reglab/statecodes huggingface dataset:
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-16 - ADULT DAY CARE › Section 59A-16.109 - Physical Plant, Sanitary Conditions, Housekeeping Standards and Maintenance

Current through Reg. 50, No. 138; July 16, 2024
(1) The Center shall
				provide adequate, safe and sanitary facilities appropriate for the services
				provided by the Center and for the needs of the Participants. All Centers
				receiving federal funds shall meet regulations for access to the handicapped in
				compliance with the Americans With Disabilities Act of 1990.
(2) The Participant Capacity shall be
				determined by the total amount of Net Floor Space available for all of the
				Participants. Centers licensed prior to the effective date of this rule shall
				provide 30 square feet of net floor area per Participant. For Centers initially
				licensed after November 9, 1995, there shall not be less than 45 square feet of
				net floor area per Participant. Centers shall be required to provide additional
				floor space for special target populations to accommodate activities required
				by Participant care plans. A change in space usage that increases or decreases
				the Participant Capacity must continue to comply with all requirements of part
				III of chapter 429, F.S., and this rule.
(3) The Participant Capacity of facilities
				that are exempt from licensure as an Adult Day Care Center pursuant to section
				429.905, F.S., shall be
				determined by the total amount of Congregate Space available to the
				Participants. Such Facilities shall utilize separate space over and above the
				minimum requirement needed to meet their own licensure certification approval
				requirements.
(4) The Center shall
				have available and shall make accessible to the Agency written policies and
				procedures for the cleaning of the physical plant and equipment and for the
				maintenance of such.
(5) Center
				facilities shall consist of, but not be limited to, the following:
(a) Bathrooms;
(b) Dining areas;
(c) Kitchen areas;
(d) Rest areas; and,
(e) Recreation and leisure time
				areas.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-16 - ADULT DAY CARE › Section 59A-16.110 - Adult Day Care Center Staff Training Requirements (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 429.917(1) FS. Law Implemented
					 429.917(1) FS.
New 1-1-04, Amended 8-3-15, Formerly
					 58A-6.015, Amended 7-1-19,
					 Repealed 3-5-24.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-16 - ADULT DAY CARE › Section 59A-16.111 - Specialized Alzheimer's Services Adult Day Care Center Training Requirements (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 429.918(6)(b), 429.929(1) FS. Law
					 Implemented 429.918(6)(a) FS.
New 8-3-15, Formerly
					 58A-6.0151, Amended 7-1-19,
					 Repealed 3-5-24.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-17 - TRANSITIONAL LIVING FACILITIES FOR THE SPINAL CORD-INJURED, HEAD-INJURED PERSONS › Section 59A-17.101 - Licensure

Current through Reg. 50, No. 138; July 16, 2024
(1) Definitions.
(a) Facility. A free-standing building, a
				complex of adjoined buildings, pods, or wings, or a complex of separate or
				adjoined buildings located within one campus.
(b) Client. A person with a spinal-cord or
				head injury, as specified in section
				400.9973(3),
				Florida Statutes, who is housed in a Transitional Living
				Facility.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-17 - TRANSITIONAL LIVING FACILITIES FOR THE SPINAL CORD-INJURED, HEAD-INJURED PERSONS › Section 59A-17.102 - Licensure (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.805, 408.819 FS. Law Implemented
					 400.805, 408.805, 408.819 FS.
New 9-28-92, Amended 10-19-94, 5-24-98, 8-28-14, Repealed
					 9-6-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-17 - TRANSITIONAL LIVING FACILITIES FOR THE SPINAL CORD-INJURED, HEAD-INJURED PERSONS › Section 59A-17.119 - Physical Plant Standards

Current through Reg. 50, No. 138; July 16, 2024
Each transitional living facility licensee must establish and
				  implement written policies designed to maintain the physical plant and overall
				  transitional living facility environment to assure the safety and well-being of
				  clients.
Rulemaking Authority 400.9982 FS. Law Implemented 400.9982
					 FS.
New 9-28-92, Amended 10-19-94, 8-28-14,
					 5-9-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-17 - TRANSITIONAL LIVING FACILITIES FOR THE SPINAL CORD-INJURED, HEAD-INJURED PERSONS › Section 59A-17.125 - Administration of Medications to Clients by Unlicensed Direct Care Service Staff

