Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 116 - ADMINISTRATION OF MEDICATION IN COMMUNITY SETTINGS › Section 116.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The words and phrases used in this Part shall mean the
				following, except when a different meaning is clearly intended from the
				context:
"Administer" or "Administration" - An act in which a single
				dose of medication is instilled into the body of, applied to the body of, or
				otherwise given to a person for immediate consumption or use.
"Adverse drug reaction" - A person's response to medication
				that has an undesirable effect and may be harmful to the health of a person.
				The reaction may be temporary and resolve itself without lasting effects or it
				may require interventions to be resolved.
"Agency" - Any organization that operates a residential program
				for persons with developmental disabilities.
"Authorized direct care staff"
-
Non-licensed persons who have successfully completed a medication
				administration training program
specified
by the
Illinois
Department of Human Services and conducted by a
Nurse
-
Trainer
. This authorization
, that can
				only be conferred by a Nurse-Trainer,
is specific to an individual
				receiving
services
in a specific agency and does not transfer
				to another agency
or individual. [
				20
				ILCS 1705/15.4(b) ]
"Community day services" - Assists with the acquisition,
				retention, or improvement in self-help, socialization, and adaptive skills that
				takes place in a non-residential setting, separate from the participant's
				private residence or other residential living arrangement. Activities and
				environments are designed to foster the acquisition of skills, appropriate
				behavior, greater independence, and personal choice.
"Community residence" - Any residence funded by DHS and
				provided by a licensed agency, or a residential setting certified or approved
				by DHS, or an intermediate care facility for 16 or fewer persons with
				developmental disabilities, licensed by the Illinois Department of Public
				Health as an Intermediate Care Facility for the Developmentally Disabled, 16
				beds or fewer.
"Competency-based" - Training that is tied to an identified set
				of skills and knowledge and requires documentation of an acceptable level of
				performance of a task or achievement of an outcome.
"Controlled substance" - Any drug or other substance listed
				pursuant to a schedule in the Illinois Controlled Substances Act [ 720 ILCS 570
				].
"Days" - Unless otherwise indicated, all references to days in
				this Part refer to working days.
"DD Medical Director" - The physician serving as the Medical
				Director of the Division of Developmental Disabilities within the Illinois
				Department of Human Services (DHS-DD), or his or her designee.
"Delegation" - The transfer of responsibility for the
				performance of selected tasks by the registered nurse (RN) to authorized direct
				care staff in a selected situation, based upon the RN's plan of care. The RN
				retains professional accountability for the outcome of the delegated task and
				all the nursing care of the individual. No redelegation by authorized direct
				care staff may occur.
"Department" or "DHS" - The Illinois Department of Human
				Services.
"Distribute or distribution" - The act of controlling access to
				medications and allowing access by individuals to their medications at
				prescribed times.
"DPH" - The Illinois Department of Public Health.
"Findings" - An indicated determination by the Department of
				Children and Family Services under 89 Ill. Adm. Code 300, a substantiated case
				or verified determination by the Department on Aging under 89 Ill. Adm. Code
				270, or a substantiated finding by the Department of Human Services Office of
				Inspector General under 59 Ill. Adm. Code 50.
"Functional literacy" - An individual's ability to read, write,
				speak, compute and solve problems at levels of proficiency necessary to
				function on the job, as assessed by standardized techniques.
"Guardian" - The parent of a child under the age of 18 whose
				parental rights have not been terminated or a person appointed by a court to be
				guardian of the individual.
"HFS" - The Illinois Department of Healthcare and Family
				Services.
"Insulin in an injectable form" - A
subcutaneous
				injection via an insulin pen pre-filled by the manufacturer.
[
				20
				ILCS 1705/15.4(b) ]
"Individual" - Any person with a developmental disability
				receiving services from a program.
"Intermediate care facility for the developmentally disabled"
				or "ICF/DD-16". A residence licensed by DPH to provide health or habilitative
				care on a long-term basis for 16 or fewer individuals with developmental
				disabilities.
"Licensed person or personnel" - A physician, a registered
				professional nurse, an advanced practice nurse, a licensed practical nurse, a
				dentist, a pharmacist, a physician assistant, an optometrist, or a podiatrist
				licensed in the State of Illinois.
"Master Nurse-Trainer" - An agent of DHS who is a registered
				professional nurse who has been designated by the DD Medical Director to
				train/educate Nurse-Trainers.
