Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-101 - Specialty Hospital - Psychiatric
Section R432-101-20 - Inpatient Services
Universal Citation: UT Admin Code R 432-101-20
Current through Bulletin 2024-06, March 15, 2024
(1) Upon admission, a physician or qualified designee shall document the need for admission in accordance with hospital policy to include a brief narrative of the patient's condition that includes:
(a) the nurse's
admitting notes;
(b)
temperature;
(c) pulse;
(d) respiration levels;
(e) blood pressure; and
(f) weight.
(2)
(a) A
physician or qualified designee shall assess each patient's physical health and
conduct a preliminary psychiatric assessment within 24 hours of
admission.
(b) The physician or
designee's history and physical exam shall include:
(i) appropriate laboratory work-up;
(ii) a determination of the type and extent
of special examinations, tests, or evaluations needed; and
(iii) when indicated, a thorough neurological
exam.
(3) A psychiatrist or psychologist or qualified designee shall assess each patient's mental health within 24 hours of admission and ensure there is a written emotional or behavioral assessment of each patient entered in the patient's record.
(4) The licensee shall ensure there is a written assessment of the patient's legal status to include:
(a) a history with information about
competency, court commitment, criminal convictions, and any pending legal
actions;
(b) the urgency of the
legal situation; and
(c) how the
individual's legal situation may influence treatment.
(5)
(a) The
licensee shall ensure a written individual treatment plan is initiated for each
patient upon admission and completed no later than 7 working days after
admission.
(b) The licensee shall
ensure the individual treatment plan is based on the information resulting from
the assessment of patient needs, as required in Subsection
R432-101-20(1).
(c) The licensee shall ensure the person
responsible for the patient's care signs the individual treatment plan and
administers service according to the individual treatment plan.
(d) The licensee shall ensure that each
individual treatment plan is reviewed on a weekly basis for the first three
months, and thereafter at intervals determined by the treatment team, not to
exceed every other month.
(e) The
licensee shall ensure the written individual treatment plan for each patient is
based on a comprehensive functional assessment as outlined in Subsection
R432-101-22(7).
(f) The licensee shall invite the patient and
family to participate in the development and review of the individual treatment
plan.
(g) The licensee shall
document patient and family participation, or reasons why it is
inappropriate.
(h) The licensee
shall ensure the individual treatment plan is available to any personnel who
provide care for the patient.
(6)
(a) The
Utah State Hospital is exempt from the time frames required in Subsection
R432-101-20(4)
and Subsection R432-101-20(4)(d)
time frames for initiating and reviewing the individual treatment
plan.
(b) The Utah State Hospital
administrator shall ensure that an individual treatment plan is initiated for
each patient admitted within 14 days and the plan is reviewed on a monthly
basis.
Disclaimer: These regulations may not be the most recent version. Utah 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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