Current through Reg. 50, No. 138; July 16, 2024
(1) It is the
				responsibility of the licensee to ensure that individual unlicensed direct care
				service staff (UDC) who will be administering medication to clients meet all
				requirements of this rule.
(2) UDC
				may administer only prescribed, prepackaged, premeasured oral, topical nasal,
				and ophthalmic medications.
(3) UDC
				may administer over the counter (OTC) medications as currently prescribed by
				the client's health care professional.
(4) UDCs may not:
(a) Administer medications by injection
				including intramuscular, intravenous or subcutaneous;
(b) Administer medication vaginally or
				rectally; or
(c) Conduct glucose
				monitoring.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-17 - TRANSITIONAL LIVING FACILITIES FOR THE SPINAL CORD-INJURED, HEAD-INJURED PERSONS › Section 59A-17.126 - Training and Validation Required for Unlicensed Direct Care Service Staff

Current through Reg. 50, No. 138; July 16, 2024
(1) Required
				medication administration training must include criteria to ensure that
				competency is demonstrated through validation of the qualification of the
				unlicensed direct care services staff (UDC) and all requirements of UDC
				specified in this rule chapter.
(2)
				Medication administration training will be conducted by a registered nurse,
				pharmacist or physician for UDCs and will be provided by the transitional
				living facility (TLF) licensee. Any person providing medication administration
				training sessions or conducting skills validation tests must first complete a
				trainer orientation session, which includes requirements of this rule and
				information to be covered during medication administration training sessions.
				Documentation of the trainer's completed orientation will be provided to each
				UDC that he or she trains or validates.
(3) Medication administration training must
				include the following topics:
(a) Basic
				knowledge and skills necessary for medication administration charting on the
				Medication Administration Record (MAR);
(b) Roles of the physician, nurse, pharmacist
				and direct care staff in medication supervision;
(c) Procedures for recording/charting
				medications;
(d) Interpretation of
				common abbreviations used in the administration and charting of
				medications;
(e) Knowledge of
				facility medication systems;
(f)
				Safety precautions used in medication administration;
(g) Methods and techniques of medication
				administration;
(h) Problems and
				interventions in the administration of medications;
(i) Observation and reporting of anticipated
				side effects, adverse effects and desired positive outcome; and,
(j) Each duty of UDCs as required in this
				rule chapter.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.001 - Purpose (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.497, 400.506 FS.
New 2-9-93, Amended 12-24-00, Repealed
					 5-14-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
When used in this rule chapter, unless the context otherwise
				  requires, the term:
(1) "AHCA" means
				Agency for Health Care Administration.
(2) "Assistance with activities of daily
				living" means a certified nursing assistant or a home health aide providing an
				individual assistance with activities promoting self-care and independence, to
				include the following:
(a) Ambulation.
				Providing physical support to enable the patient to move about within or
				outside of the patient's place of residence. Physical support includes holding
				the patient's hand, elbow, under the arm, or holding on to a support belt worn
				by the patient to assist in providing stability or direction while the patient
				ambulates.
(b) Bathing. Helping the
				patient in and out of the bathtub or shower, adjusting water temperatures,
				washing and drying portions of the body which are difficult for the patient to
				reach, and being available while the patient is bathing. Can also include
				washing and drying the patient who is bed-bound.
(c) Dressing. Helping the patient put on and
				remove clothing.
(d) Eating.
				Helping with feeding patients who require assistance with feeding
				themselves.
(e) Personal hygiene.
				Helping the patient with shaving and with oral, hair, skin and nail
				care.
(f) Toileting. Reminding the
				patient about using the toilet, assisting to the bathroom, helping to undress,
				positioning on the commode, and helping with related personal hygiene,
				including assistance with changing of an adult brief. Also includes assisting
				with positioning the patient on the bedpan, and helping with related personal
				hygiene.
(g) Assistance with
				physical transfer. Providing verbal and physical cueing, physical assistance,
				or both while the patient moves from one position to another, for example
				between the following: a bed, chair, wheelchair, commode, bathtub or shower, or
				a standing position. Transfer can also include use of a mechanical lift, if a
				home health aide or CNA is trained in its use.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.004 - Licensure Requirements, Procedures, and Fees

