Current through Register Vol. 50, No. 9, September 20, 2024
A. The hospital or
unit shall provide qualified professional, technical and consultative personnel
to evaluate patients, formulate written individualized comprehensive treatment
plans, provide active treatment measures and engage in discharge
planning.
B. The hospital or unit
shall employ a clinical director, who meets the training and experience
requirements for examination by the American Board of Psychiatry and Neurology,
or the American Osteopathic Board of Neurology and Psychiatry. The clinical
director shall monitor and evaluate the quality and appropriateness of services
and treatment provided by the medical staff.
C. The hospital or unit shall employ a
full-time registered nurse as director of psychiatric nursing services, who is
not shared with any other hospital department and who has:
1. a master's degree in psychiatric or mental
health nursing; or
2. a master's
degree in a related field such as psychology or nursing education and five
years nursing experience and three years providing nursing care to the mentally
ill; or
3. a bachelor's, associate
degree or diploma in nursing with documented evidence of educational programs
focused on treating psychiatric patients, which has occurred at intervals
sufficient enough to keep the nurse current on psychiatric nursing techniques.
In addition, the nurse shall have at least five years of nursing experience,
three years of which were providing nursing care to the mentally ill, or
receive regular, documented supervision/consultation from a master's prepared
psychiatric nurse.
D. In
addition to the director of psychiatric nursing service, the hospital or unit
shall provide 24-hour registered nurse coverage with an adequate number of
licensed nurses and mental health workers to provide the nursing care necessary
under each patient's active treatment program.
E. Psychological services shall be provided
by or supervised by a psychologist licensed by the Louisiana State Board of
Examiners of Psychologists.
F.
Social services shall be provided by a director who is a licensed clinical
social worker and is experienced in the social service needs of the mentally
ill.
G. Therapeutic activities
shall be clinically supervised and provided by therapeutic recreational
therapists adequate in number to respond to the therapeutic activity needs of
the patient population being served.
1. An
individual who clinically supervises therapeutic recreation activities shall
meet the following qualifications:
a. have a
degree in therapeutic recreation therapy from an accredited post-secondary
institution; or
b. have a degree
in another field of study and has also attained certification in accordance
with the National Council for Therapeutic Recreation Certification
requirements.
2. An
individual who provides therapeutic recreational services shall have the
following qualifications:
a. a degree in
therapeutic recreation from an accredited post-secondary institution;
or
b. a degree in another field of
study and has also attained certification in accordance with the National
Council for Therapeutic Recreation Certification requirements; or
c. a minimum of 10 years' experience
providing therapeutic recreational services; or
d. be currently employed as a therapeutic
recreational specialist 2 per Louisiana Civil Service requirements.
3. Individuals currently providing
therapeutic recreational services who do not meet the qualifications of
§9501. G 1-2.d, shall
have two years from the effective date of this Rule to qualify as therapeutic
recreational therapists.
4.
Licensed hospitals providing therapeutic recreational services pursuant to
§9501 and whose staff do not meet the
qualifications of
§9501. G.2 a-d within the
time frame provided for in
§9501. G 3, shall submit
to the department documentation which:
a.
clearly indicates why the qualifications have not been met; and
b. provides evidence of a barrier to access
of such services in the hospital's service area.
5. No hospital shall submit the documentation
allowed for in
§9501. G.4 more than once
and the submission shall cover a period of no more than 12 months from the date
of receipt by the department.
6.
Recreational therapy shall be designed to:
a.
restore, remediate and rehabilitate a person's level of functioning and
independence in life activities;
b. promote health and wellness; and
c. reduce or eliminate the
activity limitations and restrictions to participation in life situations
caused by an illness or disabling condition.
Examples of intervention modalities include, but are
not limited to, creative arts (e.g., crafts, music, dance, drama, among
others), sports, adventure programming, dance/movement, and leisure
education.
AUTHORITY NOTE: Promulgated in accordance with
R.S.
40:2100-2115.
