§329-31.5  Clinics.  Registration as a
clinic is required when an out-patient medical facility maintains centralized
ordering, storage, and record keeping of controlled substances to be
administered and/or dispensed to patients.  Registration of a clinic requires
that:



(1)  Each location where controlled substances are
stocked be registered by name, location, and designated principal practitioner
or affiliated pharmacy.  The principal practitioner or affiliated pharmacy
shall be responsible for the accurate maintenance of records which document all
controlled substances ordered, received, administered, and dispensed within the
clinic;



(2)  Controlled substances stocked at a clinic under
the clinic State of Hawaii and Drug Enforcement Administration registration
numbers be administered to clinic patients by licensed or registered health
care professionals under the supervision of the treating practitioner;



(3)  Controlled substances stocked at a clinic under
the clinic State of Hawaii and Drug Enforcement Administration registration
numbers be dispensed to clinic patients only by the treating practitioner for
emergency and urgent care, when a written prescription would not be practical;



(4)  A centralized record signed and dated by the
treating practitioner which indicates the patient, controlled substance, date
and time of administration and/or dispensing be maintained and stored with the
current controlled substance inventory, ordering, and receipt records.  These
records shall be maintained for five years; and



(5)  A clinic practitioner who individually maintains
a personal stock of controlled substances does so under the practitioner’s
individual State and Drug Enforcement Administration registration number. 
These controlled substances shall be kept separate from clinic stock and cannot
be accessed by other practitioners.



The term “affiliated pharmacy” as used in this
section means a licensed pharmacy which supplies and monitors the controlled
substances stocked in a registered clinic.



The term “clinic” as used in this section means
an out-patient medical facility owned and operated by a legal entity that
employs individual practitioners for the treatment of patients and which may or
may not provide after-hours emergency or urgent care.



The term “principal physician” means the
practitioner in a clinic whose signature appears on the clinic’s State of
Hawaii and Drug Enforcement Administration registrations, and who is
responsible for the proper maintenance, storage, and record keeping of the
controlled substances ordered and centrally stocked in the clinic using the
clinic Drug Enforcement Administration registration number. [L 1991, c 159, §1;
am L 1999, c 252, §3]