Utah Admin. Code R432-150-15 - Physician Services
(1)
(a) The licensee shall ensure a physician
approves, in writing, a recommendation that an individual be admitted to the
nursing care facility.
(b) Each
resident shall remain under the care of a physician licensed in Utah to deliver
the scope of services required by the resident.
(c) Nurse practitioners or physician
assistants, working under the direction of a licensed physician may initiate
admission to a nursing care facility pending personal review by the
physician.
(2) The
licensee shall provide supervision to ensure that the medical care of each
resident is supervised by a physician. When a resident's attending physician is
unavailable, another qualified physician shall supervise the medical care of
the resident.
(3) The physician
that supervises the resident's care shall:
(a)
review the resident's total program of care, including medications and
treatments, at each visit;
(b) sign
each order;
(c) state, in writing,
direction and supervision of health care provided to the resident by a nurse
practitioner or physician assistant; and
(d) write, sign, and date progress notes at
each visit.
(4) The
licensee shall ensure that physician visits comply with the following:
(a) a physician sees each resident at least
once every 30 days for the first 90 days after admission, and at least every 60
days thereafter;
(b) at the option
of the physician, required visits after the initial visit may alternate between
personal visits by the physician and visits by a physician assistant or nurse
practitioner;
(c) except as
permitted in Subsection
R432-150-16(4)(e),
the physician makes each required visit; and
(d) physician visits are completed within ten
days of the date the visit is required.
(5) The licensee shall provide or arrange for
physician services 24 hours a day if there is an emergency.
Notes
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