Current through Reg. 50, No. 138; July 16, 2024
(1) In order to operate a nurse registry as
				defined under section
				400.462, F.S., the owner shall
				make application for a license on the Health Care Licensing Application, Nurse
				Registry, AHCA Form 3110-7004, March 2016, incorporated by reference and
				available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-07162
,
				and the Health Care Licensing Application Addendum prescribed in subsection
				59A-35.060(1),
				F.A.C. Applicants for renewal of a nurse registry license may submit the Health
				Care Licensing Online Application, Nurse Registry, AHCA Form 3110-7004OL, March
				2016, incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07163
.
				The application forms are available online at:
				http://ahca.myflorida.com/HQAlicensureforms or, for online renewal submissions,
				at: http://apps.ahca.myflorida.com/SingleSignOnPortal. The application shall be
				accompanied by a $2, 000 licensure fee. The application and other pertinent
				information can be obtained at the AHCA website:
				http://ahca.myflorida.com/HQAlicensureforms. The receipt of a license from AHCA
				shall be based upon compliance with all applicable rules and laws, as evidenced
				by a signed application and upon the results of a survey conducted by AHCA
				representatives.
(2) For renewal
				and change of ownership licensure, the application forms and licensure fee in
				subsection (1) must be submitted as required in section
				408.806(2),
				F.S.
(3) A license shall not be
				granted to anyone under 18 years of age.
(4) Evidence of financial ability to operate
				for initial licensure and change of ownership applications must be submitted
				with the application, which shall consist of the completion of the financial
				schedules contained in a form as prescribed in subsection
				59A-35.062(2),
				F.A.C.
(5) Satellite offices - A
				satellite office shares administration, fiscal management, and services with
				the main operational site; it is not separately licensed and is exempt from the
				requirements in paragraphs
				59A-18.004(9)(a) and
				(b), F.A.C. A satellite office must be listed
				on the license of the nurse registry operational site. A nurse registry that
				operates a satellite office must:
(a)
				Maintain a system of communication and integration of services between the
				nurse registry operational site and the satellite office;
(b) Provide access to patient records at the
				satellite office;
(c) Ensure
				periodic onsite visits to each satellite office by the nurse registry's
				administrator;
(d) Make the
				satellite office's hours of operation available to the public if different than
				the hours of operation maintained by the nurse registry operational
				site.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.005 - Registration Policies

Current through Reg. 50, No. 138; July 16, 2024
(1) Each nurse
				registry shall disseminate the following rules and statutes to each applicable
				independent contractor at the time of registration. The rules and statutes may
				be provided by paper copy, by email or other means of electronic communication.
(a) Registered nurses and licensed practical
				nurses shall receive for their use and reference:
1. Rule
				59A-18.005, F.A.C., Registration
				Policies.
2. Rule
				59A-18.007, F.A.C., Registered
				Nurses and Licensed Practical Nurses.
3. Rule
				59A-18.011, F.A.C., Medical Plan
				of Treatment.
4. Rule
				59A-18.012, F.A.C., Clinical
				Records.
5. Rule
				59A-18.013, F.A.C.,
				Administration of Biologicals.
6.
				Sections 400.506,
				408.809,
				400.484,
				400.462,
				400.488 and
				408.810(5),
				F.S., with the telephone numbers referred to in the law.
7. Rule
				59A-18.018, F.A.C., Emergency
				Management Plans.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.006 - Administrator

Current through Reg. 50, No. 138; July 16, 2024
The administrator of the nurse registry shall:
(1) Be a licensed physician, an advanced
				practice registered nurse, a registered nurse, or an individual with training
				and experience in health service administration and at least one year of
				supervisory or administrative experience in the health care field;
(2) Have knowledge, through training,
				experience or education, with the work requirements and the prerequisites for
				licensure or certification in each of the health care disciplines and
				specialties for which the registry is providing referrals;
(3) Have knowledge with the rules of AHCA and
				maintain them in the nurse registry;
(4) Be available, or have the alternate
				administrator available, at all times during operating hours as stated in
				paragraph 59A-18.004(8)(a),
				F.A.C., and be responsible for the total operation of the nurse registry.
				Available during operating hours means being readily available on the premises
				or by telecommunications during the above operating hours;
(5) Designate in writing a qualified
				individual to serve as the alternate administrator during absences of the
				administrator. During such absences, the on-site alternate administrator will
				have the responsibility and authority for the daily operation of the registry.
				The alternate administrator must meet qualifications as stated in subsection
				59A-18.006(1),
				F.A.C.;
(6) Be responsible for the
				completion, maintenance and submission of such reports and records as required
				by AHCA;
(7) Be responsible for
				making sure that the nurse registry advises the patient, the patient's family,
				or any other person acting on behalf of the patient at the time the referral is
				made that:
(a) The caregiver is an independent
				contractor and that it is not the obligation of a nurse registry to monitor,
				supervise, manage or train the caregiver as required in section
				400.506(6)(e),
				F.S.; and,
(b) Registered nurses
				are available to make visits to the patient's home for an additional cost when
				a certified nursing assistant or home health aide is referred as required in
				section 400.506(6)(c),
				F.S.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.007 - Registered Nurse and Licensed Practical Nurse

