118.104.22.168.5 Medicine Preparation
A medicine preparation room or a self contained medicine dispensing unit shall be provided for the provision of medication distribution. The self-contained medicine dispensing unit shall be under the visual control of the staff. If a medicine preparation room is utilized, it shall be equipped with a lockable door, have a minimum area of 50 square feet (4.65 m2) and shall contain a refrigerator, locked storage for controlled drugs, a handwashing fixture, and a work counter with a minimum of 6 square feet (0.56 m2) of work surface. If a self-contained medicine dispensing unit is utilized, it may be located at the nurses' station, in the clean utility room, in an alcove, or in other spaces convenient for staff control provided the area occupied by the unit does not encroach upon required minimum areas. The dispensing unit may be used in a medicine preparation room as locked storage for controlled drugs within the minimum area of 50 square feet (4.65 m2), however, the standard "cup sinks" provided in many self-contained units shall not be a substitute for the required handwashing fixture. If there is no linen storage in the clean utility room, medicine preparation may be part of the clean utility room in which case an additional 20 square feet (1.8 m2) dedicated for this purpose shall be required. A refrigerator shall also be required if medicine preparation is included in this room. Non-controlled prescription drugs may be stored inside the resident's sleeping room or toilet room if they are secured inside of an automatic closing and automatic locking dispensing unit that is secured in place.