Utah Admin. Code R432-152-16 - Physician Services
(1)
(a) The licensee shall ensure the
availability of physician services 24 hours a day.
(b) The physician shall develop, in
coordination with facility licensed nursing personnel, a medical care plan of
treatment for a client if the physician determines that the client requires
24-hour licensed nursing care.
(c)
The physician shall integrate the care plan into the client's program
plan.
(d) Each client requiring a
medical care plan of treatment shall be admitted by and remain under the care
of a health practitioner licensed to prescribe medical care for the
client.
(e) The licensee shall
obtain written orders for medical treatment at the time of admission.
(f) The licensee shall provide or obtain
preventive and general medical care as well as annual physical examinations of
each client that includes:
(i) an evaluation
of vision and hearing;
(ii)
immunizations, using as a guide the recommendations of the Public Health
Service Advisory Committee on Immunization Practices or of the Committee on the
Control of Infectious Diseases of the American Academy of Pediatrics;
(iii) routine screening laboratory
examinations, as determined necessary by the physician; and
(iv) tuberculosis control in accordance with
Rule R388-804, Tuberculosis Control.
(2)
(a) A
physician shall participate in the establishment of each newly admitted
client's initial individual program plan as required by Section
R432-152-11.
(b) A physician shall participate in the
review and update of an individual program plan as part of the
interdisciplinary team process either in person or through a written report to
the interdisciplinary team.
(c) A
physician shall participate in the discharge planning of clients under a
medical care plan of treatment.
(d)
In cases of discharge against medical advice, the licensee shall immediately
notify the attending physician.
Notes
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