Current through Reg. 50, No. 138; July 16, 2024
The registered nurse and the licensed practical nurse
				  shall:
(1) Be responsible for the
				clinical records for their patients. The clinical records shall be filed with
				the nurse registry, for each patient or client to whom they are giving care in
				the home or place of residence. Clinical notes and clinical records related to
				care given under a staffing arrangement are maintained by the facility where
				the staffing contract is arranged;
(2) Be responsible for maintaining the
				medical plan of treatment with clinical notes and filing the initial medical
				plan of treatment, any amendments to the plan, any additional order or change
				in orders, and a copy of the clinical notes at the office of the nurse
				registry.
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.497, 400.506 FS.
New 2-9-93, Amended 1-27-94, 12-24-00,
					 5-4-15.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.0081 - Certified Nursing Assistant and Home Health Aide

Current through Reg. 50, No. 138; July 16, 2024
The certified nursing assistant (CNA) and the home health
				  aide shall:
(1) Be limited to
				assisting a patient in accordance with Section
				400.506(6)(b),
				F.S.;
(2) Be responsible for
				documenting services provided to the patient or client and for filing said
				documentation with the nurse registry on a regular basis. These service logs
				will be stored by the nurse registry in the client's file. The service logs
				shall include the name of the patient or client and a listing of the services
				provided;
(3) Be responsible for
				observing appearance and gross behavioral changes in the patient and reporting
				these changes to the patient's health care surrogate or other person designated
				by the patient and the nurse registry or to the responsible facility employee
				if staffing in a facility;
(4) Be
				responsible to maintain a clean, safe and healthy environment, which may
				include light cleaning and straightening of the bathroom, straightening the
				sleeping and living areas, washing the patient's dishes or laundry, and such
				tasks to maintain cleanliness and safety for the patient;
(5) Perform other activities as taught and
				documented by a registered nurse, concerning activities for a specific patient
				and restricted to the following:
(a) Assisting
				with the placement or removal of a colostomy bag, excluding the removal of the
				flange or manipulation of the stoma's site;
(b) Assisting with the application and
				removal of anti-embolism stockings and hosiery prescribed for therapeutic
				treatment of the legs.
(c)
				Assisting with the use of devices for aid to daily living such as a wheelchair
				or walker;
(d) Assisting with
				prescribed range of motion exercises;
(e) Assisting with prescribed ice cap or
				collar;
(f) Administer simple urine
				tests for sugar, acetone or albumin;
(g) Assisting with the use of a glucometer to
				perform blood glucose testing;
(h)
				Measuring and preparing special diets;
(i) Measuring intake and output of
				fluids;
(j) Measuring vital signs,
				including temperature, pulse, respiration or blood pressure;
(k) Assisting with oxygen nasal cannulas and
				continuous positive airway pressure (CPAP) devices, excluding the titration of
				the prescribed oxygen levels; and
(l) Assisting with the reinforcement of
				dressing.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.009 - Homemakers or Companions

Current through Reg. 50, No. 138; July 16, 2024
(1) The homemaker
				shall have the following responsibilities:
(a) To maintain the home in the optimum state
				of cleanliness and safety depending upon the client's and the caregiver's
				resources;
(b) To perform the
				functions generally undertaken by the natural homemaker, including such duties
				as preparation of meals, laundry, and shopping;
(c) To perform casual, cosmetic assistance,
				such as brushing the client's hair, assisting with make-up, filing and
				polishing nails, with the exception of clipping nails for diabetic
				patients;
(d) To stabilize the
				client when walking, as needed, by holding the client's arm or hand; and,
(e) To report any unusual
				incidents or changes in the patient's or client's behavior to the person(s)
				designated by the client.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.010 - Acceptance of Patients or Clients

