California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 2 - Acute Psychiatric Hospital
Article 3 - Basic Services
Section 71203 - Medical Service General Requirements

Universal Citation: 22 CA Code of Regs 71203

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The medical service shall consist of the following organized and staffed elements:

(1) Psychiatric component.
(A) Psychiatrists or clinical psychologists within the scope of their licensure and subject to the rules of the facility, shall be responsible for the diagnostic formulation for their patients and the development and implementation of each patient's treatment plan.

(B) A psychiatrist shall be available at all times for psychiatric emergencies.

(2) General medicine component.
(A) All incidental medical services necessary for the care and support of patients shall be provided by in-house staff or through the use of outside resources in accordance with Section 71513 of these regulations.

(B) Incidental medical services include but are not limited to:
1. General medicine and surgery.

2. Dental.

3. Radiological.

4. Laboratory.

5. Anesthesia.

6. Podiatry.

7. Physical therapy.

8. Speech pathology.

9. Audiology.

(3) Psychological component.
(A) Psychological service shall be provided by clinical psychologists within the scope of his/her licensure and subject to the provisions of Section 1316.5 of the Health and Safety Code.

(B) Staff physicians shall assume responsibility for those aspects of patient care which may be provided only by physicians.

(4) Social service component.
(A) Social service shall be provided by social workers under the direction of the medical staff.

(b) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff, where such is appropriate. Policies and procedures shall be consistent with Sections 1316 and 1316.5 of the Health and Safety Code.

(c) The responsibility and the accountability of the medical service to the medical staff and administration shall be defined.

(d) An appropriate committee of the medical service shall:

(1) Identify and recommend to administration the equipment and supplies necessary for coping with emergency medical problems.

(2) Develop a plan for handling and/or referral of patients with emergency medical problems.

(3) Determine the circumstances under which electroconvulsive therapy may be administered.

(4) Develop guidelines for the administration of drugs when given in unusually high dosages or when given for purposes other than those for which the drug is customarily used.

(e) Periodically, an appropriate committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.

1. Amendment filed 2-8-83; designated effective 3-2-83 (Register 83, No. 7).
2. Amendment filed 11-1-85 as an emergency; effective upon filing (Register 85, No. 44). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-3-86.
3. Certificate of Compliance transmitted to OAL 2-28-86 and filed 3-26-86 (Register 86, No. 13).
4. Change without regulatory effect repealing subsection (a)(3)(B), relettering and amending former subsection (a)(3)(C) to (a)(3)(B) and amending NOTE filed 3-24-2005 pursuant to section 100, title 1, California Code of Regulations (Register 2005, No. 12).
5. Change without regulatory effect adding subsection (a)(3)(B), relettering subsections and amending newly designated subsection (a)(3)(C) and NOTE filed 4-20-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
6. Repealer of subsection (a)(3)(B), subsection relettering, amendment of newly designated subsection (a)(3)(B) and subsection (b) and NOTE filed 3-3-2010; operative 4-2-2010 (Register 2010, No. 10).

Note: Authority cited: Sections 1275, 100275 and 131200, Health and Safety Code. Reference: Sections 1276, 1316.5, 131050, 131051 and 131052, Health and Safety Code.

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