 | | 15 4.Controlledsubstancesshallnotbesentwiththepatient,exceptthatwearable |
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| 27 | 27 | | 16oron-bodymedicationdeliverysystemsofcontrolledsubstancesorcontrolledsubstance |
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| 28 | 28 | | 17infusionscurrentlyconnectedtothepatient'sinfusiondevicemaybesentif: |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 (1)Themedicationisnecessaryforadministrationduringtransportofthe |
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| 31 | 31 | | 19patient; |
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| 32 | 32 | | 20 (2)Thequantityofthecontrolledsubstancesentisdocumentedinthepatient's |
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| 33 | 33 | | 21medicalrecordbythepersonsendingthemedication;and |
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| 34 | 34 | | 22 (3)Thepharmacyisnotifiedthatthemedicationisbeingsentwiththepatient. |
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| 35 | 35 | | 23 5.ThissectionshallnotrequireaclassBhospitalpharmacytoobtainorcomply |
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| 36 | 36 | | 24withadditionallicensureorregulatoryrequirements. |
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| 37 | 37 | | âś” |
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| 38 | 38 | | HB187 2 |
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