Kan. Admin. Regs. § 28-4-275 - Health care
(a) General health
policies.
(1) Smoking shall be confined to
designated smoking areas in the facility.
(2) Alcohol or non-prescribed controlled
substances, as defined in
K.S.A. 65-4101 and any amendments to it, shall not
be consumed by any resident, by any staff person while on duty, or by any staff
person in the presence of residents.
(b)
(1) The
licensee, in consultation with a physician or community health nurse, shall
develop written policies for implementing the health program in the following
areas:
(A) Health examination for residents
and staff;
(B) continuing health
care;
(C) dental examination and
follow-up dental care;
(D)
corrections of medical problems;
(E) special examinations such as vision,
hearing and neurological exams;
(F) care of minor illness including use of
non-prescription drugs; and
(G)
consultation for the individual child when indicated.
(2)
(A) Use
of sharp or dangerous instruments and tools by residents shall be supervised by
staff.
(B) Firearms and
ammunition, and household poisons and other hazardous substances shall be in
locked storage.
(C) Internal and
external medications shall be in separate locked storage in a supervised
location.
(3) Each
prescription medicine shall have the name of the individual recipient and the
physician, and shall show the dosage and time. A record shall be kept in the
resident's file as to who gave the medication and when it was given. Each
unused or expired medication shall be safely discarded.
(4) Medications requiring refrigeration shall
be labeled and kept in locked storage in the refrigerator.
(c) Physical health of residents
and children of staff.
(1) Physical health.
(A) A health assessment for each resident and
for each child of a staff member shall be obtained within six months prior to
or not more than 30 days after admission of the resident or employment of the
parent. The assessment shall be conducted by a licensed physician or by a nurse
approved by the Kansas department of health and environment to conduct the
assessment.
(B) Health assessments
shall be required annually for residents to age six and every three years for
residents over the age of six. Results of the health assessment shall be
recorded on forms supplied by the Kansas department of health and environment.
(C) Each person under 16 years of
age who lives in the facility shall have current immunizations according to the
schedule recommended by the center for disease control.
(2) Health care.
(A) A current health record shall be kept for
each resident. The record shall include pertinent information about health
status, developmental progress, and special needs, with appropriate plans to
meet these needs.
(B) The staff
shall update the health information as determined by the program's specific
health policies and use the information as a basis for review and evaluation of
the resident's health status.
(3) Residents in emergency care shall be
exempt from K.A.R. 28-4-275(c)(1) and (2).
(4) Each child care staff member shall be
trained in observation of symptoms of illness, in elementary principles of
first aid, and accident prevention.
(5) The staff of the facility shall obtain
immediate medical treatment for any resident who is seriously injured or ill,
and shall notify the placing agent, the parent, as dictated by the care plan,
and the local health department of the injury or illness as soon as possible.
(6) Staff members, as required by
law, shall report any evidence of suspected child abuse or neglect of residents
to the Kansas state department of social and rehabilitation services, or the
appropriate law enforcement agency when Kansas state department of social and
rehabilitation services offices are closed.
(d) Dental health of residents.
(1) A pre-admission dental examination
obtained within a year prior to or within 60 days after admission shall be
required for each resident except residents in emergency care.
(2) Follow-up dental correction shall be
provided, and shall be noted in the resident's file.
(3) The facility staff shall develop plans
for dental health education and supervise the residents in the practice of good
oral hygiene.
Notes
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No prior version found.