Utah Admin. Code R432-101-4 - Definitions
(1) The definitions outlined in Rule R432-1
apply to a psychiatric specialty hospital licensee in addition to the
definitions in this section.
(2)
"Activity services " means therapies that involve the principles of art, dance,
movement, music, occupational therapy, recreational therapy, and other
disciplines.
(3) "Ancillary
services " means services that support clinical services and are usually
diagnostic in nature. Ancillary services do not require direct care or
oversight by a nurse or physician including labs, radiology, cardiac testing,
outpatient services, and diabetic teaching.
(4) "Clinical Services " means services
provided by a licensed physician or nurse or under their direct care and
supervision .
(5) "Department " means
Utah Department of Health and Human Services.
(6) "Investigational Drug " means a drug that
is being investigated for human or animal use by the manufacturer or the Food
and Drug Administration (FDA) and has not been approved for use by the
FDA.
(7) "Partial Hospitalization "
means a time-limited, ambulatory , active treatment program that offers
therapeutically intensive, coordinated and structured clinical services where
the daily stay lasts no more than 23 hours with the goal of stabilizing the
patient to avert inpatient hospitalization or reducing the length of a hospital
stay.
(8) "Physical restraint "
means an involuntary intervention employing any device intended to control or
restrict the physical movement of a patient , whether applied directly to the
patient 's body or applied indirectly to act as a barrier to voluntary movement.
A simple safety device is a type of physical restraint .
(9) "Plan for Patient Care Services " means a
written plan that ensures the care, treatment, rehabilitation , and habilitation
services provided are appropriate to the needs of the patient population served
and the severity of the disease, condition, impairment, or
disability.
(10) "Residential
Treatment " means a 24-hour group living environment for four or more
individuals unrelated to the owner or provider . Individuals are assisted in
acquiring the social and behavioral skills necessary for living
independently.
(11) "Seclusion "
means an involuntary intervention employing a procedure that isolates the
patient in a specific room or designated area to temporarily remove the patient
from the therapeutic community and reduce external stimuli.
(12) "Secure hospital " means a hospital where
access in and out of the hospital setting is controlled to maintain safety for
both patients and the community.
(13) "Specialty Hospital " means a facility
with the following:
(a) a governing body with
overall administrative and professional responsibility;
(b) an organized medical staff that provides
24-hour inpatient care;
(c) a chief
executive officer to whom the governing body delegates the responsibility for
the operation of the hospital;
(d)
a distinct nursing unit of at least six inpatient beds;
(e) current and complete medical
records;
(f) continuous registered
nursing supervision and other nursing services;
(g) in-house basic services including:
(i) laboratory;
(ii) pharmacy;
(iii) emergency services and provision for
interim care of traumatized patients coordinated with an appropriate emergency
transportation service;
(iv)
specialized diagnostic and therapeutic facilities, medical staff , and equipment
required to provide the type of care in the recognized specialty or specialties
provided by the hospital; and
(v)
provide on-site all basic services required of a general hospital that are
needed for the diagnosis, therapy and treatment offered or required by patients
admitted to or cared for in the specialty
hospital .
(14)
"Stable " means a patient is no longer a danger to self or others, and is able
to function and demonstrate the ability to maintain improvements outside the
hospital setting.
(15) "Time out "
means isolating a patient for a period of time, on a voluntary basis in an
unlocked room and is based on hospital policy, as a procedure designed to
remove the patient who is exhibiting a specified behavior from the source of
stimulation or reinforcement.
Notes
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