Section 390.620 Resident Care Policies

Section 390

Section 390.620 Resident Care

Policies

a)         The facility shall have written policies and procedures

governing all services provided by the facility which shall be formulated with

the involvement of the administrator. These written policies shall be formulated

with the involvement of the medical advisory committee and representatives of

nursing and other services in the facility. The policies shall be available to

the staff, residents and the public. These written policies shall be followed

in operating the facility and shall be reviewed at least annually. (B)

b)         These policies shall include:

1)         A written statement of the philosophy, objectives and goals

the facility is striving to achieve.

2)         A written statement linking the facility's role to the

"State Plan for the Developmentally Disabled" as filed with the Secretary

of State by the Governor's Planning Council for Developmental Disabilities.

3)         A written statement of the facility's goals for its residents.

4)         A written statement of the facility's concept of its

relationship to the parents of its residents or to the surrogates.

5)         A written statement concerning admission, transfer, and

discharge of residents including categories of residents accepted and not

accepted, residents that will be transferred or discharged, and transfers

within the facility from one room to another.

6)         A written statement for resident care services including

administrative services, physician services, emergency services, personal care

and nursing services, dental services, (re)habilitative services, physical

therapy, occupational therapy, psychology, social services, speech pathology

and audiology, organized recreational activity services, work activity and

prevocational, dietary services, resident medical records, pharmaceutical

services, diagnostic services (including laboratory and x-ray) and educational

services

care

and nursing services, dental services, (re)habilitative services, physical

therapy, occupational therapy, psychology, social services, speech pathology

and audiology, organized recreational activity services, work activity and

prevocational, dietary services, resident medical records, pharmaceutical

services, diagnostic services (including laboratory and x-ray) and educational

services. (B)

c)         The facility shall have a written agreement with one or more

hospitals which indicates that the hospital or hospitals will provide the

following services:

1)         Emergency admissions.

2)         Admission to a hospital of residents from the facility who are

in need of hospital care.

3)         Needed diagnostic services.

4)         Any other hospital based services needed by the resident.

d)         There shall be a policy prohibiting blood transfusions, unless

the facility is hospital connected and appropriate services are available in

case of an adverse reaction to the transfusions. (B)