reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-2.9.4 - Registered Nurse Responsibilities

Current through June 25, 2024
The registered nurse shall be responsible for at least
						the following:
1. The provision of
					 nursing intervention; educational services to increase the family's confidence
					 and competence in caring for the child with special needs; assistance to
					 facilitate coping with the effects of chronic illness on the child and family
					 and support effective relationships among siblings and the ill child;
					 interventions to foster normal development and psychosocial adaptation;
2. Knowledge of the availability
					 and access requirements to community resources;
3. Participation in the interdisciplinary
					 teams (IDT), as necessary and in the interdisciplinary staff meetings regarding
					 the child's progress. Fostering and maintaining collaborative relationship with
					 the interdisciplinary teams;
4.
					 The administration of medication, intravenous infusions, parenteral feedings
					 and other specialized treatments; monitoring and documenting the effects of
					 medications, therapies and progress in accordance with accepted standards of
					 practice; and
5. Knowledge of the
					 competence and scope of practice of other licensed and unlicensed personnel and
					 delegation of duties to such personnel within that level of competence and
					 scope of practice.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-2.9.5 - Qualifications of Licensed Practical Nurse

Current through June 25, 2024
Each licensed practical nurse employed by the PPEC
						center shall have a current unencumbered Mississippi nursing license, have at
						least two years of pediatric specialty care experience with emphasis on
						medically and technologically dependent children and current certification in
						pediatric CPR and basic first aid.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-2.9.6 - Qualifications of Direct Care Staff

Current through June 25, 2024
If direct care staff are utilized to augment licensed
						nurse staffing, the direct care staff shall have a minimum of the following
						qualifications:
1. Two years of
					 experience in a healthcare setting providing care to infants and children who
					 are medically or technologically dependent;
2. References documenting skill in the care
					 of infants and children; and
3.
					 Current certification in pediatric CPR and basic first aid.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-2.9.7

Current through June 25, 2024
The Licensed Practical Nurse and Direct Care Staff shall
						work under the supervision of the registered nurse and is responsible to
						provide, within their level of competence and scope of practice, direct care to
						the PPEC center children.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-2.10.1 - Ratio

Current through June 25, 2024
Total staffing for nursing services shall be, at a
						minimum, in the following ratios but at no time shall there be less than one
						(1) staff member of duty per three (3) children. If only one (1) staff member
						is on duty, that member must be a registered nurse.
Children
Total Staff
RN
RN or LPN
Direct Care, or Licensed Nurse (RN, LPN or
								  Respiratory Therapist)
1
1
1
2-6
2
1
1
7-9
3
1
1
1
10-12
4
2
1
1
13-15
5
3
1
1
16-18
6
3
1
2
19-21
7
4
1
2
22-24
8
4
1
3
25-27
9
4
1
4
28-30
11
5
1
5
31-33
12
5
1
6
34-36
13
5
2
6
37-39
14
5
3
6
40-42
15
5
3
7
43-45
16
5
4
7
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-2.10.2

Current through June 25, 2024
If a PPEC center has more than 45 children, the staffing
						must increase by one staff for every three (3) children, alternating between a
						direct care staff and licensed nurse.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-2.10.3 - Ancillary Professional Staffing

Current through June 25, 2024
Although the PPEC center is not required to have the
						following disciplines on staff, such services may be contractual, on a
						consultant basis, depending on the assessed need of the child.
1. Resource consultants:
a. A child development specialist available
					 to serve as a resource for PPEC center staff and parents of children served who
					 can be available to evaluate through use of standardized and non-standardized
					 procedures the developmental status of children;
b. A child life specialist who can assist in
					 planning and conducting individualized child development and play programs; and
					 who can serve as a resource to the PPEC center staff and parents of children
					 being served.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-2.10.4

Current through June 25, 2024
The PPEC center shall have the following staff, either
						by employment or on a contractual as needed basis:
1. Occupational therapy is the provision of
					 services that addresses the developmental or functional needs of a child
					 related to the performance of self-help adaptive skills, adaptive behaviors,
					 and sensory, motor and postural development. Occupational therapy includes the
					 evaluation and treatment to prevent or correct physical and emotional deficits,
					 minimize the disabling effects of these deficits, maintain a level of function,
					 acquire a skill set or A child life specialist who shall be responsible for at
					 least the following:
a. Evaluation of child
					 following physician referral to include neuromuscular status, developmental
					 level, perceptual motor functioning, need for adaptive equipment or appliances,
					 self-care and play;
b. Designing
					 and implementing therapeutic programs to meet the needs of the individual
					 child;
c. Maintaining records
					 documenting the therapy program and progress for each child as approved by the
					 attending physician; and
d.
					 Participating as part of the child's IDT team if occupational therapies are a
					 part of the child's plan and serving as a resource for PPEC center staff and
					 the parents being served.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.1

