Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.21 - Intermediate Care Facilities for the Developmental Disabled ( ICF /DD)
Rule 37.106.2151 - NURSING SERVICES AND STAFF
Universal Citation: MT Admin Rules 37.106.2151
Current through Register Vol. 18, September 20, 2024
(1) The facility must provide each client with nursing services in accordance with their needs, including:
(a) participation as
appropriate in the development, review, and update of an individual treatment
plan as part of the interdisciplinary team process;
(b) the development, with a physician, of a
medical care plan of treatment for a client when the physician has determined
that an individual client requires such a plan;
(c) for each client who is certified as not
needing a medical care plan, a review of their health status which must:
(i) be by a direct physical
examination;
(ii) be by a licensed
nurse;
(iii) be on a quarterly or
more frequent basis depending on client need;
(iv) be recorded in the client's record;
and
(v) result in any necessary
action (including referral to a physician to address client health problems)
;
(d) other nursing care
as prescribed by the physician or as identified by client needs; and
(e) implementation of appropriate protective
and preventive health measures that include, but are not limited to:
(i) training any client and staff as needed
in appropriate health and hygiene methods;
(ii) control of communicable diseases and
infections, including the instruction of other personnel in methods of
infection control; and
(iii)
training of direct care staff in detecting signs and symptoms of illness or
dysfunction, first aid for accidents or illness, and basic skills required to
meet the health needs of the client.
(2) The facility must:
(a) employ or arrange for licensed nursing
services sufficient to care for the client's health needs including any client
with a medical care plan;
(b)
utilize registered nurses as appropriate and required by Montana law to perform
the health services specified in this rule;
(c) have a formal arrangement with a
registered nurse to be available for verbal or on site consultation to the
licensed practical or vocational nurses (if utilizing only licensed practical
or vocational nurses to provide health services); and
(d) permit non-licensed nursing personnel who
work with any client under a medical care plan to do so only under the
supervision of licensed persons.
(3) Nurses providing services in the facility must have a current license to practice in Montana.
Sec. 50-5-103 and 50-5-238, MCA; IMP, Sec. 53-5-103, 50-5-201 and 50-5-238, MCA;
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