Iowa Admin. Code r. 481-58.23 - Dental, diagnostic, and other services
(1)
Dental services.
a. The nursing facility personnel shall assist
residents to obtain regular and emergency dental services. (Ill)
b. Transportation arrangements shall be made
when necessary for the resident to be transported to the dentist's office.
(Ill)
c. Dental services shall be
performed only on the request of the resident, responsible relative, or legal
representative. The resident's physician shall be advised of the resident's
dental problems. (Ill)
d. All
dental reports or progress notes shall be included in the clinical record.
(Ill)
e. Nursing personnel shall
assist the resident in carrying out dentist's recommendations. (Ill)
f. Dentists shall be asked to participate in
the in-service program of the facility. (Ill)
(2)
Diagnostic services.
a. The nursing facility shall make provisions for
promptly securing required clinical laboratory. X-ray, and other diagnostic
services. (Ill)
b. All diagnostic
services shall be provided only on the written, signed order of a physician.
(Ill)
c. Agreements shall be made
with the local hospital laboratory or independent laboratory to perform
specific diagnostic tests when they are required. (Ill)
d. Transportation arrangements for residents shall be
made, when necessary, to and from the source of service. (Ill)
e. Copies of all diagnostic reports shall be
requested by the facility and included in the resident's clinical record.
(Ill)
f. The physician ordering the
specific diagnostic service shall be promptly notified of the results.
(Ill)
g. Simple tests such as
customarily done by nursing personnel for diabetic residents may be performed
in the facility. (Ill)
(3)
Other services.
a. The nursing facility shall assist residents to
obtain such supportive services as requested by the physician. (Ill)
b. Transportation arrangements shall be made
when necessary. (Ill)
c. Services
could include the need for prosthetic devices, glasses, hearing aids, and other
necessary items. (Ill)
Notes
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