Q: When medications are administered under Licensed Independent Practitioner (LIP) control, must there be a retrospective Pharmacy review when the Pharmacy is open?
A: No. EP #4 at standard MM.4.10 does not address situations in which medications are ordered, prepared, and administered under Licensed Independent Practitioner control. Organizations should however, consider the requirements at MM.8.10 in evaluating its Medication Management system and assess risk points by randomly sampling and reviewing Licensed Independent Practitioner controlled orders for the items listed at MM.4.10, EP #5.