6 Colo. Code Regs. § 1011-1-24-2

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1011-1-24-2 - DEFINITIONS

2.1 "Administration" means assisting a person in the ingestion, application, inhalation, or, using universal precautions, rectal or vaginal insertion of medication, including prescription drugs, according to the legibly written or printed directions of the attending physician or other authorized practitioner or as written on the prescription label and making a written record thereof with regard to each medication administered, including the time and the amount taken, but "administration" does not include judgment, evaluation, or assessments or the injections of medication, the monitoring of medication, or the self-administration of medication, including prescription drugs and including the self-injection of medication by the resident.

"Administration" also means ingestion through gastrostomy tubes or naso-gastric tubes, if administered by a person authorized pursuant to section 25.5-10-204(2)(j) and 27-10.5-103(2)(i), C.R.S., as part of residential or day program services provided through service agencies approved by the Department of Health Care Policy and Financing and supervised by a licensed physician or nurse.

2.2 "Approved training entity" means an agency, association, facility, individual, institution or organization that is approved by the Department to provide medication administration students with a suitable classroom and clinical experience.

2.3 "Approval" means recognition that a medication administration training program meets the standards established by the Department.

2.4 "Authorized practitioner" means the attending physician or other individual authorized by law to prescribe treatment, medication or medical devices who holds a current unrestricted license to practice and is acting within the scope of such authority.

2.5 "Classroom" means that portion of the training program in which medication administration students receive instruction in the principles that form the basis for safe medication administration and conform to the requirements of this Chapter 24. The classroom portion of the training program may be conducted either electronically or in person.

2.6 "Competency evaluation" means either:

(A) The examination offered by an approved training entity that must be taken and passed as a condition of becoming a qualified medication administration person, or

(B) The written and clinical examination administered by the Department before July 1, 2017.

2.7 "Controlled substance" means any medication that is regulated and classified by the Controlled Substances Act at 21 U.S.C. § 812 as being schedule II through V.

2.8 "Course content" means the classroom and skills practice that the training entity is required to deliver as a condition of Department approval.

2.9 "Department" means the Department of Public Health and Environment.

2.10 "Facility" for purposes of this Chapter means:

(A) Correctional facilities under the supervision of the Executive Director of the Department of Corrections;

(B) Juvenile facilities operated by or under contract with the Department of Human Services, as set forth in section 19-2-401, et seq., C.R.S;

(C) Assisted living residences as defined in section 25-27-102 (1.3), C.R.S.;

(D) Adult foster care facilities provided for in section 26-2-122.3, C.R.S.;

(E) Alternate care facilities provided for in section 25.5-6-303(3), C.R.S.;

(F) Residential child care facilities for children as defined in section 26-6-102(8), C.R.S.;

(G) Secure residential treatment centers as defined in section 26-6-102(9), C.R.S.;

(H) Facilities that provide treatment for persons with mental illness as defined in section 27-65-102(7), C.R.S, except for those facilities which are publicly or privately licensed hospitals;

(I) All services funded through and regulated by the Department of Health Care Policy and

Financing pursuant to Article 6 of Title 25.5, C.R.S., in support of persons with intellectual and developmental disabilities; and

(J) Adult day care facilities providing services in support of persons as defined in section 25.5-6-303(1), C.R.S.

2.11 "Medication administration training program" (hereinafter referred to as "training program") means a course of study that is approved by the Department that meets the requirements of this Chapter.

2.12 "Medication reminder box" means a container that is compartmentalized and designed to hold medications for distribution according to a time element such as day, week, or portions thereof.

2.13 "Monitoring" means

(A) Reminding the resident to take medication(s) at the time ordered by the authorized practitioner;

(B) Handing a resident a container or package of medication that was lawfully labeled previously by an authorized practitioner for the individual resident;

(C) Visual observation of the resident to ensure compliance;

(D) Making a written record of the resident's compliance with regard to each medication, including the time taken; and

(E) Notifying the authorized practitioner if the resident refuses or is unable to comply with the practitioner's instructions regarding the medication.

2.14 "Nurse" means an individual who holds a current unrestricted license to practice pursuant to Article 38 of Title 12, C.R.S., and is acting within the scope of such authority.

2.15 "Program coordinator" means the individual designated by an approved training entity who acts as liaison to the Department and is responsible for transmitting the names of students who have passed the training entity's competency examination, applicable fees and course content updates.

2.16 "Qualified instructor" means a nurse, pharmacist, physician or physician assistant with an active, unrestricted Colorado license.

2.17 "Qualified manager" means a person who:

(A) Is the owner or operator of the facility or a supervisor designated by the owner or operator of the facility for the purpose of implementing sections 25-1.5-303, C.R.S., and

(B) Has completed training in the administration of medication pursuant to section 25-1.5-303, C.R.S., or is a licensed nurse, licensed physician, or licensed pharmacist in the State of Colorado.

2.18 "Qualified medication administration person" or "QMAP" means an individual who passed a competency evaluation administered by the Department before July 1, 2017, or passed a competency evaluation administered by an approved training entity on or after July 1, 2017 and whose name appears on the Department's list of persons who have passed the requisite competency evaluation.

2.19 "Self-administration" means the ability of a person to take medication independently without any assistance from another person.

2.20 "Skills practice" means that portion of the training program where students in a simulated care setting practice medication administration skills and application of classroom principles under the direct supervision of qualified instructors. The skills practice portion of the training program shall be conducted in person and not electronically.

6 CCR 1011-1-24-2