Section R432-101-4 - Definitions(1) The definitions outlined in Rule R432-1 apply to a psychiatric specialty hospital licensee in addition to the definitions in this section.(2) "Activity services" means therapies that involve the principles of art, dance, movement, music, occupational therapy, recreational therapy, and other disciplines.(3) "Ancillary services" means services that support clinical services and are usually diagnostic in nature. Ancillary services do not require direct care or oversight by a nurse or physician including labs, radiology, cardiac testing, outpatient services, and diabetic teaching.(4) "Clinical Services" means services provided by a licensed physician or nurse or under their direct care and supervision.(5) "Department" means Utah Department of Health and Human Services.(6) "Investigational Drug" means a drug that is being investigated for human or animal use by the manufacturer or the Food and Drug Administration (FDA) and has not been approved for use by the FDA.(7) "Partial Hospitalization" means a time-limited, ambulatory, active treatment program that offers therapeutically intensive, coordinated and structured clinical services where the daily stay lasts no more than 23 hours with the goal of stabilizing the patient to avert inpatient hospitalization or reducing the length of a hospital stay.(8) "Physical restraint" means an involuntary intervention employing any device intended to control or restrict the physical movement of a patient, whether applied directly to the patient's body or applied indirectly to act as a barrier to voluntary movement. A simple safety device is a type of physical restraint.(9) "Plan for Patient Care Services" means a written plan that ensures the care, treatment, rehabilitation, and habilitation services provided are appropriate to the needs of the patient population served and the severity of the disease, condition, impairment, or disability.(10) "Residential Treatment" means a 24-hour group living environment for four or more individuals unrelated to the owner or provider. Individuals are assisted in acquiring the social and behavioral skills necessary for living independently.(11) "Seclusion" means an involuntary intervention employing a procedure that isolates the patient in a specific room or designated area to temporarily remove the patient from the therapeutic community and reduce external stimuli.(12) "Secure hospital" means a hospital where access in and out of the hospital setting is controlled to maintain safety for both patients and the community.(13) "Specialty Hospital" means a facility with the following: (a) a governing body with overall administrative and professional responsibility;(b) an organized medical staff that provides 24-hour inpatient care;(c) a chief executive officer to whom the governing body delegates the responsibility for the operation of the hospital;(d) a distinct nursing unit of at least six inpatient beds;(e) current and complete medical records;(f) continuous registered nursing supervision and other nursing services;(g) in-house basic services including: (iii) emergency services and provision for interim care of traumatized patients coordinated with an appropriate emergency transportation service;(iv) specialized diagnostic and therapeutic facilities, medical staff, and equipment required to provide the type of care in the recognized specialty or specialties provided by the hospital; and(v) provide on-site all basic services required of a general hospital that are needed for the diagnosis, therapy and treatment offered or required by patients admitted to or cared for in the specialty hospital.(14) "Stable" means a patient is no longer a danger to self or others, and is able to function and demonstrate the ability to maintain improvements outside the hospital setting.(15) "Time out" means isolating a patient for a period of time, on a voluntary basis in an unlocked room and is based on hospital policy, as a procedure designed to remove the patient who is exhibiting a specified behavior from the source of stimulation or reinforcement.Utah Admin. Code R432-101-4
Amended by Utah State Bulletin Number 2023-22, effective 11/1/2023