Current through Reg. 50, No. 138; July 16, 2024
Policies for acceptance of patients or clients and
				  termination of services to patients or clients shall include, for example, the
				  following conditions:
(1) No patient
				or client shall be refused service because of age, race, color, sex or national
				origin, pursuant to chapter 760, F.S.
(2) When a patient or client is accepted for
				referrals of independent contractors, there shall be a reasonable expectation
				that the requested services can be provided adequately and safely in their
				residence. The responsibility of the registry is to refer independent
				contractors capable of delivering services as defined in a specific medical
				plan of treatment for a patient or services requested by a client, including
				all visits.
(3) When medical
				treatments or medications are administered, physician's, advanced practice
				registered nurse's, or physician assistant's orders in writing that are signed
				and dated shall be included in the clinical record; and,
(4) When services are to be terminated, the
				patient or client, or the person designated by the patient or client shall be
				notified of the date of termination and the reason for termination, and these
				shall be documented in the patient or client's record.
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.497, 400.506 FS.
New 2-9-93, Amended 12-24-00, 3-15-07,
					 5-4-15.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.011 - Medical Plan of Treatment

Current through Reg. 50, No. 138; July 16, 2024
(1) When the
				delivery of skilled care to a patient in the home is under the direction or
				supervision of a physician or when a physician, physician's assistant or
				advanced practice registered nurse is responsible for the medical care of the
				patient, a medical plan of treatment must be established for each patient
				receiving care or treatment provided by the licensed nurse in the home or
				residence.
(2) The licensed nurse
				providing care to the patient is responsible for having the medical plan of
				treatment signed by the physician, physician assistant, or advanced practice
				registered nurse, acting within his or her respective scope of practice, within
				30 days from the initiation of services and reviewed by the physician,
				physician assistant, or advanced practice registered nurse in consultation with
				the licensed nurse at least every 2 months.
(3) The licensed nurse responsible for
				delivering care to the patient is responsible for the medical plan of treatment
				which shall include, at a minimum, the following:
(a) Diagnoses;
(b) Activities permitted when
				indicated;
(c) Diet when
				indicated;
(d) Medication,
				treatments, and equipment required; and,
(e) Dated signature of physician, physician
				assistant, or advanced practice registered nurse.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.012 - Clinical Records

Current through Reg. 50, No. 138; July 16, 2024
The licensed nurse responsible for the delivery of skilled
				  patient care shall maintain a clinical record, pursuant to section
				  400.497(8),
				  F.S., for each patient receiving nursing services in the home that shall
				  include, at a minimum, the following:
(1) Identification sheet containing the
				patient's name, address, telephone number, date of birth, sex, and caregiver or
				guardian;
(2) Before information
				can be released, an authorization for such release must be dated and signed by
				the patient, caregiver, or guardian;
(3) Plan of treatment as required in section
				400.506(13),
				F.S.;
(4) Clinical and service
				notes, signed and dated by the nurse providing the service which shall include:
(a) Any assessments by a registered
				nurse;
(b) Progress notes with
				changes in the person's condition;
(c) Services provided;
(d) Observations; and,
(e) Instructions to the patient and
				caregiver;
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.013 - Administration of Drugs and Biologicals

