Current through Register Vol. 30, No. 38, September 20, 2024
A. An
administrator shall ensure that a personnel member provides supervision for a
participant, except during periods of the day when the participant signs out or
is signed out according to policies and procedures.
B. An administrator shall ensure that a
personnel member provides assistance with activities of daily living and
supervision of personal hygiene according to the participant's care plan and
policies and procedures.
C. An
administrator shall ensure that a personnel member provides a participant with
planned therapeutic individual and group activities:
1. According to the:
a. Participant's care plan,
b. Policies and procedures, and
c. Monthly calendar of planned activities
required in R9-10-1103(D)(2); and
2. That include:
a. Physical activities,
b. Group discussion,
c. Techniques a participant may use to
maintain or improve the participant's independence in performing activities of
daily living,
d. Assessment of
deficits in cognitive awareness and reinforcement of remaining cognitive
awareness,
e. Activities of daily
living,
f. Participants' council
meetings, and
g. Leisure
time.
D. An
administrator shall ensure that a nurse monitors the health status of a
participant according to the participant's care plan and policies and
procedures by:
1. Observing the participant's
mental and physical condition, including monthly monitoring of the
participant's vital signs and nutritional status;
2. Documenting changes in the participant's
mental and physical condition in the participant's medical record;
and
3. Reporting any changes to the
participant's representative or medical practitioner.
E. If an adult day health care facility
administers medication or provides assistance in the self-administration of
medication, an administrator shall ensure that policies and procedures for
medication administration or assistance in the self-administration of
medication:
1. Include:
a. A process for providing information to a
participant about medication prescribed for the participant including:
i. The prescribed medication's anticipated
results,
ii. The prescribed
medication's potential adverse reactions,
iii. The prescribed medication's potential
side effects, and
iv. Potential
adverse reactions that could result from not taking the medication as
prescribed;
b.
Procedures for preventing, responding to, and reporting:
i. A medication error,
ii. An adverse response to a medication,
or
iii. A medication overdose; and
c.
Procedures for documenting medication services and assistance in the
self-administration of medication; and
2. Specify a process for review through the
quality management program of:
a. A
medication administration error, and
b. An adverse reaction to a
medication.
F. An administrator shall ensure that:
1. Policies and procedures for medication
administration:
a. Are reviewed and approved
by a pharmacist, medical practitioner, or registered nurse; and
b. Ensure that
medication is administered to a participant only as prescribed;
2. Verbal orders for medication
services are taken by a nurse, unless otherwise provided by law; and
3. A medication administered to a
participant:
a. Is administered in compliance
with an order, and
b. Is documented
in the participant's medical record.
G. If an adult day health care facility
provides assistance in the self-administration of medication, an administrator
shall ensure that:
1. A participant's
medication is stored by the adult day health care facility;
2. The following assistance is provided to a
participant:
a. A reminder when it is time to
take the medication;
b. Opening the
medication container for the participant;
c. Observing the participant while the
participant removes the medication from the container;
d. Verifying that the medication is taken as
ordered by the participant's medical practitioner by confirming that:
i. The participant taking the medication is
the individual stated on the medication container label,
ii. The participant is taking the dosage of
the medication stated on the medication container label or according to an
order from a medical practitioner dated later than the date on the medication
container label, and
iii. The
participant is taking the medication at the time stated on the medication
container label or according to an order from a medical practitioner dated
later than the date on the medication container label; or
e. Observing the participant while the
participant takes the medication;
3. Policies and procedures for assistance in
the self-administration of medication are reviewed and approved by a
pharmacist, medical practitioner, or registered nurse;
4. Training for a personnel member, other
than a medical practitioner or registered nurse, in assistance in the
self-administration of medication:
a. Is
provided by a medical practitioner or registered nurse or an individual trained
by a medical practitioner or registered nurse; and
b. Includes:
i. A demonstration of the personnel member's
skills and knowledge necessary to provide assistance in the self-administration
of medication,
ii. Identification
of medication errors and medical emergencies related to medication that require
emergency medical intervention, and
iii. The process for notifying the
appropriate entities when an emergency medical intervention is
needed;
5. A
personnel member, other than a medical practitioner or registered nurse,
completes the training in subsection (G)(4) before the personnel member
provides assistance in the self-administration of medication; and
6. Assistance in the self-administration of
medication provided to a participant:
a. Is
in compliance with an order, and
b.
Is documented in the participant's medical record.
H. An administrator shall ensure
that:
1. A current drug reference guide is
available for use by personnel members, and
2. A current toxicology reference guide is
available for use by personnel members.
I. When medication is stored at an adult day
health care facility, an administrator shall ensure that:
1. Medication is stored in a separate locked
room, closet, or self-contained unit used only for medication storage;
2. Medication is stored
according to the instructions on the medication container; and
3.
Policies and procedures are established, documented, and implemented to protect
the health and safety of a participant for:
a. Receiving, storing, inventorying,
tracking, dispensing, and discarding medication, including expired medication;
and
b. Storing, inventorying, and
dispensing controlled substances.
J. A medication error or a participant's
refusal to take a medication is:
1. Reported
to the participant's representative within 12 hours, and
2. Documented in the participant's medical
record within 24 hours.
K. An adverse reaction is:
1. Reported to the participant's
representative and medical practitioner within 12 hours, and
2. Documented in the participant's medical
record within 24 hours.
L. An administrator shall:
1. Immediately notify a participant's
representative and medical practitioner of an injury that may require medical
services;
2. Report an injury to
Adult Protective Services according to A.R.S. §
46-454,
when applicable;
3. Prepare a
written report on the day of occurrence or when any injury of unknown origin is
detected that includes the:
a. Name of the
participant;
b. Type of
injury;
c. Names of witnesses, if
applicable; and
d. Action
taken;
4. Investigate the
injury within 24 hours and documenting any corrective action in the report;
and
5. Retain the report for at
least 12 months after the date of the injury.
M. For a participant whose care plan includes
counseling on an individual or group basis, an administrator shall ensure that:
1. If the counseling needed by the
participant is within the adult day health care facility's scope of services, a
personnel member provides the counseling to the participant according to
policies and procedures; or
2. If
the counseling needed by the participant is not within the adult day health
care facility's scope of services, a personnel member assists the participant
or the participant's representative to obtain counseling for the participant
according to policies and procedures.