Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 110 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF SKILLED NURSING FACILITIES AND NURSING FACILITIES
Section 144-110-16 - Physician Services
Universal Citation: 10 ME Code Rules ยง 144-110-16
Current through 2024-38, September 18, 2024
16.A. Physician Services
Each resident must be under the care of a physician.
16.A.1. A physician must personally approve,
in writing, the recommendation that an individual be admitted to a nursing
facility.
16.A.2. A physical
examination, a copy of which must be in the resident's clinical record, must
have been performed five (5) days prior to or within seven (7) days of
admission.
16.A.3. The admitting
physician must participate in the initial and ongoing medical evaluation and
care planning of the resident.
16.A.4. The admitting physician must ensure
that another physician supervises the medical care of residents, when the
attending physician is unavailable.
16.A.5. The physician must visit the resident
and review the resident's total program of care including medications and
treatments as needed, at least once every thirty (30) days for the first ninety
(90) days and every sixty (60) days thereafter. A grace period of ten (10) days
may be allowed for the resident whose condition during this period of time did
not require medical attention.
16.A.6. Orders concerning medications and
treatments shall be in writing, signed and dated by a physician and shall be in
effect for the time specified by the physician, but in no case to exceed a
period of sixty (60) days unless there is a written reorder. A grace period of
ten (10) days may be allowed for the resident whose condition did not require a
review and reorders during this period of time.
16.A.7. Orders for Schedule II controlled
substances shall be in effect for no longer than one (1) week, unless there are
specific written orders to the contrary. In no case shall the order be in
effect for a period of more than thirty (30) days.
16.A.8. At the option of the physician,
required visits, after the initial visit, may alternate between personal visits
by the physician and visits by a physician's assistant, nurse practitioner or
clinical nurse specialist who meets the applicable definition, acts within the
scope of State law, and is under the supervision of the physician.
16.A.9. At each visit, the physician,
physician's assistant, nurse practitioner or clinical nurse specialist must
write, sign, and date progress notes.
16.A.10.
Availability of Physician for
Emergency Care
The facility must provide or arrange for the provision of physician services twenty-four (24) hours a day, in case of an emergency.
16.A.11.
Medical Director
a. There shall
be a medical director who is responsible for the medical direction and
coordination of medical care in the facility.
b. The duties, responsibilities and
availability of the medical director, and the terms of agreement, shall be
delineated in writing. The agreement shall be signed by the physician serving
as medical director and by an authorized representative of the
facility.
c. The medical director
is responsible for the:
1. Overall
coordination of medical care;
2.
Liaison with attending physicians;
3. Participation in the Quality Assurance
Committee and the Professional Policy Committee.
Disclaimer: These regulations may not be the most recent version. Maine 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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