Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Section 19-13-D8v - Pharmaceutical services in chronic and convalescent nursing homes and rest homes with nursing supervision

Current through July 10, 2024
(a)
Definitions
For the purposes of these regulations:
(1) "Administering" means an act in which a
				single dose of a prescribed drug or biological is given to a patient by an
				authorized person in accordance with Federal and State laws and regulations
				governing such act. The complete act of administration includes removing an
				individual dose from a previously dispensed, properly labeled container
				(including a unit dose container), verifying it with the physician's order,
				giving the individual dose to the proper patient, and promptly recording the
				time and dose given.
(2) "Community
				Pharmacy" means a pharmacy licensed pursuant to Section 20-168 of the
				Connecticut General Statutes. An exception may be made for those cases where a
				specific patient has a third party prescription drug plan which requires the
				patient to obtain medications from a specific pharmacy located outside the
				State of Connecticut, provided such pharmacy complies with the requirements of
				the State of Connecticut regulations and the policy of the facility regarding
				labeling and packaging.
(3)
				"Compounding" means the act of selecting, mixing, combining, measuring,
				counting or otherwise preparing a drug or medicine.
(4) "Dispensing" means those acts of
				processing a drug for delivery or for administration to a patient pursuant to
				the order of a practitioner consisting of: The checking of the directions on
				the label with the directions on the prescription or order to determine
				accuracy, the selection of the drug from stock to fill the order, the counting,
				measuring, compounding, or preparation of the drug, the placing of the drug in
				the proper container, the affixing of the label to the container, and the
				addition to a written prescription of any required notations. For purposes of
				this part, it does not include the acts of delivery of a drug to a patient or
				of administration of the drug to the patient.
(5) "Distributing" means the movement of a
				legend drug from a community pharmacy or institutional pharmacy to a nursing
				service area, while in the originally labeled manufacturer's container or in a
				prepackaged container labeled according to Federal and State statutes and
				regulations.
(6) "Dose" means the
				amount of drug to be administered at one time.
(7) "Facility" means a chronic and
				convalescent nursing home or rest home with nursing supervision.
(8) "Institutional Pharmacy" means that area
				within a chronic and convalescent nursing home commonly known as the pharmacy,
				which is under the direct charge of a full-time pharmacist and wherein drugs
				are stored and regularly compounded or dispensed and the records of such
				compounding or dispensing maintained, by such pharmacist.
(9) "Legend Drugs" means any article,
				substance, preparation or device which bears the legend: Federal law prohibits
				dispensing without a prescription.
(10) "Pharmaceutical Services" means the
				functions and activities encompassing the procurement, dispensing,
				distribution, storage and control of all pharmaceuticals used within the
				facility, and the monitoring of patient drug therapy.
(11) "Pharmacist" means a person duly
				licensed by the Connecticut Commission of Pharmacy to engage in the practice of
				pharmacy pursuant to Section
				20-170 of
				the Connecticut General Statutes.
(12) " 'PRN' Drug" means a drug which a
				physician has ordered to be administered only when needed under certain
				circumstances.
(13) "Practitioner"
				means a physician, dentist or other person authorized to prescribe drugs in the
				course of professional service in the State of Connecticut.
(14) "Single Unit" means one, discrete
				pharmaceutical dosage form (e.g., one tablet or one capsule) of a drug. A
				single unit becomes a unit dose, if the physician orders that particular amount
				of a drug.
(15) "Unit Dose" means
				the ordered amount of a drug in a prepackaged dosage form ready for
				administration to a particular person by the prescribed route at the prescribed
				time.