Kan. Admin. Regs. § 28-4-1211 - Health care
(a) Policies
for resident health care. Each licensee, in consultation with a physician,
shall develop written policies that include provisions for the following:
(1) A health checklist and review for each
resident upon admission, including the following:
(A) Current physical, including oral, health
status;
(B) any allergies,
including medication, food, and plant;
(C) any current pain, including cause, onset,
duration, and location;
(D)
preexisting medical conditions;
(E)
current mood and affect;
(F) any
current suicidal thoughts and history of suicide attempts;
(G) any infectious or contagious
diseases;
(H) documentation of
current immunizations or documentation of an exemption for medical or religious
reasons as specified in K.A.R. 28-1-20 ;
(I) any drug or alcohol use;
(J) any current medications;
(K) any physical disabilities;
(L) menstrual history, if
applicable;
(M) any sexually
transmitted disease; and
(N) any
history of pregnancy;
(2) follow-up health care, including a health
assessment and referrals for any concerns identified in the health checklist
and review;
(3) if medically
indicated, chronic care, convalescent care, and preventive care;
(4) care for minor illness, including the use
and administration of prescription and nonprescription drugs;
(5) care for residents under the influence of
alcohol or other drugs;
(6)
consultation regarding each individual resident, if indicated;
(7) infection control measures and universal
precautions to prevent the spread of blood-borne infectious diseases, including
medically indicated isolation; and
(8) maternity care as required by K.A.R.
28-4-279.
(b) Physical
health of residents at admission and throughout placement. Each licensee shall
maintain a health record for each resident to document the provision of health
services, including dental services.
(1) Each
licensee shall ensure that a health checklist is completed for each resident at
the time of admission by the individual who admits the resident. The health
checklist shall serve as a guide to determine if a resident is in need of
medical or dental care and to determine if the resident is using any prescribed
medications.
(2) Each licensee
shall ensure that the PRTF's physician, a physician's assistant operating under
a written protocol as authorized by a responsible physician, or an advanced
registered nurse practitioner (ARNP) operating under a written protocol as
authorized by a responsible physician and operating under the ARNP's scope of
practice is contacted for any resident who is taking a prescribed medication at
the time of admission, to assess the need for continuation of the
medication.
(3) Each change of
prescription or directions for administering a prescription medication shall be
ordered by the authorized medical practitioner with documentation placed in the
resident's record. Prescription medications shall be administered only to the
designated resident as ordered by the authorized medical
practitioner.
(4) Each licensee
shall ensure that a physician, a physician's assistant operating under a
written protocol as authorized by the responsible physician, or an ARNP
operating under a written protocol as authorized by a responsible physician and
operating within the ARNP's scope of practice is contacted for any resident who
has acute symptoms of illness or who has a chronic illness.
(5) Within 72 hours of admission, a
physician, a physician's assistant operating under a written protocol as
authorized by a responsible physician, or a nurse approved to conduct screening
and health assessments shall review the health checklist. Based upon health
indicators derived from the checklist or in the absence of documentation of a
screening within the past 24 months, the reviewing physician, physician's
assistant, or nurse shall determine whether or not a full screening and health
assessment are necessary. If a full screening and health assessment are
necessary, the following requirements shall be met:
(A) The screening and health assessment shall
be conducted by a licensed physician, a physician's assistant operating under a
written protocol as authorized by a responsible physician, or a nurse approved
to conduct these examinations.
(B)
The screening and health assessment shall be completed within 10 days of
admission.
(6) Each
licensee shall ensure that each resident receives a screening for symptoms of
tuberculosis. A Mantoux test, a tuberculin blood assay test, or a chest X-ray
shall be required if any of the following occurs:
(A) The resident has a health history or
shows symptoms compatible with tuberculosis.
(B) The location of the PRTF is in an area
identified by the local health department or the secretary as a high-risk area
for tuberculosis exposure.
(C)
Significant exposure to an active case of tuberculosis occurs, or symptoms
compatible with tuberculosis develop.
