Haw. Code R. § 11-100.1-16 - Personal care services

(a) Each resident shall be given proper daily personal attention and care including but not limited to skin, nails, hair, teeth, and oral hygiene in addition to any therapeutic regimen ordered by the resident's physician or APRN.

(b) Residents shall be taught and encouraged to perform health, hygiene, and grooming practices, including bathing, brushing teeth, shampooing, combing and brushing hair, shaving and caring for toenails and fingernails as independently as possible and be assisted as necessary.

(c) Primary care givers shall be responsible for proper care of and encourage the use of dentures, eye glasses, hearing aids, braces and prostheses and ambulatory equipment. The resident, family, legal guardian or responsible agency, shall be responsible for any costs involved with purchase and maintenance of the above.

(d) When ordered by a physician, APRN, or psychologist, primary care givers shall provide an appropriate training program for every resident who has problems with elimination. Progress shall be documented for each resident receiving such training.

(e) Residents who are incontinent shall be bathed or cleaned promptly upon voiding and soiling. All soiled items shall be segregated and appropriately stored until they can be properly cleaned.

(f) Residents shall be allowed to select and be dressed appropriately in clean and comfortable clothing at all times.

(g) Residents, and the residents' family members, legal guardians, surrogates and case managers shall be given the opportunity to participate in the planning of resident care and activities.

(h) A schedule of activities shall be developed and implemented by the primary care giver for each resident which includes personal services to be provided, activities and any special care needs identified. The plan of care shall be reviewed and updated as needed.

(i) The primary care giver shall provide the opportunity for each resident to have pneumococcal and influenza vaccines and all necessary immunizations following the recommendations of the Advisory Committee on Immunization Practices (ACIP) or resident's physician or APRN.

(j) Resident (s) manifesting behaviors that may-cause injury to self or others shall be assessed by a physician or APRN to determine least restrictive alternatives to physical restraint use, which may be used only in an emergency when necessary to protect the resident from injury to self or to others. If restraint use is determined to be required and ordered by the resident's physician or APRN, the resident and the resident's family, guardian or surrogate, and case manager shall be notified and a written consent obtained. The licensee shall maintain a written policy for restraint use outlining resident assessment processes, indications for use, monitoring and evaluation and training of licensee and substitute care givers. Renewal orders for restraint use shall be obtained on a weekly basis from the resident's physician or APRN based on the assessment, monitoring and evaluation data presented by the primary care giver.

Notes

Haw. Code R. § 11-100.1-16

[Eff SEP 18 2006] (Auth: HRS §§ 321-9, 321-10, 321-11, 321-15.6) (Imp. HRS §§ 321-10, 321-11, 321-15.6)