Cal. Code Regs. Tit. 22, § 87625 - Managed Incontinence
(a) The licensee shall be permitted to accept
or retain a resident who has a manageable bowel and/or bladder incontinence
condition under the following circumstances:
(1) The condition can be managed with any of
the following:
(A) Self care by the
resident.
(B) A structured bowel
and/or bladder retraining program to assist the resident in restoring a normal
pattern of continence.
(C) A
program of scheduled toileting at regular intervals.
(D) The use of incontinent care
products.
(b)
In addition to Section
87611, General Requirements for
Allowable Health Conditions, the licensee shall be responsible for the
following:
(1) Ensuring that residents who
can benefit from scheduled toileting are assisted or reminded to go to the
bathroom at regular intervals rather than being diapered.
(2) Ensuring that incontinent residents are
checked during those periods of time when they are known to be incontinent,
including during the night.
(3)
Ensuring that incontinent residents are kept clean and dry and that the
facility remains free of odors from incontinence.
(4) Ensuring that bowel and/or bladder
programs are designed by an appropriately skilled professional with training
and experience in care of elderly persons with bowel and/or bladder dysfunction
and development of retraining programs for restoration of normal patterns of
continence.
(5) Ensuring that the
appropriately skilled professional developing the bowel and/or bladder program
provide training to facility staff responsible for implementation of the
program.
(6) Ensuring that
re-assessment of the resident's condition and the evaluation of the
effectiveness of the bowel and/or bladder program be performed by an
appropriately skilled professional.
(7) Ensuring that the condition of the skin
exposed to urine and stool is evaluated regularly to ensure that skin breakdown
is not occurring.
(8) Privacy shall
be afforded when care is provided.
(9) Ensuring that fluids are not withheld to
control incontinence.
(10) Ensuring
that an incontinent resident is not catheterized to control incontinence for
the convenience of the licensee.
Notes
Note: Authority cited: Section 1569.30, Health and Safety Code. Reference: Sections 1569.2, 1569.31 and 1569.312, Health and Safety Code.
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