Section 11-100.1-87 - Personal care services(a) The primary care giver shall provide daily personal care and specialized care to an expanded ARCH resident as indicated in the care plan. The care plan shall be developed as stipulated in section 11-100.1-2 and updated as changes occur in the expanded ARCH resident's care needs and required services or interventions.(b) The expanded ARCH shall provide an ongoing program of recreational and social activities designed to meet, in accordance with the comprehensive assessment, the interests and the physical, mental, psycho-social well being of each resident, and shall be documented in the care plan.(c) The primary care giver shall, in coordination with the case manager, make arrangements for each expanded ARCH resident to have: (1) Annual physical and dental examinations;(2) Pneumococcal and influenza vaccines and any necessary immunizations following the recommendations of the Advisory Committee of Immunization Practices (ACIP); and(3) Visits to the physician every four months or more frequently to ensure adequate medical supervision.(d) The primary care giver shall have twenty four hour access to a physician or APRN and case manager. Except for an emergency, whenever the primary care giver observes a significant change in the health status of the expanded ARCH resident, the primary care giver shall promptly notify the resident's physician or APRN and case manager. The primary care giver shall record this action in the expanded ARCH resident's progress notes.(e) The primary care giver with the assistance of the case manager shall provide training to all substitute care givers and ensure that all services and interventions indicated in the expanded ARCH resident's care plan are provided to expanded ARCH residents by the substitute care giver.Haw. Code R. § 11-100.1-87
[Eff SEP 18 2006] (Auth: HRS §§ 321-1, 321-9, 321-10, 321-11, 321-15.1, 321-15.6, 321-15.61, 321-15.62) (Imp: HRS §§ 321-1, 321-9, 321-10, 321-11, 321-15.1, 321-15.6, 321-15.61, 321. 15.62)