SubTitle19a-490k-1_19a-490k-2. Medical Protocol for the Administration of Influenza and Pneumococcal Polysaccharide Vaccines for Patients in Hospitals  


Sec. 19a-490k-1. Definitions
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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.

(Adopted effective October 28, 2005)

Sec. 19a-490k-2. Procedures for the administration of influenza and pneumo-coccal polysaccharide vaccines in accordance with a physician approved hospital policy
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(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 physician-approved 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.

(Adopted effective October 28, 2005)