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(f) If licensed nursing personnel perform a service described in (e)(2) of this section, a pharmacy or drug room record must be kept and signed by the licensed nurse showing the name, strength and amount of the drug, the date and time taken, and the patient to whom the drug is administered. (g) Except as provided in (i) of this section for a critical access hospital or 7 AAC 12.275 for a nursing facility, a facility that provides a nursing service must have a registered nurse on duty at all times. (h) The nursing staff shall hold regular meetings to review and evaluate ways of improving nursing care. Minutes of the meetings must be made available to staff members. (i) The department will waive the requirement of (g) of this section for a critical access hospital if the hospital establishes to the department’s satisfaction that

(1) to have a registered nurse on duty at all times is not financially feasible for the hospital;

(2) the community served by the hospital was involved in the decision to discontinue having a registered nurse on duty at all times and is aware that the hospital’s emergency department may close on occasion;

(3) the hospital’s emergency medical service plan submitted under 7 AAC 12.612(c)(6) assures that a registered nurse will be available at the hospital’s emergency room to receive patients delivered by local emergency services personnel; and

(4) the hospital will have a registered nurse on duty whenever an inpatient is present in the facility. (j) A frontier extended stay clinic is exempt from the requirements of this section. (Eff. 11/19/83, Register 88; am 5/28/92, Register 122; am 5/4/97, Register 142; am 9/1/2000, Register 155; am 12/3/2006, Register 180) Statutory Authority: Authority: AS 18.05.040 AS 47.32.010 AS 47.32.030 7 AAC 12.680. Pharmaceutical service. (a) A facility which dispenses drugs must employ a pharmacist on a regular or consultant basis. The pharmacist shall perform the following duties: