Louisiana Administrative Code › Title 22 - CORRECTIONS, CRIMINAL JUSTICE AND LAW ENFORCEMENT › Part I - Corrections › Chapter 9 - Administration of Medications to Children in Detention Facilities › Section I-903 - Definitions [Formerly Section 503]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Definitions as used in this Part:
Act
-Act 502, H. B. No. 107,
				  R.S.
				  15:911.
Administer or Administration
-the giving of
				  either an oral, pre-measured dose inhalant or topical ointment medication to a
				  patient.
Adverse Effects
-a harmful, unintended
				  reaction to a drug administered at the prescribed normal dosage.
Assessed the Health Status
-an assessment of
				  the juvenile in the detention center by a licensed physician or registered
				  nurse approved by the department to determine the current level of
				  wellness/illness of the juvenile in accordance with the nursing process.
Authorized Prescriber
-a person authorized
				  in Louisiana or an adjacent state to prescribe medications.
Board
-the Louisiana State Board of
				  Nursing.
Child
-a person under 18 years of age who,
				  prior to juvenile proceedings, has not been judicially emancipated under Civil
				  Code Article 385 or emancipated by marriage under Civil Code Articles 379
				  through 384.
Child Specific
-pertains to a particular
				  juvenile.
Child Specific Training
-training provided
				  by a qualified registered nurse or physician regarding juveniles to include
				  variations from the usual manner in which a medication is administered and any
				  potential side effects or reactions that should be watched for with any person
				  receiving the medication.
Competence
-the quality or condition of
				  being legally qualified, eligible or admissible.
Conditions
-that each of the following
				  requirements of
				  R.S.
				  15:911 have been met:
a. rules have been jointly promulgated establishing
				  procedures to be followed at each juvenile detention center for the
				  administration of medication;
b. medication not be administered to any child without an
				  order from a person with prescriptive authority in the state of Louisiana or an
				  adjacent state;
c. an assessment of the juvenile's health status has been
				  completed by either the registered nurse or physician and said assessment has
				  determined that the medication can be safely administered by trained unlicensed
				  personnel in the detention center; and
d. the detention facility employees have received documented
				  training and supervision by a registered nurse or physician.
Confidentiality
-all information shall be
				  treated as private and not for publication or disclosure without proper
				  authorization.
Container (Includes Blister Pack) that Meets
				  Acceptable Pharmaceutical Standards
-the original container having the
				  pharmacy's name, address and telephone number, the pharmacist's last name and
				  initial, and the original label that contains the juvenile's name, prescription
				  number if any, date, frequency, name of the medication, dosage, route and the
				  name of the person who prescribed the medication.
Controlled Substance
-a drug regulated by
				  federal law under the Controlled Substance Act of 1970.
Current Date
-the last date that the
				  prescription was filled.
Date
-the date of the prescription, and when
				  appropriate the refill.
Delegation
-the process of assigning tasks
				  to a qualified individual. Effective delegation includes the following
				  guidelines:
a. the identified task is clear and related authority
				  specified;
b. the task demands do not exceed the individuals' job
				  description; and
c. the method of supervision is established in advance.
Department
-the Department of Public Safety
				  and Corrections.
Desired Effect
-that the drug acts either to
				  cure, relieve, prevent, or diagnose the disease in a manner for which it was
				  prescribed
.
Detention Facility
-any juvenile detention
				  facility, shelter care facility, or other juvenile detention facility.
Disposal of Medication
-the specific method
				  of getting rid of medication, for example, according to federal and state
				  laws.
Document
-a written paper bearing the
				  original, official, or legal form of something which can be used to furnish
				  evidence of information.
Documented
-recording of the juvenile's
				  name, time, medication, dose, route, date, person administering, and unusual
				  observations and circumstances on the daily medication administration
				  record.
Dosage
-the amount of medication to be
				  administered at one time.
Drug
-any chemical compound that may be used
				  on or administered to humans as an aid in the diagnosis, treatment, or
				  prevention of disease or other abnormal conditions for the relief of pain or
				  suffering or to control or improve any psychological or pathological
				  condition.
Emergency Medication
-the medication
				  administered to save a life.
