16 fam 700
MEDICAL SUPPLIES AND SUPPORT
16 FAM 710
management of DRUGS, EQUIPMENT AND MEDICAL SUPPLIES
(CT:MED-41; 03-07-2019)
(Office of Origin: MED)
16 FAM 711 ORDERING AND MAINTAINING
DRUGS, EQUIPMENT AND MEDICAL SUPPLIES
(CT:MED-41; 03-07-2019)
(Uniform/State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Civil Service and Foreign Service Employees)
a. The post general services office and acquisition staff
will closely coordinate with Foreign Service medical specialists (FSMSs) and
other health unit staff to ensure the timely budgeting and acquisition of
pharmaceuticals, medical supplies, and equipment needed to protect the health
and well-being of the post population. Posts will follow the procedures
prescribed in 14
FAM 414.5, Internal Requisitioning Procedures, 14 FAH-2 H-200,
Acquisition Methods, and the Department of State Acquisition Regulation (DOSAR)
when requisitioning medical supplies, equipment, and medications. The purchase
of U.S. Food and Drug Administration (FDA)-approved medical products is
recommended.
b. The health unit staff is responsible for ensuring
that expired items are disposed of unless the products shelf life has been
extended or other disposal direction has been received. Destruction of expired
pharmaceuticals will be done in a safe and secure manner and in accordance with
local law. The destruction action will be documented and forwarded to posts
property management officer (PMO) for recordation. Property records for
pharmaceuticals, including controlled substances, exclusive of identifiable
patient information, must be available for review by MED personnel, OPR
property management specialists, and OIG inspectors, or as otherwise required
by law.
c. The FSMS responsible for post should ensure that a
sound internal control system is in place to ensure that no one individual
controls all aspects of any transaction affecting the ordering, receipt,
storage, or disposition of expendable or nonexpendable medical supplies,
including controlled substances and prescription drugs. In the absence of a
desired separation of duties, the regional medical officer (RMO) or regional
medical manager (RMM), shall conduct periodic reviews of the management of
medical supplies at posts within his or her region. See 14 FAM 410,
Personal Property Management for Posts Abroad, setting forth internal controls
for property management.
16 FAM 712 Prescription Drugs and
Nonprescription Medication
16 FAM 712.1 Prescription Drugs
(CT:MED-41; 03-07-2019)
(Uniform/State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Civil Service and Foreign Service Employees)
a. Only direct-hire medical specialists credentialed by
MED through its established process (see 16 FAM 132), and
locally employed medical staff who have had their credentials, reviewed and
approved by the responsible regional medical officer (RMO) may prescribe and
dispense prescription drugs stored in a health unit.
b. The FSMS at a post is responsible for ensuring that
supply records of prescription drugs are properly maintained in accordance with
14 FAM 410.
For posts not having an assigned FSMS, the regional medical officer (RMO) is
responsible.
16 FAM 712.2 Long-Term Prescription
Drugs
(CT:MED-41; 03-07-2019)
(Uniform/State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Civil Service and Foreign Service Employees)
Health units will not supply medications for
long-term treatments nor specific brands of drugs. The patient is responsible
for obtaining prescription drugs for long-term treatment of chronic medical
conditions.
16 FAM 712.3 Nonprescription
Medication
(CT:MED-41; 03-07-2019)
(Uniform/State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Civil Service and Foreign Service Employees)
Patients are responsible for obtaining nonprescription
medication and general medical supplies for personal use.
16 FAM 713 management of controlled
substances
(CT:MED-41; 03-07-2019)
(Uniform/State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Civil Service and Foreign Service Employees)
a. The Foreign Service medical specialist (FSMS)
responsible for a post must ensure that all controlled substances are purchased
or ordered with prior approval of the regional medical officer (RMO) and that
Class II-V drugs are procured in the name of a Drug Enforcement Administration
(DEA)-licensed provider (RMO or MP or RMO/P) for that post and that these
substances upon receipt will be maintained and stored in locked cabinets. The
only personnel who may prescribe and dispense controlled substances are those
FSMPs who have a DEA registration certificate. Other health unit professional
staff may dispense controlled substances with orders from a licensed FSMS.
b. The principal FSMS at a post or, in the absence of
an FSMS, the RMO, is responsible for accountability ensuring that supply
records of controlled substances are properly maintained in accordance with 14 FAM 410,
Personal Property Management for Posts Abroad.
c. The method of destruction of expired or recalled
controlled substances must be in accordance with available resources and with
local laws. Destruction of substances shall require a signed log entry and be
witnessed by a designee. A Form DS-0132,
Property Disposal Authorization and Survey Report, must be completed by the
FSMS and forwarded to the property management officer (PMO) at post for
approval.
d. The FSMS must complete an annual physical inventory
and reconciliation, at a minimum, of controlled substances and submit a signed
certification to the posts PMO verifying that all required actions have been
completed and that the records are current (see 14 FAM 410,
Reporting Requirements). Any discrepancy in the inventory must also be reported
to the regional management officer (RMO), the regional medical manager (RMM),
and the regional security officer (RSO), who are responsible for that post.
16 fam 714 THROUGH 719 unassigned