Section 81092.8 - Diabetes(a) A licensee may admit or retain a client who has diabetes if all of the following conditions are met: (1) The licensee is in compliance with Section 81092.1.(2) The client is mentally and physically capable of administering his/her own medication and performing his/her own glucose testing if applicable, or a licensed professional administers the tests and injections. (A) The licensed professional may delegate to trained facility staff glucose testing provided all of the following conditions are met:1. The blood glucose-monitoring test is performed with a blood glucose-monitoring instrument that has been approved by the federal Food and Drug Administration for over-the-counter sale.2. The licensee ensures that facility staff responsible for glucose testing receive training from a licensed professional as specified in Sections 81092.1(k) through (k)(2).3. Facility staff comply with the instructions of the licensed professional regarding the performance of the test and the operation of the blood glucose-monitoring instrument.4. Facility staff immediately notify the client's physician if the results are not within the normal range for the client.5. The licensee ensures that the results of each blood glucose test performed by facility staff are documented and maintained in the client's record in the facility.(3) The licensee ensures that sufficient amounts of medicines, testing equipment, syringes, needles, and other supplies are maintained and stored in the facility.(4) The licensee ensures that injections are administered immediately after a syringe is filled unless the client is using prefilled syringes prepared by a registered nurse, pharmacist or drug manufacturer.(5) The licensee ensures that syringes and needles are disposed of in accordance with California Code of Regulations, Title 8, Chapter 4, Subchapter 7, Group 16, Article 109, Section 5193.(6) The licensee provides a modified diet as prescribed by a client's physician, as specified in Section 81076(a)(6). Any substitutions shall be made by the facility dietitian or in consultation with a registered dietician or the client's physician or medical provider.(7) The licensee ensures that all facility staff who provide care receive training in recognizing the signs and symptoms of hyperglycemia and hypoglycemia and in taking appropriate action for client safety.(b) For clients who provide self-care, the licensee shall:(1) Monitor the client's ongoing ability to perform his/her glucose testing and administer his/her medication in accordance with the physician's instructions.(2) Assist clients with self-administered medication, as specified in Section 81075.Cal. Code Regs. Tit. 22, § 81092.8
1. Change without regulatory effect adopting new section filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2).
2. Amendment of subsection (a) filed 9-7-2017; operative 9-7-2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 36). Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 1501, 1502, 1507 and 1531, Health and Safety Code.
1. Change without regulatory effect adopting new section filed 1-5-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 2).
2. Amendment of subsection (a) filed 9-7-2017; operative 9/7/2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 36).