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Each nurse registry shall disseminate to its independent contractor nurses the
				procedures required by chapter 464, F.S., and the rules of the Agency for
				Health Care Administration governing the administration of drugs and
				biologicals to patients.
(2) The
				procedures shall include the following:
(a) An
				order for medications to be administered by the licensed nurse shall be dated
				and signed by the attending physician, physician assistant, or advanced
				practice registered nurse as required in section
				400.506(13),
				F.S.;
(b) An order for medications
				shall contain the name of the patient, the name of the drug, dosage, frequency,
				method or site of injection, and order from the physician, physician assistant,
				or advanced practice registered nurse if the patient or caregiver are to be
				taught to give the medication; and,
(c) A verbal order for medication or change
				in the medication orders from the physician, physician assistant, or advanced
				practice registered nurse shall be taken by a licensed registered nurse,
				reduced to writing, to include the patient's name, the date, time, order
				received, signature and title. The physician, physician assistant, or advanced
				practice registered nurse shall acknowledge the telephone order within 30 days
				by signing and dating the orders. A verbal order or change in medication order
				shall be on file in the clinical record at the nurse registry within 30
				days.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.015 - Surveys and Inspections (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.481, 400.484, 400.506 FS.
New 2-9-93, Amended 1-27-94, 12-24-00, 3-15-07, Repealed
					 5-14-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.016 - Penalties (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.497, 400.506 FS.
New 2-9-93, Amended 1-27-94, 12-24-00, 3-15-07, Repealed
					 5-14-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-18 - NURSE REGISTRIES STANDARDS AND LICENSING › Section 59A-18.017 - Supplemental Staffing for Health Care Facilities

Current through Reg. 50, No. 138; July 16, 2024
(1) Each nurse registry may provide staffing
				services as defined in section
				400.462(29),
				F.S.
(2) Each independent
				contractor shall carry their professional license or certification with them at
				all times during their working hours at a health care facility, and shall
				produce such a record for review by the health care facility, upon
				request.
(3) Each nurse registry
				shall establish a system for the recording complaints involving individuals
				they referred to health care facilities or other business entity, and such
				records shall be kept in the individual's registration file. The nurse registry
				is not obligated to review records per section
				400.506(20),
				F.S., but the nurse registry is not prohibited from reviewing records and may
				do so.
(4) Each nurse registry
				shall provide to the independent contractor, the name of the appropriate person
				at the health care facility who will be responsible for orientation to the
				facility.
(5) Each nurse registry
				shall, upon receiving licensure and certification information, inform the
				health care facility or other business entity, if a licensed or certified
				individual being referred to the facility is on probation with their
				professional licensing board or certifying agency or has any other restrictions
				placed on their license or certification. The registry shall also advise the
				licensed or certified individual that this information has been given to the
				health care facility or other business entity and keep a copy of this
				information in the independent contractor's file.
(6) Each nurse registry shall maintain on
				file the name and address of facilities to whom the independent contractor is
				referred for contract, the amount of the fee charged, the title of the
				position, and the amount of the fee received by the registry.
(7) Each nurse registry shall maintain files
				in an organized manner and such files will be made available for inspection by
				the agency during the hours the registry is in operation. The nurse registry is
				not obligated to review patient or client records per section
				400.506(20),
				F.S., but the nurse registry is not prohibited from reviewing records and may
				do so.
(8) The nurse registry is
				not obligated to monitor, manage or supervise a referred independent contractor
				pursuant to Section 400.506(19),
				F.S. In the event of violation of state law which comes to the attention of the
				nurse registry, the nurse registry shall take the actions specified in section
				400.506(19),
				F.S.
Rulemaking Authority 400.497, 400.506 FS. Law Implemented
					 400.497, 400.506 FS.
New 2-9-93, Amended 1-27-94, 12-24-00, 8-10-06,
					 5-4-15.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-20 - RADIATION THERAPY CENTERS › Section 59A-20.0085 - Licensure Standards (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 455.239, 455.25(2) FS. Law Implemented
					 455.236, 455.239, 455.241, 455.25 FS.
New 3-10-94, Amended 9-15-96, Repealed
					 11-3-09.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.002 - Definitions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.462, 400.512, 400.497 FS.
New 1-5-95, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.003 - Required Screening Documents and Fees (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.512, 400.497 FS. Law Implemented
					 400.512, 400.497 FS.
New 1-5-95, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.004 - Requirements for Screening of Employees and Administrators (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Amended 1-30-96, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.006 - Results of Screening and Notification (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Amended 1-30-96, Amended 8-29-96, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.008 - Finding of Disqualification (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.009 - Exemption From Disqualification (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Amended 1-30-96, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.010 - Section 120.57(1), F.S., Appeal of Exemption Denial (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-22 - MINIMUM STANDARDS FOR BACKGROUND SCREENING › Section 59A-22.011 - Confidentiality of Screening Records (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 400.497, 400.512 FS. Law Implemented
					 400.497, 400.512 FS.
New 1-5-95, Amended 8-29-96, Repealed
					 5-16-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-23 - WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS › Section 59A-23.001 - Scope (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 440.134(2)(a) FS. Law Implemented
					 440.134 FS.
New 9-12-94, Repealed
					 1-18-17.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-23 - WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS › Section 59A-23.003 - Authorization Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) General
				Provisions. All insurers offering a managed care arrangement for the provision
				of health services for the treatment of persons filing workers' compensation
				claims shall obtain an authorization from the agency in accordance with the
				following procedures:
(a) Applications for an
				initial authorization, amendment of the authorized plan of operation, or
				renewal shall be submitted with the following:
1. A completed copy of AHCA Form 3160-0004,
				November 2000, incorporated by reference herein;
2. Required attachments as specified in AHCA
				Form 3160-0004, November 2000; and,
3. Written agreements linking the entities
				within the managed care arrangement and specifying the duties of each entity.
Application forms are available from and shall be submitted
				  to the Agency for Health Care Administration, Division of Managed Care and
				  Health Quality, Bureau of Managed Health Care, 2727 Mahan Drive, Mail Stop #45,
				  Tallahassee, Florida 32308.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-23 - WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS › Section 59A-23.004 - Quality Assurance