"Medication" -
Means oral and topical medications,
				insulin in an injectable form, oxygen, epinephrine auto-injectors, and vaginal
				and rectal creams and suppositories as
prescribed for the individual
				by a physician, a physician assistant, an advanced practice nurse, a dentist, a
				podiatrist, or a certified optometrist, including medication to be taken on a
				PRN basis and over-the-counter medication.
"Oral" includes inhalants
				and medications administered through enteral tubes, utilizing aseptic
				technique. "Topical" includes eye, ear and nasal medications,
patches,
				as well as creams for male and female genitalia. [
				20
				ILCS 1705/15.4(b) ]
"Medication error" - The administration of medication other
				than as prescribed, resulting in the wrong medication being given; or
				medication being given at the wrong time, in the wrong dosage, via the wrong
				route, or by the wrong person; or medication omitted entirely. It is meant to
				include a lack of documentation of medication administration or any error in
				that documentation. Medication errors must be documented and are subject to
				review by DHS or DPH, whichever is applicable. Medication errors that meet the
				reporting criteria in DHS' rules on Office of Inspector General Investigations
				of Alleged Abuse or Neglect or Deaths in State-Operated and Community Agency
				Facilities (59 Ill. Adm. Code 50) shall be reported to the Office of Inspector
				General.
"Medication administration record" or "MAR" - A written record
				of medications prescribed for, and administered to, an individual.
"Non-licensed staff training program" -
A
				standardized
competency-based
medication administration
				training program approved by DHS.
It is
conducted by a
				Nurse-Trainer for the purpose of training persons employed or under contract to
				provide direct care or treatment to individuals receiving services to
				administer medications and
implement
self-administration of
				medication training to individuals under the supervision
and
				monitoring
of
the
Nurse-Trainer. It incorporates adult
				learning styles, teaching strategies, classroom management, curriculum
				overview, including ethical-legal aspects, and standardized competency-based
				evaluations on administration of medications and self-administration of
				medication training programs
. [
				20
				ILCS 1705/15.4(b) ]
"Normalization" - A philosophy under which persons with a
				developmental disability are provided or restored to patterns and conditions of
				everyday life that are as close as possible to norms and patterns of the
				mainstream of society.
"Nurse-Trainer" - A registered professional nurse and/or
				advanced practice nurse who has successfully completed the DHS Nurse-Trainer
				Training Program.
"Nurse-Trainer Training Program"
-
A
				standardized competency-based medication administration program provided by DHS
				and conducted by a DHS Master-Nurse Trainer. Nurse-Trainers shall train persons
				employed or under contract to
administer medication to individuals and
provide self-administration of medication training to individuals under
				the supervision and monitoring of the Nurse-Trainer. It incorporates adult
				learning styles, teaching strategies, classroom management and a curriculum
				overview, including the ethical and legal aspects of supervising those
				administering medication.
[
				20
				ILCS 1705/15.4(b) ]
"Patent or proprietary medications" - Medications and household
				remedies that are generally considered and accepted as harmless and
				nonpoisonous when used according to the directions on the label and for which
				there are written physician orders for their use.
"Physician" - A physician licensed to practice medicine in all
				of its branches.
"PRN" - Prescribed medications, to be taken as needed, for
				specific conditions.
"Registered professional nurse" - A person licensed as a
				registered professional nurse as defined in the Illinois Nurse Practice Act [
				225
				ILCS 65/50-10 ].
"Self-administration"
-
An
				act
in which
an individual administers his or her own
				medications. To be considered "capable of self-administering medications",
				individual residents must, at a minimum, be able to identify
prescribed
medication by size, shape, or color and know when it should
				be taken and in what amount it should be taken each time.
[
				20
				ILCS 1705/15.4(b) ]
"Substantial compliance" - Meeting the requirements set forth
				in this Part, except for variations from the strict and literal performance of
				those requirements that result in insignificant omissions and defects, given
				the particular circumstances and the history of those omissions and defects.
				Omissions that have an adverse impact on an individual's health and safety
				shall be considered significant and shall be considered substantial
				noncompliance.
"Supervision" - An active process in which the registered
				professional nurse monitors, directs, guides, and evaluates the outcomes of an
				activity or task. The registered professional nurse maintains the
				accountability for the tasks and responsibilities, as subcomponents of total
				patient care, delegated to authorized direct care staff.
"Unencumbered license" - As defined in the Nurse Practice Act [
				225
				ILCS 65/50-10 ], a license in good standing issued by
				the Illinois Department of Financial and Professional
				Regulation.