657—23.9 (124,155A) Medication orders. Drugs and prescription devices may be dispensed only upon orders of an authorized prescriber.
	   23.9(1) Requirements. New orders transmitted to the pharmacy for drugs for residents of the facility shall, at a minimum, contain resident name, drug name and strength, directions for use, date of order, and name of prescriber. Orders for Schedule II controlled substances shall comply with the requirements of rule 657—23.18(124,155A).
	   23.9(2) Abbreviations. Abbreviations or chemical symbols utilized in medication orders shall be only those abbreviations or symbols that are customarily used in the practice of medicine and pharmacy or those on a list of approved abbreviations developed by the appropriate committee or representative of the facility.
	   23.9(3) Who may transmit medication orders. An authorized prescriber or prescriber’s agent or any person who is employed by a long-term care facility and who is authorized by the facility’s policies and procedures may transmit to the long-term care pharmacy a medication order lawfully ordered by a practitioner authorized to prescribe drugs and devices. An order transmitted by the prescriber’s agent shall include the agent’s first and last names and title.
	   23.9(4) Influenza and pneumococcal vaccines. As authorized by federal law, a written or verbal patient-specific medication administration order shall not be required prior to administration to an adult patient of influenza and pneumococcal polysaccharide vaccines pursuant to physician-approved facility policy and after the patient has been assessed for contraindications. Administration shall be recorded in the patient’s record. The facility shall submit to the provider pharmacy a listing of those residents or staff members who have been immunized utilizing vaccine from each vial supplied by the provider pharmacy.
[ARC 9912B, IAB 12/14/11, effective 1/18/12]