(D) If there is a positive reaction to the
diagnostic procedures, proof of proper treatment or prophylaxis shall be
required. Documentation of the test, X-ray, or treatment results shall be kept
on file in the resident's health record, and the county health department shall
be informed of the results.
(7) Each licensee shall ensure that written
policies and procedures prohibit the use of tobacco in any form by any resident
while in care.
(c) Oral
health of residents. Each licensee shall ensure that the following requirements
are met:
(1) Dental care shall be available
for all residents.
(2) Each
resident who has not had a dental examination within the year before admission
to the PRTF shall have a dental examination no later than 60 days after
admission.
(3) Each resident shall
receive emergency dental care as needed.
(4) Each licensee shall develop and implement
a plan for oral health education and staff supervision of residents in the
practice of good oral hygiene.
(d) Health record. Each licensee shall
maintain a health record for each resident to document the provision of health
services required in subsections (a), (b), and (c).
(e) Personal health and hygiene of residents.
(1) Each resident shall have access to
drinking water, a lavatory, and a toilet.
(2) Each licensee shall ensure that each
resident is given the opportunity to bathe upon admission and daily.
(3) Each licensee shall furnish each resident
with toothpaste and a toothbrush.
(4) Each licensee shall ensure that each
resident is given the opportunity to brush the resident's teeth after each
meal.
(5) Each licensee shall make
opportunities available to the residents for daily shaving and regular
haircuts.
(6) Each resident's
washable clothing shall be changed and laundered at least twice a week. Each
licensee shall ensure that clean underwear and socks are available to each
resident on a daily basis.
(7) Each
female resident shall be provided personal hygiene supplies for use during her
menstrual cycle.
(8) Each licensee
shall ensure that clean, individual washcloths and bath towels are issued to
each resident at least twice each week.
(9) Each licensee shall allow each resident
to have at least eight hours of sleep each day.
(f) Personal health of staff members and
volunteers of the PRTF.
(1) Each individual
shall meet the following requirements:
(A) Be
free from any infectious or contagious disease requiring isolation or
quarantine as specified in K.A.R. 28-1-6 ;
(B) be free of any physical, mental, or
emotional health conditions that would adversely affect the individual's
ability to fulfill the responsibilities listed in the individual's job
description and to protect the health, safety, and welfare of the residents;
and
(C) be free from impaired
ability due to the use of alcohol, prescription or nonprescription drugs, or
other chemicals.
(2)
Each individual who has contact with any resident or who is involved in food
preparation or service shall have received a health assessment within one year
before employment. This assessment shall be conducted by a licensed physician,
a physician's assistant operating under a written protocol as authorized by a
responsible physician, or a nurse authorized to conduct these
assessments.
(3) The results of
each health assessment shall be recorded on forms provided by the department
and shall be kept on file.
(4) A
health assessment record may be transferred from a previous place of employment
if the assessment occurred within one year before the individual's employment
at the PRTF and if the assessment was recorded on the form provided by the
department.
(5) The initial health
examination shall include a screening for symptoms of tuberculosis. A Mantoux
test, a tuberculin blood assay test, or a chest X-ray shall be required if any
of the following occurs:
(A) The individual
has a health history or shows symptoms compatible with tuberculosis.
(B) The PRTF is located in an area identified
by the local health department or the secretary as a high-risk area for
tuberculosis exposure.
(C)
Significant exposure to an active case of tuberculosis occurs, or symptoms
compatible with tuberculosis develop.
(D) If there is a positive reaction to any of
the diagnostic procedures, proof of proper treatment or prophylaxis shall be
required. Documentation of the test, X-ray, and treatment results shall be kept
on file in the individual's health record, and the county health department
shall be informed of the results.
(6) If an individual experiences a
significant change in physical, mental, or emotional health, including any
indication of substance abuse, an assessment of the individual's current health
status may be required by the licensee or the secretary. A licensed health care
provider qualified to diagnose and treat the condition shall conduct the health
assessment. A written report of the assessment shall be kept in the
individual's personnel record and shall be submitted to the secretary on
request.
(g) Tobacco
products shall not be used inside the PRTF. Tobacco products shall not be used
by staff members or volunteers of the PRTF in the presence of residents.
Notes
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