Current through Register Vol. 46, No. 19, March 20, 2024
(1)
Physician. Each resident shall have a designated licensed
physician who may be called when needed. (Ill)
(2)
Emergency care. The
facility shall have written policies and procedures for emergency medical or
psychiatric care to include:
a. A written
agreement with a hospital or psychiatric facility or documentation of attempt
to obtain a written agreement for the timely admission of a resident who, in
the opinion of the attending physician, requires inpatient services; (II,
III)
b. Provisions consistent with
Iowa Code chapter 229; (II, III)
c.
Immediate notification by the person in charge to the physician or QMHP, as
appropriate, of any accident, injury or adverse change in the resident's
condition. (I, II)
(3)
First-aid kit. A first-aid emergency kit shall be available on
each floor in every facility. (II, III)
(4)
Infection control. Each
facility shall have a written and implemented infection control program
addressing the following:
a. Techniques for
hand washing consistent with Guidelines for Handwashing and Hospital Control,
1985, Centers for Disease Control, U.S. Department of Health and Human
Services, PB85-923404; (I, II, III)
b. Techniques for handling of blood, body
fluids, and body wastes consistent with Guideline for Isolation Precautions in
Hospitals, Centers for Disease Control, U.S. Department of Health and Human
Services, PB96-138102; (I, II, III)
c. Dressings, soaks, or packs; (I, II,
III)
d. Infection identification;
(I, II, III)
e. Resident care
procedures to be used when there is an infection present consistent with
Guideline for Isolation Precautions in Hospitals, Centers for Disease Control,
U.S. Department of Health and Human Services, PB96-138102; (I, II,
III)
f. Sanitation techniques for
resident care equipment; (I, II, III)
g. Techniques for sanitary use and reuse of
feeding syringes and single-resident use and reuse of urine collection bags;
(I, II, III)
h. Techniques for use
and disposal of needles, syringes, and other sharp instruments consistent with
Guideline for Isolation Precautions in Hospitals, Centers for Disease Control,
U.S. Department of Health and Human Services, PB96-138102; (I, II, III)
CDC Guidelines may be obtained from the U.S. Department of
Commerce, Technology Administration, National Technical Information Service,
5285 Port Royal Rd., Springfield, Virginia 22161 (1-800-553-6847).
(5)
Aseptic
techniques. If a resident needs any of the treatment or devices on the
list below, written and implemented procedures regarding aseptic techniques
shall be followed.
a. Intravenous or central
line catheter consistent with Guideline for Prevention of Intravascular Device
Related Infections, Centers for Disease Control, U.S. Department of Health and
Human Services, PB97-130074, (I, II, III)
b. Urinary catheter, (I, II, III)
c. Respiratory suction, oxygen or
humidification, (I, II, III)
d.
Decubitus care, (I, II, III)
e.
Tracheostomy, (I, II, III)
f.
Nasogastric or gastrostomy tubes, (I, II, III)
g. Sanitary use and reuse of feeding syringes
and single-resident use and reuse of urine collection bags. (I, II, III)
(6)
Dental
services. Personnel shall assist residents to obtain regular and
emergency dental services and provide necessary transportation. Dental services
shall be performed only on the request of the resident or legal guardian. The
resident's physician shall be advised of the resident's dental problems.
(Ill)
(7)
Safe
environment. The licensee of an RCF/PMI is responsible for the
provision and maintenance of a safe environment for residents and personnel.
(I, II) The RCF/PMI shall meet the fire and safety rules and regulations as
promulgated by the state fire marshal. (I, II)
(8)
Disaster The licensee
shall have a written emergency plan to be followed in the event of fire,
tornado, explosion, or other emergency. (II, III)
a. The plan shall be posted. (II,
III)
b. Training shall be provided
to ensure that all employees and residents are knowledgeable of the emergency
plan. The training shall be documented. (II, III)
c. Residents shall be permitted to smoke only
in posted areas where proper facilities are provided. Smoking by residents
considered to be careless shall be prohibited except under direct supervision
and in accordance with the IPP. (II, III)
(9)
Safety precautions. The
facility shall take reasonable measures to ensure the safety of residents and
shall involve the residents in learning the safe handling of household supplies
and equipment in accordance with the policies and procedures established by the
facility. (II)
a. All potent, poisonous, or
caustic materials shall be plainly labeled and stored in a specific locked,
well-illuminated cabinet, closet, or storeroom and made accessible only to
authorized persons. (I, 11)
b.
Residents shall have access to storage areas for cleaning and laundry supplies
as appropriate to the activities being performed unless contraindicated in
their IPP. (I, II)
(10)
Hazards. Entrances, exits, steps, and outside steps and
walkways shall be kept free from ice, snow, and other hazards. (II,
III)
(11)
Laundry.
All soiled linens shall be collected in and transported to the laundry room in
closed, leakproof laundry bags or covered, impermeable containers. (Ill)
a. Except for related activities, the laundry
room shall not be used for other purposes. (Ill)
b. Resident's personal laundry shall be
marked with an identification unless the resident is responsible for doing the
resident's own laundry as indicated in the individual program plan.
(Ill)
c. There shall be an adequate
supply of clean, stain-free linens so that each resident shall have at least
three washcloths, hand towels, and bath towels. (Ill)
d. Each bed shall be provided with clean,
stain-free, washable bedspreads and sufficient lightweight serviceable
blankets. A complete change of bed linens shall be available for each bed.
(Ill)
(12)
Supplies, equipment, and storage.
a. Each facility shall provide a variety of
supplies and equipment of a nature calculated to fit the needs and interests of
the residents. These may include: books (standard and large print), magazines,
newspapers, radio, television, bulletin boards, board game, game equipment,
songbooks, cards, craft supplies, record player, movie projector, piano, and
outdoor equipment. Supplies and equipment shall be appropriate to the
chronological age of the residents. (Ill)
b. Storage shall be provided for recreational
equipment and supplies. (Ill)
This rule is intended to implement Iowa Code section
135C.14(I).
