Medical Protocol for the Administration of
Influenza and Pneumococcal Polysaccharide Vaccines for Patients in Hospitals
As used in
section 19a-490k-1 through 19a-490k-2,
inclusive, of the Regulations of Connecticut State Agencies:
(1) "Hospital"
means any short-term hospital or long-term hospital, as defined in subsection (b)
of section 19-13-D1 of the Regulations of Connecticut State Agencies;
(2) "Medical
protocol" means a set of predetermined criteria developed and adopted by
the medical staff of the hospital for a specified medical regimen;
(3) "Medical
staff" means an organized group of physicians, licensed in Connecticut,
one of whom serves as a chief or president of the medical staff, that have been
appointed by the governing board of a hospital and are responsible for the
quality of medical care provided to patients by the hospital; and,
(4) "Physician-approved
hospital policy" means a medical protocol that has been adopted by the
medical staff and approved by the governing board of the hospital.
(Added
effective October 28, 2005.)
(a) A
hospital may develop a physician-approved hospital policy for the
administration of influenza and pneumococcal polysaccharide vaccines without
written or verbal physician orders, and such policy shall be deemed to have the
same force and effect as an individual physician order, provided:
(1) The medical staff of the hospital
develops and adopts such policy,
(2) the medical staff reviews such policy
annually, and
(3) such policy includes, but is not limited
to:
(A) A
specified assessment of each patient that shall be documented in the patient's
medical record and shall include contraindications to the vaccinations, dosage,
route of administration and site of vaccination;
(B) documentation
in the medical record of any patient who refused the vaccination;
(C) recording
of the vaccination in the patient's medical record and on the patient discharge
instructions or the inter-agency patient referral report; and,
(D) provisions
for administering the vaccinations in accordance with the current
recommendations of the Centers for Disease Control, as amended from time to
time.
(b) Implementation
of a physician-approved hospital policy for influenza and pneumococcal
polysaccharide vaccines shall include:
(1) In-service training of all licensed
staff who will implement the physicianapproved hospital policy; and,
(2) provisions
for monitoring and evaluation of the policy.
(c) Nothing in these regulations shall be construed to preclude
an individual physician from writing an order exempting the physician's patient
from the administration of influenza or pneumococcal polysaccharide vaccines.
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