The hospital selects and procures medications.

(1)

The hospital standardizes and limits the number of drug concentrations available to meet patient care needs.

(2)

The hospital follows a process to communicate medication shortages and outages to staff who participate in medication management.

(3)

The hospital follows written medication substitution protocols to be used in the event of a medication shortage or outage and communicates the medication substitution protocols for shortages or outages to all affected staff.