La. Admin. Code tit. 48 § I-5531

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5531 - Medical Services

A. The consultation services of a licensed physician shall be made available not only for emergencies, but for overall counseling for all health aspects of the center.

B. This physician shall visit the facility at least twice a year and on the outbreak of any epidemic to review the health practices of the center, and to make pertinent recommendations.

C. The medical consultant of the facility will cooperate with the local public health agency in supervising all the health conditions and practices of the facility's program:

1. to approve the facility's written statement regarding the procedures described above;

2. to make recommendations regarding diet, rest, or any other aspects of the program affecting the health of the students;

3. to certify to the facility in writing once a year either that the health aspects of care in the facility conform to the procedure the physician and the local health agency have approved, or that certain irregularities exist. Those reports shall be the basis of the Licensing and Certification study of health aspects of care.

D. The medical consultant and operator should prepare a written statement outlining the procedures governing:

1. routine health inspection that can be given by the staff;

2. treatment of first aid that may be given without specific orders from a physician;

3. circumstances under which a physician should be called;

4. action to be taken by the center in case of emergency or suspected illness.

E. Each person shall have an annual physical examination and a statement from the physician or health unit that he is in good health and free from communicable disease.

F. Upon arrival each day, the student shall be checked for possible signs of illness, colds, skin infection and contagious skin disease. If there are signs of communicable disease, the student shall not be permitted to attend the facility until he is in good health.

G. If symptoms of communicable diseases develop while the student is in care of the facility, he shall be placed in isolation and prevented from mingling with others until a physician or registered nurse has been consulted and has pronounced it safe for him to be with other students.

H. When a student has been sick with a highly communicable disease, such as mumps, whooping cough, measles, ringworm or impetigo, a physician or nurse must certify that he is in sufficiently good health and that he can return to the facility.

I. If a student develops symptoms of illness or suffers an accident while under the care of the facility, the parent shall be notified as soon as possible. If the symptoms are severe and the parent is not available, medical advice shall be sought from the child's or the facility's physician.

J. If students in the facility are known to have been exposed to a communicable disease, prompt notice shall be given to the parents of all attending the facility.

K. The facility shall keep on hand first-aid equipment approved by its medical consultant.

L. No drug of any type, including aspirin, should be given by the staff unless prescribed by the student's or facility's physician.

M. When it is necessary for the student to be given medication while at the facility, directions must be given in writing, by the physician. Medicine containers must be plainly marked with student's name and directions for administering and kept in a safe place out of the student's reach.

N. There shall be an agreement with the local health unit or a physician's office for consultation with a nurse when necessary.

O. Students shall be provided with nursing services according to their needs.

La. Admin. Code tit. 48, § I-5531

Promulgated by the Department of Health and Human Resources, Office of the Secretary, Division of Licensing and Certification, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:1971 through 1980.