Current through Register Vol. 35, No. 18, September 24, 2024
The boarding home shall ensure the safety or residents within
the home and that staff are trained and able to respond in emergencies.
A. Staff responsible for providing direct
care and supervision shall receive training in first aid and cardiopulmonary
resuscitation (CPR) from persons qualified by agencies including but not
limited to the American red cross.
(1) If the
boarding home has no medical unit on the grounds, first aid supplies shall be
maintained and be readily available in a central location in the boarding
home.
(2) The supplies shall
include at least the following:
(a) A current
edition of a first aid manual approved by the American red cross, the American
medical association or a state or federal health agency.
(b) Sterile first aid dressings.
(c) Bandages or roller bandages.
(d) Adhesive tape.
(e) Scissors.
(f) Tweezers.
(g) Thermometers.
(h) Antiseptic solution.
B. If resident experiences a
medical emergency, boarding home staff should immediately contact emergency
services. There shall be at least one person capable of and responsible for
communicating with emergency personnel.
(1)
The following information shall be readily available:
(a) The name, address and telephone number of
each resident's physician and dentist, and other medical and mental health
providers, if any.
(b) The name,
address and telephone number of each emergency agency, including but not
limited to the fire department, crisis center or paramedical unit. There shall
be at least one medical resource available to be called at all times.
(c) The name and telephone number of an
ambulance service.
(d) An advance
directive or request regarding resuscitative measures.
(2) For residents with an advance directive
or request regarding resuscitative measures, during a medical emergency, the
boarding home staff shall present the advance directive or request regarding
resuscitative measures to emergency personnel.
(3) When a resident requires prosthetic
devices, or vision or hearing aids, the staff shall be familiar with the use of
these devices and aids and shall assist the resident with their utilization as
needed.
C. If a resident
or visitor is engaging in behavior which is a threat to their mental or
physical health or safety, or to the health and safety of others in the
boarding home, the boarding home staff must immediately contact emergency
services.
D. The boarding home must
ensure that the following conditions are met if oxygen equipment is in use:
(1) The licensee makes a written report to
the local fire jurisdiction that oxygen is in use at the boarding
home.
(2) "No Smoking - oxygen in
use" signs shall be posted in appropriate areas.
(3) Smoking is prohibited where oxygen is in
use.
(4) All electrical equipment
is checked for defects that may cause sparks.
(5) Oxygen tanks that are not portable are
secured either in a stand or to the wall.
(6) Plastic tubing from the nasal canula
(mask) to the oxygen source is long enough to allow the resident movement
within their room but does not constitute a hazard to the resident or
others.
(7) Residents use oxygen
from a portable source when they are outside of their rooms or when walking in
a day care setting.
(8) Equipment
is operable.
(9) Equipment is
removed from the boarding home when no longer in use by the resident.
E. The boarding home must have a
valid custodial drug permit issued by the state board of pharmacy, that
supervise the self-administration of medications or safeguards with regard to
medications for the residents. All medications, including non-prescription
drugs, shall be stored in a locked compartment or in a locked room, as approved
by the board of pharmacy and the key shall be in the care of the manager or
designee.
(1) Internal medication shall be
kept separate from external medications. Drugs to be taken by mouth shall be
separated from all other delivery forms.
(2) A separate, locked refrigerator, a
separate locked box within a refrigerator or a refrigerator in a locked room.
shall be provided by the boarding home for medications. The refrigerator
temperature shall be kept in compliance with the state board of pharmacy
requirements for medications.
(3)
All medications, including nonprescription medications, shall be stored in
separate compartments for each resident and all medications shall be labeled
with the resident's name and in compliance with label instructions and state
and federal laws.
(4) No person
other than the dispensing pharmacist shall alter a prescription
label.
(5) Each resident's
medication shall be stored in its originally received container.
(6) No medications shall be transferred
between containers.
(7) A resident
may be permitted to keep their own medication in a locked compartment in their
room for self-administration, if the physician's order deems it
appropriate.
(8) The boarding home
shall not require the residents to purchase medications from any particular
pharmacy.
