Code of the District of Columbia

§ 21–1201. Definitions.

For the purposes of this chapter, the term:

(1) “Administer” means:

(A) The direct application of medication to the human body whether by ingestion, inhalation, insertion, or topical means; or

(B) An injection of epipen or equivalent ejection system for emergency purposes only.

(2) Repealed.

(3) “Developmental disability” means a severe chronic disability of a person 5 years of age or older which:

(A) Is attributable to a mental or physical impairment or a combination of mental and physical impairments;

(B) Is manifested before the person attains 22 years of age;

(C) Is likely to continue indefinitely;

(D) Results in substantial functional limitations in 3 or more of the following major life activities:

(i) Self care;

(ii) Receptive and expressive language;

(iii) Learning;

(iv) Mobility;

(v) Self-direction;

(vi) Capacity for independent living; and

(vii) Economic self-sufficiency; and

(E) Reflects the person’s need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services which are of lifelong or extended duration and are individually planned and coordinated; except that such term, when applied to infants and young children means individuals from birth to 5 years of age, inclusive, who have substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting developmental disability if services are not provided.

(4) “General supervision” means:

(A) A registered nurse shall be available for verbal or on-site consultation to the trained employee or licensed practical nurse.

(B) A registered nurse shall review and document the trained employee’s ability to administer medication correctly to program participants every 3 months for the 1st year and every 6 months thereafter.

(4A) “Intellectual disability” means a substantial limitation in mental capacity that manifests before 18 years of age, characterized by significantly below-average intellectual functioning, existing concurrently with related limitations in 2 or more of the following applicable, adaptive skills:

(A) Communication;

(B) Self-care;

(C) Home living;

(D) Social;

(E) Community use;

(F) Self-direction;

(G) Health;

(H) Safety;

(I) Functional academics;

(J) Leisure; and

(K) Work.

(5) “Licensed practitioner” means a medical doctor, dentist, or advanced registered nurse.

(6) “Medication” means a controlled (excluding Classes I and II) or noncontrolled substance or treatment regarded as effective in bringing about recovery, restoration of health, alleviation of pain or symptoms of an illness, or the normal functioning of the body.

(7) Repealed.

(8) “Monitor” means:

(A) A registered nurse shall annually review the program participant’s ability to self-administer medication correctly as prescribed.

(B) A registered nurse shall document in the program participant’s records an assessment of the program participant’s ability to continue self-administering the program participant’s medication.

(C) A trained employee shall, at a minimum, review quarterly and document the program participant’s ability to self-administer medication as prescribed.

(9) “Prescription” means an order for medication signed by a licensed practitioner or transmitted by the licensed practitioner to a pharmacist, registered nurse, or licensed practical nurse by word of mouth, telephone, telegraph, or other means of communication, and recorded in writing by the pharmacist, registered nurse, or licensed practical nurse.

(10) “Program” means an agency licensed, certified, or approved by the District government as a child care facility, private school, day program, community based residence, or other agency providing residential services, education, habilitation, vocational, or employment training services to individuals with intellectual disabilities or other developmental disabilities.

(11) “Program participant” means an individual with an intellectual disability or other development disability who is enrolled in or attending a public or private program.

(12) “Self-administration of medication” means that the program participant has the ability to identify, pour, and administer medication without assistance.

(13) “Trained employee” means an individual employed to work in a program who has successfully completed a training program approved by the Mayor and is certified to administer medication to program participants, or an individual who has successfully completed a training program in medication administration approved by the State of Maryland or the Commonwealth of Virginia.