Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 100.1 - ADULT RESIDENTIAL CARE HOMES › Subchapter 2 - TYPE I ARCH › Section 11-100.1-16 - Personal care services

Current through June, 2024
(a) Each resident
				  shall be given proper daily personal attention and care including but not
				  limited to skin, nails, hair, teeth, and oral hygiene in addition to any
				  therapeutic regimen ordered by the resident's physician or APRN.
(b) Residents shall be taught and encouraged
				  to perform health, hygiene, and grooming practices, including bathing, brushing
				  teeth, shampooing, combing and brushing hair, shaving and caring for toenails
				  and fingernails as independently as possible and be assisted as
				  necessary.
(c) Primary care givers
				  shall be responsible for proper care of and encourage the use of dentures, eye
				  glasses, hearing aids, braces and prostheses and ambulatory equipment. The
				  resident, family, legal guardian or responsible agency, shall be responsible
				  for any costs involved with purchase and maintenance of the above.
(d) When ordered by a physician, APRN, or
				  psychologist, primary care givers shall provide an appropriate training program
				  for every resident who has problems with elimination. Progress shall be
				  documented for each resident receiving such training.
(e) Residents who are incontinent shall be
				  bathed or cleaned promptly upon voiding and soiling. All soiled items shall be
				  segregated and appropriately stored until they can be properly
				  cleaned.
(f) Residents shall be
				  allowed to select and be dressed appropriately in clean and comfortable
				  clothing at all times.
(g)
				  Residents, and the residents' family members, legal guardians, surrogates and
				  case managers shall be given the opportunity to participate in the planning of
				  resident care and activities.
(h) A
				  schedule of activities shall be developed and implemented by the primary care
				  giver for each resident which includes personal services to be provided,
				  activities and any special care needs identified. The plan of care shall be
				  reviewed and updated as needed.
(i)
				  The primary care giver shall provide the opportunity for each resident to have
				  pneumococcal and influenza vaccines and all necessary immunizations following
				  the recommendations of the Advisory Committee on Immunization Practices (ACIP)
				  or resident's physician or APRN.
(j) Resident (s) manifesting behaviors that
				  may-cause injury to self or others shall be assessed by a physician or APRN to
				  determine least restrictive alternatives to physical restraint use, which may
				  be used only in an emergency when necessary to protect the resident from injury
				  to self or to others. If restraint use is determined to be required and ordered
				  by the resident's physician or APRN, the resident and the resident's family,
				  guardian or surrogate, and case manager shall be notified and a written consent
				  obtained. The licensee shall maintain a written policy for restraint use
				  outlining resident assessment processes, indications for use, monitoring and
				  evaluation and training of licensee and substitute care givers. Renewal orders
				  for restraint use shall be obtained on a weekly basis from the resident's
				  physician or APRN based on the assessment, monitoring and evaluation data
				  presented by the primary care giver.