(a) The facility shall have and implement a written
health service plan developed in consultation with the 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 shall include:
(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 health, 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 the delivery
of treatment, medication, referrals, follow up, and medically modified
diets;
(5) procedures relating to informed consent as required
by Texas Family Code Chapter 32 for medical, dental, psychological,
and surgical treatment; 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 off-premises transportation and
evacuation of residents with medical restrictions;
(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) The health service plan shall be reviewed at least
once every 24 months in consultation with the health service authority.
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