Iowa Code r. 481-63.9 - General policies
The licensee shall establish and implement written policies and procedures as set forth in this rule. The policies and procedures shall be available for review by the department, other agencies designated by Iowa Code section 135C.16(3), staff, residents, residents' families or legal representatives, and the public and shall be reviewed by the licensee annually. (II)
(1)
Facility operation. The
licensee shall establish written policies for the operation of the facility,
including but not limited to the following: (III)
a. Personnel; (III)
b. Admission; (III)
c. Evaluation services; (II, III)
d. Programming and individual program plans;
(II, III)
e. Registered sex
offender management; (II, III)
f.
Crisis intervention; (II, III)
g.
Discharge or transfer; (III)
h.
Medication management, including self-administration of medications and
chemical restraints; (III)
i.
Resident property; (II, III)
j.
Resident finances; (II, III)
k.
Records; (III)
l. Health and
safety; (II, III)
m. Nutrition;
(III)
n. Physical facilities and
maintenance; (III)
o. Resident
rights; (II, III)
p. Investigation
and reporting of alleged dependent adult abuse; (II, III)
q. Investigation and reporting of accidents
or incidents; (II, III)
r.
Transportation of residents; (II, III)
s. Resident supervision; (II, III)
t. Smoking; (III)
u. Visitors; (III)
v. Disaster/emergency planning; (III) and
w. Infection control.
(III)
(2)
Personnel policies. Written personnel policies shall include
the hours of work and attendance at educational programs. (III)
(3)
Infection control. The
facility shall have a written and implemented infection control program, which
shall include policies and procedures based on guidelines issued by the Centers
for Disease Control and Prevention, U.S. Department of Health and Human
Services. The infection control program shall address the following:
a. Techniques for hand washing; (I, II,
III)
b. Techniques for the handling
of blood, body fluids, and body wastes; (I, II, III)
c. Dressings, soaks or packs; (I, II,
III)
d. Infection identification;
(I, II, III)
e. Resident care
procedures to be used when there is an infection present; (I, II,
III)
f. Sanitation techniques for
resident care equipment; (I, II, III)
g. Techniques for sanitary use and reuse of
feeding syringes and single-resident use and reuse of urine collection bags;
(I, II, III) and
h. Techniques for
use and disposal of needles, syringes, and other sharp instruments. (I, II,
III)
(4)
Resident
care techniques. The facility shall have written and implemented
procedures to be followed if a resident needs any of the following treatment or
devices:
a. Intravenous or central line
catheter; (I, II, III)
b. Urinary
catheter; (I, II, III)
c.
Respiratory suction, oxygen or humidification; (I, II, III)
d. Decubitus care; (I, II, III)
e. Tracheostomy; (I, II, III)
f. Nasogastric or gastrostomy tubes; (I, II,
III)
g. Sanitary use and reuse of
feeding syringes and single-resident use and reuse of urine collection bags.
(I, II, III)
(5)
Emergency care. The facility shall establish written policies
for the provision of emergency medical care to residents and employees in case
of sudden illness or accident. The policies shall include a list of those
individuals to be contacted in case of an emergency. (I, II, III)
Notes
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