Section 0465-01-03-.02 - Definitions: As used in these rules, the terms below shall have the following meanings ascribed to them(1) "Administration of Medications" shall mean providing for the ingestion, application, injection of medications allowed by these rules; inhalation or rectal or vaginal insertion of medication, including over the counter and prescription drugs, according to the written or printed directions of the prescribing practitioner; and making a written record thereof with regard to each medication administered, including the time and amount taken. Administration does not include judgment, evaluation or assessment.(2) "Certification" shall mean the period of time an unlicensed staff is authorized to administer medications in accordance with these rules.(3) "Certified Personnel" authorized to administer medications shall mean an employee who: (a) Is at least 18 years of age;(b) Has met all requirements to be an employee of a provider agency;(c) Is able to effectively read, write and communicate verbally in English as well as read and understand instructions, perform record-keeping duties and write reports;(d) Has successfully completed the DIDD medication administration training program; and(e) Holds current certification to administer medications according to the provision of these rules.(4) "Competency Testing" shall mean a written examination and a practical demonstration of skills that measure basic proficiency in medication administration.(5) "Curriculum" shall mean the current course training program 'Medication Administration for Unlicensed Personnel'.(6) "Department" shall mean the Tennessee Department of Intellectual and Developmental Disabilities, also referred to as DIDD.(7) "Drugs or Medications" shall mean substances intended for use in diagnosis, care, mitigations, treatment or prevention.(8) "Employee" shall mean an individual who is unlicensed and is employed or receives payment through a provider agency contracting with the Department.(9) "Medication Variance" shall mean any time a medication is given in a way that is inconsistent with how it was ordered by the prescribing practitioner and in accordance with the "Eight Rights" (i.e. right dose, right drug, right route, right time, right position, right texture, right person and right documentation).(10) "Injectable Medications" shall mean medications given by intradermal, subcutaneous, intramuscular or intravenous routes. Injectable medications that may be given by certified unlicensed personnel are limited to routine insulin injections that are pre-drawn/prepared by the pharmacy and ordered on a regular basis (with additional training) or injectable epinephrine (i.e.EpiPen).(11) "Monitoring" shall mean periodic review, observation, direction, and evaluation of a certified unlicensed staffs knowledge, skills and performance related to the functions and activities provided for in these rules.(12) "Participant Record" shall mean the official record from the Department containing all information relative to class participation. Participant record is the only acceptable documentation for proof of certification to administer medications under the exemption.(13) "RN Trainer" shall mean a registered nurse holding an unencumbered license in the State of Tennessee and who is trained by the Department to provide medication administration training in accordance with the curriculum and these rules.(14) "Person (receiving services)" shall mean any person with intellectual and/or developmental disabilities who is enrolled in a DIDD home and community based waiver program and any person served by an agency that is both licensed under Title 33 and under contract with DIDD to provide residential or day services for people with intellectual and/or developmental disabilities, including persons served in the CHOICES program.(15) "Provider Agency" shall mean private non-profit or for-profit entity under agreement/contract with the Department to provide services to individuals with intellectual and/or developmental disabilities.(16) "Termination" shall mean the permanent revocation of certification and authority for:(a) Unlicensed staff to administer medication or(b) RN trainer to train the curriculum.Tenn. Comp. R. & Regs. 0465-01-03-.02
Original rule filed August 28, 2015; effective 11/26/2015. Rule renumbered from 1200-20-12.Authority: T.C.A. §§ 4-5-202, 33-1-302, 33-1-303, 33-1-305, 33-1-309 and 68-1-904.