Cal. Code Regs. tit. 22 § 79601

Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 79601 - Physician Services-General Requirements
(a) Physician services shall include, but not be limited to:
(1) Inmate-patient evaluation, including an admission history and physical within 24 hours for immediate care planning. A complete written history and physical examination shall be in the record within 72 hours unless done within 5 days prior to admission.
(2) Reevaluation of the inmate-patient's condition, including the review and updating of orders for care at least every thirty (30) days, upon change of attending physician and upon transfer.
(3) Inmate-patient diagnosis.
(4) Advice, treatment and the determination of appropriate level of care needed for each inmate-patient.
(5) Written and signed orders for diet, care, diagnostic tests and treatment of inmate-patients by others.
(6) Health record progress notes at least every three days or more often as the inmate-patient's condition requires. A progress note will be documented on each visit by the attending physician.
(7) Provision for alternative physician coverage in the event the attending physician is not available.
(8) Provision for nonphysician practitioners to be permitted to render those medical services that they are legally authorized to perform. There shall be written policies addressing the granting of clinical privileges and the role of nonphysician providers. Nonphysician practitioner includes, but is not limited to the following:
(A) Physician's assistants who work under the responsibility and supervision of a physician approved as a supervisor by the Medical Board of California and perform only those selected diagnostic and therapeutic tasks identified in the California Code of Regulations, Title 16, Division 13.8, Section 1399.541.
(B) Nurse practitioners who have been certified as a nurse practitioner by the Board of Registered Nursing.
(C) Other registered nurses may perform medical services utilizing "Standardized Procedures" developed pursuant to Section 2725(d), Business and Professions Code, and approved by the medical director of the correctional treatment center.
(D) Certified nurse anesthetists who have completed an accredited program for the education of nurse anesthetists and have received certification as a nurse anesthetist from the Board of Registered Nursing.
(E) Certified nurse midwives who have been certified by the Board of Registered Nursing.

Cal. Code Regs. Tit. 22, § 79601

1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23).

Note: Authority cited: Sections 208(a) and 1267.10(l), Health and Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety Code; and Sections 2725, 2834 and 3502, Business and Professions Code.

1. New section filed 6-10-94; operative 1-1-96 pursuant to Health and Safety Code section 1250 (Register 94, No. 23).