Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 210 - Administration of Medications: Residential Facilities, Respite Centers, Day Programs, Community Training Homes, and Individual and Family Supports › Section 17a-210-7 - Supervision and quality assurance for certified non-licensed personnel

Current through July 10, 2024
(a) The supervising nurse of the residential
			 facility, respite center or day program shall:
(1) Directly supervise the initial worksite
			 administration of medications by certified non-licensed personnel and document
			 such supervision.
(2) Observe the
			 administration of medications by certified non-licensed personnel periodically
			 and not less than annually and document such observations. The supervising
			 nurse may delegate this responsibility to an authorized licensed practical
			 nurse.
(3) Monitor and document on
			 an ongoing basis, and not less than quarterly, all documentation pertaining to
			 the administration of medication. This monitoring shall include, but not be
			 limited to:
(A) a licensed prescriber's
			 orders;
(B) medication labels and
			 medications listed on the medication record and receipt and distribution forms
			 to determine whether they match the orders of the licensed prescriber; and
(C) the medication record and
			 receipt and disposition forms to ensure that they contain the following
			 information: medication error documentation; whether medication was
			 administered as prescribed; compliance or non-compliance of the consumer; and
			 the existence of full signatures for all initials used by persons documenting
			 the administration of medication. The supervising nurse may delegate this
			 responsibility to an authorized licensed practical nurse.
(4) Follow the established policies and
			 procedures of the residential facility, respite center or day program for the
			 identification, documentation, and tracking of medication errors and prohibited
			 practices committed by certified non-licensed personnel. Recurring errors made
			 by certified non-licensed personnel that reach a level of concern by the
			 supervising nurse, but do not rise to the level of official commissioner
			 sanction, shall be reported in writing to the department's Medication
			 Administration Unit.
(5) Suspend
			 the delegation of medication administration responsibilities of certified
			 non-licensed personnel at any time they believe that the life, health or safety
			 of a consumer is in jeopardy, until further action is determined.
(6) Submit a written report requesting an
			 official commissioner sanction to the appropriate regional director of health
			 services not later than five (5) working days following the date of the
			 supervising nurse obtaining information indicating that any certified
			 non-licensed personnel has committed substantial or habitual violation of
			 sections
			 17a-210-1 to
			 17a-210-10,
			 inclusive, of the Regulations of Connecticut State Agencies and that this level
			 of sanction is necessary. This request for sanction shall be verbally
			 communicated to the regional director of health services if such supervising
			 nurse believes that the life, health or safety of a consumer is in
			 jeopardy.
(7) The request for
			 sanction form shall include, but not be limited to, the following information:
(A) the name of the employee;
(B) the specific section or sections of the
			 regulations with which the employee has failed to comply;
(C) the basis for the belief that such
			 employee failed to comply with sections
			 17a-210-1 to
			 17a-210-10,
			 inclusive, of the Regulations of Connecticut State Agencies;
(D) the written document or documents that
			 such supervising nurse relied upon in submitting the request for
			 sanction;
(E) recommendations
			 concerning which of the sanctions authorized by section
			 17a-210-8 of the
			 Regulations of Connecticut State Agencies should be imposed as a result of the
			 failure of certified non-licensed personnel to comply with sections
			 17a-210-1 to
			 17a-210-10,
			 inclusive, of the Regulations of Connecticut State Agencies; and
(F) all other information required on the
			 department's request for sanction form.