Kan. Admin. Regs. § 28-39-155 - Physician services
Each resident in a nursing facility shall be admitted and shall remain under the care of a physician.
(a) The facility shall ensure that both of
the following conditions are met:
(1) The
medical care of each resident is supervised by a physician.
(2) Another physician supervises the medical
care of residents when the resident's attending physician is not available.
(b) The physician shall
perform the following duties:
(1) At the time
of the resident's admission to the facility, provide orders for the immediate
care of the resident, current medical findings, and diagnosis. The physician
shall provide a medical history within seven days after admission of the
resident;
(2) review the
resident's total program of care, including medications and treatments at each
visit;
(3) write, sign, and date
progress notes at each visit; and
(4) sign all written orders at the time of
the visit and all telephone orders within seven days of the date the order was
given.
(c) A physician
shall see the resident for all of the following:
(1) If it is necessary due to a change in the
resident's condition determined by the physician or licensed nursing staff;
(2) if the resident or legal
representative requests a physician visit; and
(3) at least annually.
(d) The physician may delegate resident
visits to an advanced registered nurse practitioner or a physician assistant.
(e) At admission, the resident or
the resident's legal representative shall designate the hospital to which the
resident is to be transferred in a medical emergency. If the resident's
attending physician does not have admitting privileges at the designated
hospital, the facility shall assist the resident or the resident's legal
representative in making arrangements with another physician who has admitting
privileges to assume the care of the resident during hospitalization. This
information shall be available on the resident's clinical record.
(f) Death of resident. The nursing facility
shall obtain an order from a physician before allowing the removal of the body
of a deceased resident.
Notes
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