(1)The Program must have written procedures for providing immediate transportation for individuals to a general hospital in case of a medical emergency.
(2)The Program must have a written description of its medical policies and procedures. The description must:
(a)Specify the level of medical care provided; and
(b)Include a written policy and procedure, developed by the Medical Director, for determining the individual’s need for medical evaluation.
(3)The Medical Director’s involvement in the development and review of medical operating procedures, quarterly reviews of physicians’ standing orders, and consultation in any medical emergencies must be documented.
(4)In clinically managed environments, individuals must have access to intensive inpatient treatment services, as follows:
(a)Transfer to medically monitored services as necessary;
(b)Medical evaluation and consultation is available 24 hours a day by appropriately credentialed persons who are trained and competent to implement physician-approved protocols.;
(c)Medical evaluation and consolation must be available 24 hours a day, in accordance with treatment/transfer practice guidelines;
(d)The initial assessment must be conducted by appropriately credentialed personnel.
(e)Appropriately licensed and credentialed staff must be available to administer medications in accordance with physician orders. (5) In medically monitored environments, individuals must have access to services which provide intensive inpatient treatment services, as follows:
(f)LMPss must be available 24 hours a day by telephone;
(g)An individual must be seen by an LMP within 24 hours of admission, or sooner if medically necessary;
(h)An LMP must be available to provide onsite monitoring of care and further evaluation on a daily basis;
(i)The initial assessment must be conducted by a skilled nursing staff.
(j)On-site skilled nursing care must be provided twenty-four (24) hours per day, seven (7) days per week; and
(k)Appropriately licensed and credentialed staff must be available to administer medications in accordance with physician orders.
Rule 415-050-0040 — Medical Services,