Current through Reg. 50, No. 138; July 16, 2024
(1) Each insurer or
				delegated entity shall have an ongoing quality assurance program designed to
				objectively and systematically monitor and evaluate the quality of patient
				care, based upon the prevailing standards of medical practice in the
				community.
(2) The scope of the
				quality assurance program shall include the following:
(a) Peer review;
(b) Satisfaction survey;
(c) Utilization management;
(d) Case management;
(e) Complaints and grievances;
(f) Credentialing and
				recredentialing;
(g) Medical
				records;
(h) Return to
				work;
(i) Cost analysis;
(j) Data collection;
(k) Outcome studies;
(l) Education; and,
(m) Provider dispute
				resolution.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-23 - WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS › Section 59A-23.007 - Examination by the Agency for Health Care Administration (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 440.134(2)(a) FS. Law Implemented
					 440.134(2)(a) FS.
New 9-12-94, Repealed
					 9-2-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-23 - WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS › Section 59A-23.009 - Education Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) Employee
				Education.
(a) The insurer or delegated entity
				in conjunction with the employer, shall develop and implement procedures for
				the education of employees about the managed care process and requirements. The
				education procedures shall include:
1.
				Orientation of all existing and new employees to the requirements and
				limitations of the workers' compensation managed care arrangement. The employer
				shall display a telephone number for obtaining information about the workers'
				compensation managed care arrangement in a prominent location in the
				workplace;
2. Provision of detailed
				employee education materials about the requirements and limitations of the
				workers' compensation managed care arrangement to the injured employees; and,
3. Ongoing education of employees
				about changes in the workers' compensation managed care
				arrangement.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-24 - DRUG-FREE WORKPLACE STANDARDS › Section 59A-24.003 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
In addition to the definitions set forth in Section
				  112.0455(5),
				  F.S., as used in this rule chapter the following terms shall mean:
(1) "Agency" means the Agency for Health Care
				Administration.
(2) "Aliquot" means
				a portion of a specimen used for testing.
(3) "Approved Proficiency Testing Provider"
				means a private non-profit proficiency testing organization that meets the
				following requirements:
(a) Supplies a
				shipment of no less than 10 drug of abuse proficiency testing samples for
				screening and confirmation testing at least 3 times per year. Samples shall
				consist of a combination of negative specimens and a selection of positive
				specimens containing the drugs or metabolites of the substances listed in
				Section 112.0455(5)(a),
				F.S.
(b) Evaluates proficiency
				testing sample results using statistical methods based on results obtained from
				participant peer group comparisons.
(c) Provides no communication with the
				participant laboratory regarding the drug content of the samples prior to the
				issuance of the proficiency testing report.
(d) Provides explanatory information to
				assist the participant laboratory in the interpretation of the proficiency
				testing results.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-24 - DRUG-FREE WORKPLACE STANDARDS › Section 59A-24.004 - Drugs to be Tested/Body Specimens

