IC 16-27-3
    Chapter 3. Possession of Certain Drugs and Other Health CareItems

IC 16-27-3-1
Sterile water or saline
    Sec. 1. An employee of a home health agency who is a licensedpharmacist, registered nurse, or licensed practical nurse maypurchase, store, or transport for administering to a home healthpatient or hospice patient of the home health agency under the orderof a licensed physician the following:
        (1) Sterile water for injection and irrigation.
        (2) Sterile saline for injection and irrigation.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-2
Vaccines
    Sec. 2. (a) An employee of a home health agency who is alicensed pharmacist, registered nurse, or licensed practical nurse maypurchase, store, or transport a vaccine in order to administer thevaccine to:
        (1) the home health agency's:
            (A) employees; or
            (B) home health patients or hospice patients; or
        (2) family members of a home health patient or hospice patient;
under the order of a licensed physician.
    (b) An employee described in subsection (a) who purchases,stores, or transports a vaccine under this section must ensure that astanding order for the vaccine:
        (1) is signed and dated by a licensed physician;
        (2) identifies the vaccine covered by the order;
        (3) indicates that appropriate procedures are established forresponding to any adverse reaction to the vaccine; and
        (4) directs that a specific medication or category of medicationbe administered if a recipient has an adverse reaction to thevaccine.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-3
Other drugs
    Sec. 3. An employee of a home health agency who is a licensedpharmacist, registered nurse, or licensed practical nurse maypurchase, store, or transport the following drugs in order toadminister to a home health patient or hospice patient of the homehealth agency, in accordance with section 5 of this chapter:
        (1) Any of the following items in a sealed portable container ina size determined by the dispensing pharmacist:
            (A) Up to one thousand (1,000) milliliters of nine-tenths ofone percent (0.9%) sodium chloride intravenous infusion.
            (B) Up to one thousand (1,000) milliliters of five percent

(5%) dextrose in water injection.
        (2) Not more than five (5) dosage units of each of the followingitems, each in an individually sealed, unused container:
            (A) Heparin sodium lock flush in a concentration of ten (10)units per milliliter, one hundred (100) units per milliliter, orone thousand (1,000) units per milliliter.
            (B) Epinephrine HC1 solution in a concentration of one (1)to one thousand (1,000).
            (C) Diphenhydramine HCl solution in a concentration offifty (50) milligrams per milliliter.
            (D) Methylprednisolone in a concentration of one hundredtwenty-five (125) milligrams per two (2) milliliters.
            (E) Naloxone in a concentration of up to one (1) milligramper milliliter in a two (2) milliliter vial.
            (F) Glucagon in a concentration of one (1) milligram permilliliter.
            (G) Furosemide in a concentration of ten (10) milligrams permilliliter.
            (H) Lidocaine two and one-half percent (2.5%) andprilocaine two and one-half percent (2.5%) cream in a five(5) gram tube.
            (I) Lidocaine HCl solution in a concentration of one percent(1%) in a two (2) milliliter vial.
            (J) Urokinase five thousand (5,000) units per a one (1)milliliter vial.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-4
Transportation of drugs in sealed portable container bypharmacist or nurse
    Sec. 4. An employee of a home health agency who is a licensedpharmacist, registered nurse, or licensed practical nurse maypurchase, store, or transport drugs in a sealed portable containerunder this chapter only if the home health agency has establishedwritten policies and procedures to ensure the following:
        (1) That the container is handled properly with respect tostorage, transportation, and temperature stability.
        (2) That a drug is removed from the container only on thewritten or oral order of a licensed physician.
        (3) That the administration of a drug in the container isperformed in accordance with a specific treatment protocol.
        (4) That the home health agency maintains a written record ofthe dates and times the container is in the possession of alicensed pharmacist, registered nurse, or licensed practicalnurse.
        (5) That the home health agency require an employee whopossesses the container to submit a daily accounting of all drugsand devices in the container to the home health agency inwriting.
As added by P.L.105-1998, SEC.2.
IC 16-27-3-5
Administering drugs by pharmacist or nurse
    Sec. 5. An employee of a home health agency who:
        (1) is a licensed pharmacist, registered nurse, or licensedpractical nurse; and
        (2) administers a drug listed in section 3 of this chapter;
may administer the drug only in the residence of a home healthpatient or hospice patient of the home health agency under the orderof a licensed physician in connection with the provision ofemergency treatment or the adjustment of parenteral drug therapy orvaccine administration.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-6
Physician's orders to pharmacist or nurse to administer drugs
    Sec. 6. (a) If an employee of a home health agency who is alicensed pharmacist, registered nurse, or licensed practical nurseadministers a drug listed in section 3 of this chapter under the oralorder of a licensed physician, the physician shall promptly send asigned copy of the order to the home health agency.
    (b) Not more than twenty (20) days after receiving an order undersubsection (a), the home health agency shall send a copy of the order,as signed by and received from the physician, to the dispensingpharmacy.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-7
Duties of pharmacist regarding drug containers
    Sec. 7. A pharmacist who dispenses a sealed portable containerunder this chapter shall ensure that the container:
        (1) is designed to allow access to the contents of the containeronly if a tamperproof seal is broken;
        (2) bears a label that lists the drugs in the container andprovides notice of the container's expiration date; and
        (3) remains in the pharmacy or under the control of a licensedpharmacist, registered nurse, or licensed practical nurse.
As added by P.L.105-1998, SEC.2.

IC 16-27-3-8
Honoring nurse's orders
    Sec. 8. If a home health agency or hospice patient's care ortreatment is being managed, directed, or provided by an advancedpractice nurse licensed under IC 25-23, that nurses's orders will behonored, unless it will cause the home health agency or hospice to beunreimbursed for their service.
As added by P.L.105-1998, SEC.2.