Section 116.20 Definitions

Section 116

Section 116.20  Definitions

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

ence, 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

cribed 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

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

n 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

m.

"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

orth 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.