Section 390.1020 Medical Services

Section 390

Section 390.1020  Medical

Services

a)         General Medical Services

1)         The facility shall have a written program of medical services

approved in writing by the medical advisory committee that reflects the

philosophy of care provided, the policies relating to this, and the procedures

for implementation of the services.  The program shall include the entire

complex of services provided by the facility and the arrangements to effect

transfer to other facilities as promptly as needed.  The written program of

medical services shall be followed in the operation of the facility.

2)         A medical advisory committee composed of at least a physician,

administrator and the director of nursing shall be responsible for advising the

administrator and the licensee on the overall medical management of the

residents and the staff in the facility.  If the facility employs a house

physician, the physician shall be a member of this committee.  The written

program of medical services shall also include the structure and function of

the medical advisory committee.

b)         Medical Emergencies

1)         The medical advisory committee shall develop policies and

procedures to be followed during medical emergencies including, but not limited

to, foreign body aspiration, poisoning, acute trauma (fractures, burns, and

lacerations), cardiac arrest, acute coronary, acute cardiac failure, asthmatic

or allergic reactions, acute convulsion, shock, diabetic coma, insulin shock,

and acute respiratory distress.

2)         The facility shall maintain in a suitable location the

equipment necessary to be used during emergencies, including, but not limited

to, a portable oxygen kit, including a face mask or cannula; an airway; and

tongue blades.

3)         At least one staff person shall be on duty at all times who

has been properly trained to handle medical emergencies.