Current through Register Vol. 56, No. 18, September 16, 2024
(a) A personal, primary physician or medical
group/clinic or advanced practice nurse shall be identified for each person
served.
(b) Each person served
shall, at a minimum, have an annual medical examination.
1. The examining physician or advanced
practice nurse shall sign, date and document the results of the
examination.
2. A copy of the
results of the annual examination shall be maintained in the file of the person
served. The confidentiality of this document shall be maintained in accordance
with N.J.A.C. 10:41-2.
3. Should a
competent person served refuse such an examination, documentation signed and
dated by the person served rejecting the service, as well as the name of the
staff offering the service, shall be filed in the record of the person
served.
4. Additional documentation
shall be provided whenever the refusal of treatment is considered to be
necessary, but not life threatening. The document shall identify steps taken to
counsel the person served regarding the risks and consequences of
refusal.
(c) Each person
served shall, at a minimum, have an annual dental or oral examination.
1. A record documenting the results of the
dental examination, signed and dated by the dentist, shall be maintained in the
record of the person served.
2.
Should a competent person served refuse such an examination, documentation
signed and dated by the person served rejecting the service, as well as the
name of the staff offering the service, shall be filed in the person's
record.
3. Additional documentation
shall be provided whenever the refusal of any medical exam or treatment is
considered necessary, but not life threatening. The document shall identify
steps taken to counsel the person served regarding the risks and consequences
of refusal.
(d) Upon any
known or suspected exposure to a confirmed case of M. Tuberculosis
by a person served, the agency shall consult with the local health
department and maintain documentation that all requirements for follow up
testing were met.
(e) The licensee
shall follow-up on all health needs including medical treatment,
pharmaceutical, dental or other needed services.
1. Documentation shall be maintained in the
record of the person served.
(f) The licensee shall assure that the
community residence has access to emergency medical services.
(g) Each licensed program site shall have a
first aid kit to include:
1.
Antiseptic;
2. Rolled gauze
bandages;
3. Sterile gauze
bandages;
4. Adhesive paper or
ribbon tape;
5. Scissors;
6. Adhesive bandage (for example,
Band-Aids);
7. Either a standard
type or a digital thermometer;
8.
CPR Mask; and
9. Protective
gloves.
(h) Upon
confirmation that a person served has contracted a communicable disease as
specified at N.J.A.C. 8:57, the licensee shall assure exposed persons served
are placed under a physician's or advanced practice nurse's care.
1. The physician or advanced practice nurse
of the person served shall determine treatment and precautions to be taken.
i. Documentation of treatment and precautions
shall be maintained in the person's file.
2. If the person served does not live alone,
the licensee shall contact the primary physician or advanced practice nurse for
all other persons served in the residence.
(i) The agency shall assure that all adaptive
and assistive devices are available for each person served who requires
them.
