Ga. Comp. R. & Regs. R. 111-8-56-.10 - Medical, Dental and Nursing Care
(1) Each patient shall have a physician's
written statement of his or her condition at time of admission or within
forty-eight (48) hours thereafter and it shall be kept on file with the
patient's medical record.
(2) Each
patient shall have a physician's orders for treatment and/or care upon
admission to the facility.
(3) Each
home shall have an adequate arrangement for medical and dental
emergencies.
(4) Reports of all
evaluations and examinations shall be kept with the patient's medical
records.
(5) The home shall have a
microbial and infection control program. Policies and procedures for infection
control shall be written, assembled and available to all staff members.
Procedures shall be specific for practice in the home and shall be included in
the training of every staff member. As a minimum, procedures shall include the
following control measures:
(a) Prevention of
spread of infection from personnel to patient: Any person whose duties include
direct patient care, handling food, or handling clean linen, and who has an
acute illness such as "strep" throat, or an open sore or boil, shall not be
allowed to work until he is fully recovered;
(b) Prevention of spread of infection from
visitors to patients;
(c)
Prevention of spread of infection from patient to personnel or other patients:
Isolation techniques to be observed according to the source of infection and
the method of spread;
(d) Reporting
of communicable diseases as required by the rules and regulations for
notification of diseases which have been promulgated by the
Department.
(6) All
medications, administered to patients must be ordered in writing by the
patient's physician or oral orders may be given to a licensed nurse,
immediately reduced to writing, signed by the nurse and countersigned by the
physician as soon as practical.
(a)
Medications not specifically limited as to time or number of doses, when
ordered, must be automatically stopped in accordance with written policy
approved by the organized professional staff.
(b) The patient's attending physician shall
be notified of stop order policies and contacted promptly for renewal of such
orders so that continuity of the patient's therapeutic regimen is not
interrupted.
(7) All
medications must be administered by medical or nursing personnel in accordance
with the Medical and Nurse Practice Acts of the State of Georgia. Each dose
administered shall be properly recorded in the clinical records:
(a) The nurses' station shall have readily
available items necessary for the proper administration of
medication;
(b) In administering
medications, medication cards or other State approved systems must be used and
checked against the physician's orders;
(c) Legend drugs prescribed for one patient
shall not be administered to any other patient unless ordered by a
physician;
(d) Self-administration
of medications by patients should be discouraged except for emergency drugs on
special order of the patient's physician or in a predischarge program under the
supervision of a licensed nurse;
(e) Medication errors and drug reactions
shall be immediately reported to the patient's physician and an entry thereof
made in the patient's clinical records as well as on an incident
report;
(f) Up-to-date medication
reference texts and sources of information shall be available.
(8) Nursing care shall be provided
each patient according to his needs and in accordance with his patient care
plan.
(9) Restraint and/or forcible
seclusion of a patient will be used only on a signed order of a physician,
except in emergency and then only until the advice of a physician can be
obtained.
(10) Provisions shall be
made for proper sterilization of supplies, utensils, instruments, and other
materials as needed for the patients.
(11) When a patient dies in the facility, a
physician assistant, a nurse practitioner, or a registered professional nurse
licensed in this state and employed by the facility at the time of the
patient's apparent death, may make the determination and pronouncement of death
in the absence of a physician. When it appears that a patient died from other
than natural causes, only a physician may make the determination or
pronouncement of death. The determination or pronouncement shall be made in
writing on a form approved by the department.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.