California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 4 - Intermediate Care Facilities
Article 3 - Services
Section 73303 - Physician Services-General

Universal Citation: 22 CA Code of Regs 73303

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

(a) Physician services are services provided by physicians responsible for the care of individual patients in the facility. Physician services shall include but are not limited to:

(1) Patient examinations.

(2) Patient diagnosis.

(3) Advice, treatment and treatment plan, and determination of appropriate level of patient care needed for each patient.

(4) Written and signed orders for care, diagnostic tests and treatment of patients by others. Orders for restraints must specify the duration and circumstances under which the restraints are to be used and must comply with the following:
(A) Orders must be specific to individual patients.

(B) In accordance with Section 73355 there shall be no standing orders.

(C) There shall be no P.R.N. orders for physical restraints.

(5) Health record progress notes and other appropriate entries in the patient's health records.

(6) Periodic reevaluation of the patient's condition and the review and updating of treatment orders and care program at least every 60 days unless otherwise approved by the Department.

(7) Provision of emergency medical services in the facility when indicated.

(b) Subsection (a) shall not prevent or limit other licensed healthcare practitioners acting within the scope of their professional licensure from providing services to and being responsible for the care of individual patients in the facility, including providing those services listed in subsection (a) above that are within the scope of their licensure.

1. Amendment of subsection (a)(4), new subsections (a)(4)(A)-(C) and new NOTE filed 5-25-95; operative 6-26-95 (Register 95, No. 21).
2. Amendment of subsection (a), new subsection (b) and amendment of 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; and Valdivia, et al. v. Coye, U.S. District Court for the Eastern District of California, Case No. CIV S-90-1226.

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