(1)A physician must be available 24 hours per day, seven days per week to provide medical supervision of the services provided.
(a)In accordance with state law, those physicians authorized to order seclusion or restraint pursuant to the facility policy, must at minimum have a working knowledge of the hospital policy regarding the use of seclusion and restraint.
(b)A physician must examine a person admitted to the facility within 24 hours of the person’s admission.
(2)At least one registered nurse must be on duty at all times.
(3)The facility must maintain a personnel file for each patient care staff which includes a written job description; the minimum level of education or training required for the position; copies of applicable licenses, certifications, or degrees granted; annual performance appraisals; a biennial, individualized staff development plan signed by the staff; documentation of CPR training; documentation of annual training and certification in managing aggressive behavior, including seclusion and restraint; and other staff development and/or skill training received.
(4)Health Care Supervisor. The facility must appoint as Health Care Supervisor a physician, a psychiatric nurse practitioner, a master’s level registered nurse or a registered nurse certified by the American Nursing Association. The health care supervisor shall review and approve policies and procedures relating to:
(a)The reporting of indicators of medical problems to a physician; and
(b)Curriculum for the staff training, as identified in these rules.
Rule 309-033-0725 — Medical Services,