Connecticut Administrative Code › Title 19 - Public Health and Safety › 13-D - The Public Health Code of the State of Connecticut › Chapter IV - Hospitals, Child Day Care Centers, Other Institutions and Children's General Hospitals › Section 19-13-D13 - Chronic and convalescent nursing homes and rest homes with nursing supervision with authorization to care for persons with manageable psychiatric conditions as determined by a board qualified or certified psychiatrist

Current through July 10, 2024
Chronic and convalescent nursing homes and rest homes with
				  nursing supervision licensed under section 19-33 of the general statutes
				  complying with this section may be authorized to accept persons suffering from
				  manageable psychiatric conditions as determined by a board qualified or
				  certified psychiatrist when such persons have been evaluated by a physician
				  licensed to practice medicine and surgery in Connecticut who has completed
				  graduate residency training approved by the American Board of Psychiatry and
				  Neurology and when this physician has recommended in writing that the person
				  may be appropriately cared for in the nursing home:
(a) In all chronic and convalescent nursing
				homes of any size and rest homes with nursing supervision of sixty one beds or
				more there shall be in attendance at all times a registered nurse, or a nurse
				with special training or experience in the care of mental patients. In rest
				homes with nursing supervision of sixty beds or less the registered nurse or a
				nurse with special training or experience in the care of mental patients may be
				a consultant. Consultation shall be at least eight hours per week.
(b) A person suffering from a manageable
				psychiatric condition as determined by a qualified psychiatrist may be admitted
				to such a nursing home or rest home with nursing supervision only on a written
				certificate. Such certificate shall give the name and location of the nursing
				home or rest home with nursing supervision to which admission is sought, the
				name and address of the person in charge, the name, age, sex and residence of
				the patient, the name and address of a responsible relative or guardian, the
				diagnosis of the mental condition according to standard classified nomenclature
				of mental disease, the prognosis of the case and previous admissions to
				psychiatric hospitals and shall express the opinion that the patient may be
				cared for in such nursing home without injury to the patient or persons or
				property. These certificates shall be kept in a manner approved by the
				commissioner of health.
(c) The
				following rules apply to the care of patients:
(1) Patients shall be treated kindly at all
				times.
(2) No patient shall be
				restrained, either by physical or chemical means, except on written order of a
				physician. Should such physical or chemical restraint be required, the
				physician shall record in the patient's clinical record the order for such
				restraint and the reason that such restraint is required as well as the
				suitability of the patient for continued stay in a chronic and convalescent
				nursing home or a rest home with nursing supervision. The physician shall be
				required to renew the order for such restraint and to indicate the reason for
				such restraint at least every ten days. The nursing staff shall be required to
				record all physicial restraints used by type, frequency of use and each time
				they are checked to ensure the patient's health and safety are not being
				jeopardized. Licensed nurses may use physical restraints to protect the
				patient, or others in the institution, if such nurse or nurses deem that this
				action is necessary. This action may be done without a physician's order
				providing that the physician is notified as soon as the patient is safely under
				control and the physician shall visit the institution to take appropriate
				action in regard to the nurse's decision within eight hours of the
				notification.
(3) If a patient's
				condition changes so that he may do injury to himself, other persons or
				property, arrangement shall be made for his immediate transfer to a more
				suitable institution.
(4) No
				patient may be held contrary to the commitment laws of Connecticut.