Error
-the failure to do any of the
				  following as ordered:
a. administer a medication to a juvenile;
b. administer medication within the time designated by the
				  prescribing practitioner;
c. administer the specific medication prescribed for a
				  juvenile;
d. administer the correct dosage of medication; administer
				  medication by the proper route;
e. administer the medication according to generally accepted
				  standards of practice.
Exempt
-to free from an obligation or duty
				  required of others.
Frequency of the Medication
-the number of
				  times during a day that the medication is to be administered.
Guidelines
-a statement of policy or
				  procedure.
Individual Health Plan
-the mechanism to
				  assess, plan, implement, document and evaluate health care delivered to an
				  individual juvenile.
Inhalant Medication
-a drug that is
				  introduced into the respiratory tract with inspired air.
Instructions for Medication
-all of the
				  information required to administer the medication safely.
Legal Standards
-the Legal Standards of
				  Nursing Practice as defined in the Louisiana Administrative Code, specifically
				  LAC 46:XLVII.3901-3915.
Mastery
-having full command of a subject
				  and being capable of performing the skill independently.
Medication
-any prescription or
				  nonprescription drug.
Medication Order
-the authorization to
				  administer a medication to a juvenile by an authorized prescriber.
Monitoring
-the visual observation of the
				  juvenile following the administration of a medication to: ensure compliance;
				  recording medication administration; notifying the authorized prescriber of any
				  side effects or refusal to take the medicine.
Name on the Pharmacy Label
-the name of the
				  juvenile for whom the prescription was written, the authorized prescriber's
				  name, and the name of the pharmacist filling the prescription.
Non-Prescription Medication
-over-the-counter preparations obtained without a prescription.
Observer
-the detention facility employee
				  designated to observe the juvenile for specific reactions as identified by the
				  registered nurse or authorized prescriber.
Oral Medication
-a drug given either by
				  mouth or by a gastrostomy tube.
Pharmacology
-the science of drug
				  properties, reactions and therapeutics.
Policy
-the procedures for the
				  administration of medication in juvenile detention centers that are set forth
				  in this Part.
Prescription
-the written order from an
				  authorized prescriber that provides clear instructions, including the name of
				  the juvenile, prescription number, if any, date, frequency, name of medication,
				  dosage, route, and the signature of the authorized prescriber.
Privacy
-secluded from sight or isolated
				  from view of others; concealment.
PRN
-as circumstances may require.
Professional Staff
-the registered nurse or
				  physician employed or contracted by the juvenile detention center.
Protocol
-an explicit detailed plan of
				  action.
Qualified Detention Center Personnel
-unlicensed personnel who meet the criteria for entering the
				  medication administration course as specified in the policy and who
				  successfully complete both the written and the practical sections of the course
				  examinations.
Qualified Registered Nurse or Physician
-the
				  registered nurse(s) or physician(s) who train unlicensed department employees
				  to administer medications.
Require a Detention Center Employee to Administer
				  Medication
-to allow or in any way coerce or encourage an employee to
				  administer medication until the conditions of the Act are met.
Route
-the prescription indicates that the
				  medication, other than emergency medication, shall be administered by mouth or
				  gastrostomy tube, by inhalation, or by topical application of an ointment,
				  lotion, etc.
Storage of Medication
-the appropriate
				  specific method of handling for safe-keeping and efficacy in a locked
				  space.
Supervision
-the method of monitoring,
				  coaching, and overseeing delegated tasks. Levels include: immediate, supervisor
				  is physically present; direct, supervision is present and available at the
				  site; indirect, supervisor is available in person or through electronic
				  means.
Topical Ointment
-a medication applied to
				  the surface of the body.
Unit Dose
-the medication packaged by the
				  pharmacy so that a single dose can be administered without measuring, breaking,
				  or crushing.
Unlicensed Trained Personnel
-a detention
				  facility employee who has successfully completed at least six hours of general
				  and child specific training of the administration of medication course and
				  periodic updates.
Witness
-another detention facility
				  employee, who may or may not be trained to administer medication who has been
				  requested to be physically present during the administration of medication to
				  the juvenile.
Written Guidelines Established by the Detention
				  Center
-the written procedures for the administration of medication to
				  juveniles in detention centers meet the minimum requirements as set forth in
				  this Part.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S. 37:918(K), and
				  15:911.