Iowa Administrative Code
Agency 481 - INSPECTIONS AND APPEALS
INSPECTIONS DIVISION
Chapter 71 - SUBACUTE MENTAL HEALTH CARE FACILITIES
Rule 481-71.12 - Personnel
Universal Citation: IA Admin Code 481-71.12
Current through Register Vol. 46, No. 19, March 20, 2024
(1) Staffing requirements. Availability of personnel must be sufficient to meet psychiatric and medical treatment needs of the residents served.
(2) Staffing shall include at minimum:
a. Twenty-four-hour-per-day,
seven-day-per-week availability of on-call psychiatrist or advanced registered
nurse practitioner with at least one year of experience in psychiatric
care;
b. Twenty-four-hour-per-day,
seven-day-per-week availability of on-call registered nurse with at least two
years of experience in psychiatric care or a registered nurse with a bachelor
of science in nursing (BSN) and at least one year of experience in psychiatric
care;
c. A mental health
professional as defined in Iowa Code section
228.1(7);
d. Direct care staff with at least one year
of experience in a mental health care setting; and
e. Social service staff at the bachelor level
with at least one year of experience in a mental health care setting.
(3) Personnel policies and procedures shall include the following requirements:
a. Written job descriptions for all employees
or agreements for all consultants, which include duties and responsibilities,
education, experience, or other requirements, and supervisory
relationships.
b. Annual
performance evaluations of all employees and consultants which are dated and
signed by the employee or consultant and the supervisor.
c. Personnel records which are current,
accurate, complete, and confidential to the extent allowed by law.
(1) The record shall contain documentation of
how the employee's or consultant's education and experience are relevant to the
position for which the employee or consultant was hired.
(2) The record shall contain documentation of
criminal history, child abuse and dependent adult abuse record checks, which
shall be conducted prior to employment.
d. Roles, responsibilities, and limitations
of student interns and volunteers.
e. An orientation program for all newly hired
employees and consultants that includes an introduction to the facility's
personnel policies and procedures and a discussion of the facility's safety
plan.
f. Equal opportunity and
affirmative action employment practices.
g. Procedures to be used when disciplining an
employee.
h. Appropriate dress and
personal hygiene for staff.
i. An
overview of recovery principles, person-centered planning and residents'
rights.
(4) The facility shall require regular health examinations for all personnel. Employees shall have a health examination within 12 months prior to beginning employment and regular examinations thereafter at least every four years. The examination shall include, at a minimum, the health status of the employee, including screening and testing for tuberculosis as described in 481-Chapter 59.
a. No person shall be allowed to provide
services in a facility if the person has a disease:
(1) Which is transmissible through required
workplace contact;
(2) Which
presents a significant risk of infecting others;
(3) Which presents a substantial possibility
of harming others; and
(4) For
which no reasonable accommodation can eliminate the risk.
b. There shall be written policies for
emergency medical care for employees in case of sudden illness or accident.
These policies shall include the administrative individuals to be
contacted.
c. Health certificates
for all employees shall be available for review by the department.
(5) Personnel record.
a. A personnel record shall be kept for each
employee.
b. The record shall
include the employee's:
(1) Name and
address,
(2) Social security
number,
(3) Date of
birth,
(4) Date of
employment,
(5)
References,
(6) Position in the
facility,
(7) Job
description,
(8) Documentation of
experience and education,
(9)
Criminal history, child abuse and dependent adult abuse background
checks,
(10) Staff training
records,
(11) Annual performance
evaluation,
(12) Documentation of
disciplinary action,
(13) Date and
reason for discharge or resignation,
(14) Current physical examination.
(6) Orders for medications and treatments shall be correctly implemented by qualified personnel.
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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