Kan. Admin. Regs. § 26-52-19

Current through Register Vol. 43, No. 46, November 14, 2024

Section 26-52-19 - Physical health care

(a) Policies and procedures for patient physical health care. Each licensee, in consultation with a physician, shall develop and implement policies and procedures that include the following:

(1) Completion of a health checklist and review for each patient upon admission for purposes of determining if the patient is in need of medical or dental care and to determine if the patient is taking any prescribed medications, including the following:

(A) Current physical health status, including oral health;

(B) allergies, including medication, food, plant, and animal;

(C) current injuries or pain, including cause, onset, duration, and location;

(D) preexisting medical conditions;

(E) current mood and affect;

(F) history and indicators of self-harming behaviors or suicidal tendencies;

(G) infectious or contagious diseases;

(H) immunization history, if available;

(I) drug or alcohol use;

(J) current medications;

(K) physical disabilities;

(L) sexually transmitted diseases; and

(M) for female patients, menstrual and pregnancy history.

(2) The clinical director or designee shall document the rationale for deferral of any portion of the health assessment required by subsection (a) of this regulation that is not necessary for the center to provide treatment for the patient's mental health needs, alcohol or substance abuse needs, or to provide treatment for the patient's co-occurring needs for mental health treatment and alcohol or substance abuse treatment. A follow-up assessment shall occur when the patient's conduct and behaviors allow for further assessment of potential physical issues or problems.

(3) care for minor illnesses or injuries, including the use and administration of prescription and nonprescription drugs;

(4) infection-control measures and universal precautions to prevent the spread of blood-borne infectious diseases, including medically indicated isolation;

(5) referrals to an appropriate health care provider for emergency or post-discharge care for care and follow-up of issues or problems identified in the health assessment; and

(6) referrals of female patients for maternity care for emergency or post-discharge care.

(b) Physical health of patient.

(1) Each licensee shall develop and implement policies and procedures for referral of patients for emergency and ongoing medical and dental care needs. If medically indicated, a patient shall be diverted or transferred to a hospital for timely access to emergency, specialized medical, and dental care services that exceed the level of care and equipment than can be provided at the center.

(2) Each licensee shall develop and implement policies and procedures to require contact with an authorized physician, physician's assistant, or advanced practice registered nurse at the time of admission for any patient who is taking a prescribed medication to assess the need for continuation of the medication.

(3) Each change of prescription or directions for administering a prescription medication shall be ordered by an authorized medical practitioner with documentation placed in the patient's record as required by this article.

(4) Nonprescription and prescription medications shall be administered only by designated staff and shall be documented in the patient's record as required by this article.

(5) Each licensee shall develop and implement policies and procedures to require timely contact with an authorized physician, physician's assistant, or advanced practice registered nurse for each patient who has acute symptoms of physical illness or who has a chronic physical illness.

(6) If a patient has a communicable disease, the licensee shall obtain advice from a physician or other authorized healthcare provider in order to perform the following:

(A) Ensure that the facility has the capability to provide adequate care and prevent the spread of that condition and that staff members and volunteers are adequately trained; and

(B) transfer the patient to an appropriate facility, if necessary.

(7) Each licensee shall develop and implement policies and procedures that the use of tobacco in any form by a patient while in treatment at the center is prohibited.

(c) Emergency medical treatment. Each licensee shall develop and implement policies and procedures that ensure emergency medical treatment of each patient meets the following requirements:

(1) The patient's medical record and health assessment forms shall be taken to the emergency room with the patient; and

(2) A staff member shall accompany the patient to emergency care and shall remain with the patient while the emergency care is being provided or until the patient is admitted. This arrangement shall not compromise the direct supervision of the other patients in the center.

(d) Oral health of patients. Each licensee shall develop and implement policies and procedures for the oral health of patients, including the following:

(1) Each patient shall receive emergency dental care, as needed; and

(2) referral sources shall be included in the discharge plan for non-emergency dental care, as needed.

(e) Personal health and hygiene of patients. Each licensee shall develop and implement policies and procedures to meet the personal health and hygiene needs of the patients, including the following:

(1) Each patient shall have access to drinking water, a sink, and a toilet;

(2) each patient shall be given the opportunity to bathe or shower upon admission and daily;

(3) each patient shall be provided access to toothpaste and an individual toothbrush for brushing teeth daily and after meals with supervision by direct care staff, as necessary;

(4) opportunities shall be available to each patient for daily shaving as needed;

(5) each patient's washable clothing shall be changed and laundered at least twice a week. Clean underwear and socks shall be available to each patient on a daily basis;

(6) each female patient shall be provided personal hygiene supplies for use during the patient's menstrual cycle; and

(7) each patient shall be issued or have access to clean, individual washcloths and bath towels at least twice each week.

(f) Personal health of staff members and volunteers. Each licensee shall develop and implement policies and procedures to require each staff member and each volunteer to meet the following requirements:

(1) Be free from all infectious or contagious disease requiring isolation or quarantine as specified in K.A.R. 28-1-6;

(2) be able to perform the essential job functions of the staff member and volunteer and not pose a direct threat to the health, safety, or welfare of the patients, the staff member or volunteer, or other staff members that cannot be reduced or eliminated by reasonable accommodation;

(3) not possess, use, or be under the influence of illegal drugs;

(4) not use or be impaired by alcohol at the center; and

(5) not be impaired by any substance at the center to the extent that it causes the staff member or volunteer to pose a direct threat to the health, safety, or welfare of others.

(g) Each licensee shall develop and implement policies and procedures to prohibit use of tobacco products inside the center. Tobacco products shall not be used by staff members or volunteers in the presence of patients.

Kan. Admin. Regs. § 26-52-19

Authorized by and implementing K.S.A. 39-2004; effective, T-26-2-16-24, Feb. 16, 2024; effective, T-26-6-10-24, June 10, 2024; adopted by Kansas Register Volume 43, No. 24; effective 6/28/2024.