La. Admin. Code tit. 22 § I-903
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Confidentiality -all information shall be treated as private and not for publication or disclosure without proper authorization.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.
La. Admin. Code tit. 22, § I-903