| (a) Health Service Plan. The facility shall have and
implement a written health service plan developed in consultation
with the designated health service authority. The health service plan
shall establish the facility's health care delivery system and detail
the protocols for the delivery of medical, mental health, and dental
services for all residents. The plan(s) shall include, at a minimum:
(1) procedures for conducting health screenings and
health assessments;
(2) procedures for the referral of residents in need
of medical attention, either self-reported or identified by staff,
for medical, mental, and dental services;
(3) procedures for emergency health care services;
(4) procedures to ensure continuity of care in accordance
with the instructions of the medical provider including, but not limited
to, the delivery of treatment, medication, referrals, follow up, and
medically modified diets;
(5) procedures relating to informed consent for medical,
dental, psychological, and surgical treatment, as well as consent
relating to immunizations and counseling services;
(6) procedures relating to procurement, distribution,
dispensing, disposal, and accounting of prescription and over-the-counter
medication;
(7) procedures for performing all examinations, treatments,
and other procedures in a confidential setting consistent with facility
operations and security;
(8) procedures for patient transportation and evacuation;
(9) procedures for identification and control of communicable
diseases;
(10) procedures for staff education and training relating
to the facility's health care delivery system;
(11) procedures relating to first aid kit contents,
location, and periodic inspections; and
(12) procedures for pregnant residents to receive timely
and appropriate prenatal care, specialized obstetrical services when
indicated, and postpartum care. These procedures shall also include
procedures for the safe and appropriate restraint (both physical and
mechanical) of pregnant residents.
(b) Review of Health Service Plan. The health service
plan shall be reviewed at least once every 24 months in consultation
with the health service authority.
|
