Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 58 - Nursing Facilities
Rule 481-58.23 - Dental, Diagnostic, and Other Services
Universal Citation: IA Admin Code 481-58.23
Current through Register Vol. 47, No. 6, September 18, 2024
(1) Dental services.
a. The nursing facility personnel shall
assist residents to obtain regular and emergency dental services.
(Ill)
b. Transportation
arrangements shall be made when necessary for the resident to be transported to
the dentist's office. (Ill)
c.
Dental services shall be performed only on the request of the resident,
responsible relative, or legal representative. The resident's physician shall
be advised of the resident's dental problems. (Ill)
d. All dental reports or progress notes shall
be included in the clinical record. (Ill)
e. Nursing personnel shall assist the
resident in carrying out dentist's recommendations. (Ill)
f. Dentists shall be asked to participate in
the in-service program of the facility. (Ill)
(2) Diagnostic services.
a. The nursing facility shall make provisions
for promptly securing required clinical laboratory. X-ray, and other diagnostic
services. (Ill)
b. All diagnostic
services shall be provided only on the written, signed order of a physician.
(Ill)
c. Agreements shall be made
with the local hospital laboratory or independent laboratory to perform
specific diagnostic tests when they are required. (Ill)
d. Transportation arrangements for residents
shall be made, when necessary, to and from the source of service.
(Ill)
e. Copies of all diagnostic
reports shall be requested by the facility and included in the resident's
clinical record. (Ill)
f. The
physician ordering the specific diagnostic service shall be promptly notified
of the results. (Ill)
g. Simple
tests such as customarily done by nursing personnel for diabetic residents may
be performed in the facility. (Ill)
(3) Other services.
a. The nursing facility shall assist
residents to obtain such supportive services as requested by the physician.
(Ill)
b. Transportation
arrangements shall be made when necessary. (Ill)
c. Services could include the need for
prosthetic devices, glasses, hearing aids, and other necessary items.
(Ill)
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