16 fam 700
MEDICAL SUPPLIES AND SUPPORT
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 product’s 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 post’s 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 post’s 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