N.H. Admin. Code § He-M 1202.02

Current through Register No. 50, December 12, 2024
Section He-M 1202.02 - Definitions
(a) "Administration" means an act whereby a single dose of a drug is instilled into the body of, applied to the body of, or otherwise given to a person for immediate consumption or use.
(b) "Agency" means any community mental health program or community mental health provider.
(c) "Authorized provider" means a person who is employed by, has a contract with, or receives remuneration from the department or an agency to deliver services to an individual and meets the requirements of He-M 1202.05.
(d) "Commissioner" means the commissioner of the department of health and human services.
(e) "Community mental health program (CMHP) " means a program operated by the state, city, town, county, or a community-based New Hampshire nonprofit corporation for the purpose of planning, establishing, and administering an array of community-based, mental health services pursuant to He-M 403 and as defined in RSA 135-C:2, IV.
(f) "Community mental health provider" means a medicaid provider of community mental health services that has been previously approved by the commissioner to provide specific mental health services pursuant to He-M 426.
(g) "Community residence" means either an agency residence or a family residence, exclusive of any independent living arrangement, that:
(1) Provides residential services in accordance with He-M 426 and He-M 1002 for at least one individual with a mental illness;
(2) Provides services based on the needs identified in the individual's service plan (ISP);
(3) Is operated directly by a CMHP, a community mental health provider, or by contract or agreement between the department and another entity;
(4) Serves individuals whose services are funded by the department; and
(5) Is certified pursuant to He-M 1002.
(h) "Competent" means having the integration of knowledge, judgment, and skills necessary to provide safe medication administration.
(i) "Controlled drug" means a drug which is included in schedules I, II, III, IV, or V of part B of the Controlled Substances Act 21 U.S.C. 811-812.
(j) "Deficiency" means a determination made by department staff, as a result of a program review pursuant to He-M 1002.13, that a program is not operating in compliance with a particular administrative rule adopted by the department.
(k) "Department" means the New Hampshire department of health and human services.
(l) "Director" means the director of mental health services or his or her designee.
(m) "Independent living arrangement" means a situation where an individual does not receive daily and ongoing services and supervision but receives assistance, as needed, to maintain or develop skills to live independently and prevent circumstances that could necessitate a transfer to a more restrictive level of care.
(n) "Individual" means a person who is receiving or applying for a service from a program or community residence.
(o) "Guardian" means the parent of a child under the age of 18 whose parental rights have not been terminated under RSA 170-C or a person appointed to be guardian of the person under RSA 464-A.
(p) "Licensed person" means one of the following persons, who are licensed or registered in the state of New Hampshire:
(1) A registered nurse;
(2) A licensed practical nurse;
(3) An advanced practice registered nurse (APRN);
(4) A physician;
(5) A pharmacist;
(6) A physician assistant;
(7) An optometrist;
(8) A podiatrist; or
(9) A dentist.
(q) "Medication" means a drug prescribed for an individual by a prescribing practitioner including drugs to be taken on a pro re nata basis and over-the-counter drugs.
(r) "Medication administration record (MAR) " means a written record of medications prescribed for, and administered to, an individual.
(s) "Medication error" means any deviation in the administration of a medication as prescribed or in related documentation with the exception of a deviation caused by an individual's:
(1) Refusal to take medication;
(2) Absence from a community residence; or
(3) Attempting to use prescribed medication while under the influence of alcohol or illegal drugs.
(t) "Medication order" means directions provided by a prescribing practitioner, either in writing or verbally, for a specific drug to be administered to an individual documented in accordance with He-M 408.07.
(u) "Mental illness" means "mental illness" as defined in RSA 135-C:2, X, namely "a substantial impairment of emotional processes, or of the ability to exercise conscious control of one's actions, or of the ability to perceive reality or to reason, when the impairment is manifested by instances of extremely abnormal behavior or extremely faulty perceptions. It does not include impairment primarily caused by:
(1) Epilepsy;
(2) Intellectual disability;
(3) Continuous or non-continuous periods of intoxication caused by substances such as alcohol or drugs; or
(4) Dependence upon or addiction to any substance such as alcohol or drugs."
(v) "Nurse trainer" means a registered nurse who has been designated as a trainer pursuant to He-M 1202.09.
(w) "Prescribing practitioner" means a licensed professional with prescriptive authority, including the following:
(1) Physician;
(2) Advanced practice registered nurse (APRN);
(3) Dentist;
(4) Physician assistant;
(5) Optometrist; and
(6) Podiatrist.
(x) "Pro re nata medication (PRN medication) " means a drug ordered to be taken as needed for a specific condition.
(y) "Provider" means a person who is employed by, has a contract with, or receives any form of remuneration from the department, a CMHP, or community mental health provider to deliver services to an individual.
(z) "Self administration of medication with supervision" means the individual takes his or her own medication(s) after being prompted by personnel, but without requiring physical assistance from others.
(aa) "Self-directed medication administration" means an act whereby an individual who has a physical limitation that prohibits him or her from self-administering, directs personnel to physically assist in the medication process.

N.H. Admin. Code § He-M 1202.02

#7957, eff 9-19-03; ss by #9978, INTERIM, eff 9-19-11, EXPIRES: 3-19-12

Amended by Volume XXXVII Number 23, Filed June 8, 2017, Proposed by #12192, Effective 5/26/2017, Expires 5/26/2027.