§329-31.5  Clinics.  Registration as aclinic is required when an out-patient medical facility maintains centralizedordering, storage, and record keeping of controlled substances to beadministered and/or dispensed to patients.  Registration of a clinic requiresthat:

(1)  Each location where controlled substances arestocked be registered by name, location, and designated principal practitioneror affiliated pharmacy.  The principal practitioner or affiliated pharmacyshall be responsible for the accurate maintenance of records which document allcontrolled substances ordered, received, administered, and dispensed within theclinic;

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

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

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

(5)  A clinic practitioner who individually maintainsa personal stock of controlled substances does so under the practitioner’sindividual State and Drug Enforcement Administration registration number. These controlled substances shall be kept separate from clinic stock and cannotbe accessed by other practitioners.

The term “affiliated pharmacy” as used in thissection means a licensed pharmacy which supplies and monitors the controlledsubstances stocked in a registered clinic.

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

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