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Notwithstanding the definition of drug in Section
				112.0455(5)(a),
				F.S., the only hallucinogen to be tested for is phencyclidine (PCP), the only
				synthetic narcotics to be tested for are methadone and propoxyphene, and there
				will be no designer drugs tested for until standard testing procedures are
				developed for such drugs.
(2) Body
				Specimens.
(a) Urine. Urine will be used for
				the initial test for all drugs except alcohol and for the confirmation for all
				drugs except alcohol.
(b) Blood.
				Blood will be used as the initial and confirmation specimen for
				alcohol.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-24 - DRUG-FREE WORKPLACE STANDARDS › Section 59A-24.006 - Drug Testing Laboratories - Standards and Licensure

Current through Reg. 50, No. 138; July 16, 2024
Laboratories shall be licensed by the agency in accordance
				  with Sections 112.0455, 440.102, and Chapter 408, Part II, F.S., and this rule
				  chapter in order to collect or analyze specimens for an employer's drug testing
				  program.
(1) Laboratory Personnel.
(a) Qualifications of Director. The
				laboratory shall have a qualified director to assume professional, technical,
				educational, and administrative responsibilities for the laboratory's drug
				testing. The director shall meet one of the following requirements:
1. Is duly licensed as a physician in the
				state in which he or she practices medicine; and is licensed under Chapters 458
				or 459, F.S., if the laboratory is located in the State of Florida; and has had
				at least four years of experience in forensic analytical toxicology;
				or
2. Holds a doctoral degree from
				an accredited institution with Chemistry, Toxicology or Pharmacology as a major
				subject of study; and has had at least four years of experience in forensic
				analytical toxicology; and shall be licensed as a director under Chapter 483,
				Part IV, F.S., in the specialty of clinical chemistry, if the laboratory is
				located in the State of Florida.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-24 - DRUG-FREE WORKPLACE STANDARDS › Section 59A-24.008 - Review of Test Results

Current through Reg. 50, No. 138; July 16, 2024
Prior to the transmission of test results to the employer,
				  both positive and negative test results shall be reviewed and verified by a
				  medical review officer (MRO) qualified under subsection
				  59A-24.008(1),
				  F.A.C. The MRO is permitted to use a language interpreter to assist in
				  communicating the results of drug tests with employees and job applicants. Such
				  language interpreters are subject to the confidentiality provisions of Section
				  112.0455(11),
				  F.S. After the results have been reviewed and verified by the MRO, the test
				  result is reported to the employer.
(1) Qualifications of Medical Review
				Officers.
(a) Persons serving as medical
				review officers shall be medical or osteopathic physicians duly licensed in the
				state in which he or she practices medicine.
(b) The MRO shall have knowledge of substance
				abuse disorders, laboratory testing procedures, chain of custody procedures,
				collection procedures, and have the appropriate medical training to interpret
				and evaluate an individual's drug test result together with the individual's
				medical history or any other biomedical information.
(c) Medical review officers shall be
				certified as medical review officers by the American Association of Medical
				Review Officers, American Society of Addiction Medicine or the Medical Review
				Officer Certification Council.
(d)
				The MRO shall be employed by or contracted by the employer and shall not be
				employed or contracted by a drug testing laboratory performing drug free
				workplace testing under Section
				112.0455, F.S. The drug testing
				laboratory is permitted to assist the employer in locating qualified medical
				review officers.
(e) An employer
				shall not serve as the MRO for his or her own employees and job
				applicants.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-25 - MINIMUM STANDARDS FOR HOME MEDICAL EQUIPMENT PROVIDERS › Section 59A-25.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
In addition to definitions contained in Chapters 400, Part
				  VII, and 408, Part II, F.S., the following terms shall apply to this rule
				  chapter:
(1) "AHCA" means Agency for
				Health Care Administration.
(2)
				"Central Service Center" means the licensed premises that are in charge of
				taking consumer orders, dispatching the orders to licensed distribution centers
				owned and operated by the same licensee that provide home medical equipment
				services, and maintaining consumer and personnel records. The central service
				center is responsible for the operation of its designated distribution
				centers.
(3) "Distribution centers"
				means those licensed premises that are not located at the address of the
				central service center but are owned and operated by the same licensee, receive
				orders from the central service center and are utilized to provide home medical
				equipment services.
(4) "HME" means
				home medical equipment.
Rulemaking Authority 400.935, 408.819 FS. Law Implemented
					 400.935, 408.804 FS.
New 6-4-00, Amended 10-6-02, 3-13-07,
					 5-4-15.