Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 71 - Subacute Mental Health Care Facilities › Rule 481-71.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following terms shall
				  have the meanings indicated in this chapter. The definitions set out in Iowa
				  Code section
				  135G.1 are adopted by
				  reference in the rules.
"Administrator"
means an individual who
				  administers, manages, supervises, and is in general administrative charge of a
				  subacute care facility, whether or not such individual has an ownership
				  interest in the facility and whether or not the functions and duties are shared
				  with one or more individuals.
"Assessment"
means the evaluation of a
				  person in psychiatric crisis in order to ascertain the person's current and
				  previous level of functioning, psychiatric and medical history, potential for
				  dangerousness, current psychiatric and medical condition factors contributing
				  to the crisis and support systems that are available.
"Distinctpart"
means a clearly identifiable
				  area or section within a health care facility, consisting of at least a
				  residential unit, wing, floor, or building containing contiguous rooms.
"Incident"
means an unusual occurrence
				  within a facility or on its premises affecting residents, visitors, or
				  employees whether or not there is apparent injury or where hidden injury may
				  have occurred.
"Medication"
means any drug including
				  over-the-counter substances ordered and administered under the direction of a
				  physician, physician assistant or advanced registered nurse
				  practitioner.
"Peer support"
means services that are
				  provided by individuals in recovery from serious mental illness and delivered
				  to others who also have mental illness.
"Psychiatric care"
means the provision of
				  care to patients in a psychiatric unit of an acute care hospital; a
				  freestanding psychiatric hospital; or a mental health clinic.
"Recovery"
means a process of change through
				  which individuals improve their health and wellness, live a self-directed life,
				  and strive to reach their full potential.
"Recovery principles"
means the ten guiding
				  principles of recovery outlined by the federal Substance Abuse and Mental
				  Health Services Administration (
www.samhsa.gov
): hope, person-driven, many
				  pathways, holistic, peer support, relational, culture, addresses trauma,
				  strengths/responsibility, and respect.
"Responsibleparty"
means the person who
				  signs or cosigns the admission agreement required in rule
				  481-71.13 (135G) or the
				  resident's guardian or conservator if one has been appointed. In the event that
				  a resident does not have a guardian, conservator or other person signing the
				  admission agreement, the term "responsible party" shall include the resident's
				  sponsoring agency, e.g., the department of human services, the U.S. Department
				  of Veterans Affairs, a religious group, fraternal organization, or foundation
				  that assumes responsibility and advocates for its client patients and pays for
				  their health care.
"Restraint"
means the application of
				  physical force, use of a chemical agent, or a mechanical device for the purpose
				  of restraining the free movement of an individual's body to protect the
				  individual or others from immediate harm. Restraint does not include briefly
				  holding without undue force an individual to calm or comfort the individual or
				  holding an individual's hand to safely escort the individual from one area to
				  another.
"Restricted means of egress"
means an exit
				  door alarm system for safety of the residents and the public.
"Seclusion"
means the involuntary
				  confinement of a resident alone in a room or an area from which the resident is
				  physically prevented from leaving.