Current through June 25, 2024
Each child shall have a functional assessment and an
						individualized family service plan (IFSP) to include developmentally
						appropriate areas.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.2

Current through June 25, 2024
The child's IFSP plan shall include specific programs
						and action steps to facilitate developmental progress and shall be reviewed and
						updated per early intervention/early step guidelines.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.3

Current through June 25, 2024
Developmental and educational needs shall be
						incorporated into each child's protocol for care.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.4

Current through June 25, 2024
The PPEC center shall provide evidence of a good-faith
						effort in assuring the development of a comprehensive developmental program for
						each child birth 3 years old to meet the identified developmental needs of the
						child. The PPEC center may enter into a contractual relation with the local
						early intervention provider/early steps to assure that these services are met
						and provided accordingly. The child's IFSP plan shall include:
1. Measurable goals in need areas and/or
					 goals to enhance and normalize independent functioning in daily activities and
					 to promote socialization in order to minimize difficulties in being assimilated
					 into the home/community environment;
2. A description of the child's strengths and
					 present performance level with respect to each goal;
3. Skills areas in priority order;
4. Anticipatory planning for specific areas
					 identified at risk for problems even though a specific delay or problem may not
					 be demonstrable.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.5

Current through June 25, 2024
The developmentalist and/or child life specialist shall
						participate in regularly scheduled interdisciplinary staff meetings as needed.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.6

Current through June 25, 2024
A program for parent(s) and/or guardian(s) shall be
						provided to prepare parent(s) or guardian(s) to accommodate the child's needs
						as needed.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.7

Current through June 25, 2024
The PPEC center shall assist parent(s) and guardian(s)
						by including them in care-related conferences and teaching them how to perform
						necessary therapies and how to meet the developmental and psychosocial needs of
						the child at home.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-2.11.8

Current through June 25, 2024
PPEC center staff shall make referrals to appropriate
						resources, facilitate access to community, social, educational and financial
						services, and shall provide assistance to enhance coping skills, interpersonal;
						relationships and family functioning.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-2.12.1

Current through June 25, 2024
The PPEC center shall provide evidence of a good-faith
						effort in assuring the development of a comprehensive educational program for
						each school-aged child to meet the identified educational needs of the child.
						The PPEC center may enter into a contractual relationship with the local school
						system to assure that these services are met and provided accordingly.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-2.12.2

Current through June 25, 2024
Each child, after being determined appropriate for
						educational services based on a comprehensive assessment, shall have a
						comprehensive individualized educational plan (IEP). Such plan shall be based
						upon the assessed needs of the child and shall be developed in coordination
						with PPEC center staff. If a child is on an IEP, the educational teacher
						/instructor shall participate in the child's overall IEP and review.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-2.12.3

Current through June 25, 2024
The PPEC center shall provide a room, space or adequate
						workspace, well lighted and equipped with general supplies such as tables,
						desks, chalkboard/whiteboard, etc. to be conducive to such specialized
						educational learning. The PPEC center may request parent or the local school
						system participation in the purchase of books, routine schools supplies, etc.,
						necessary for their child's day-to-day school activities.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-2.12.4

Current through June 25, 2024
For children needing or receiving educational
						instruction, the educational instructor/teacher shall participate as part of
						the interdisciplinary team to assure coordination of the child's care and
						services with the scheduled educational component of activities. The PPEC
						center will provide an area to post the calendar and school related information
						bulletins. The instructor shall document in the child's school record the
						progress of the child. A duplicate copy shall be maintained o the PPEC center
						premises at all times.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-2.13.1

Current through June 25, 2024
A registered dietician shall be available for
						consultation regarding the nutritional needs and special diets of individual
						children.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-2.13.2

Current through June 25, 2024
If the PPEC center serves food to the children, a
						Certified Food Service Manager, who works under the consulting registered
						dietician, shall be available and responsible for overseeing dietary services.
						All physician-prescribed meals, snacks, special diets and dietary supplements
						shall meet the daily nutritional requirements of the child as
						ordered.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-2.13.3

Current through June 25, 2024
If a child has a specific allergy to foods or is on a
						special diet, PPEC center staff shall be notified and the such allergies
						notated as part of the child's medical record.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-2.13.4

Current through June 25, 2024
Prepared foods shall be kept under refrigeration with
						identifying dates and the child's name.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-2.13.5

Current through June 25, 2024
If the PPEC center prepares meals, per menu, for the
						children, a copy of the menus to include substitutions available must be posted
						in a place accessible to the parents and be made available for parental review.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-2.14.1

Current through June 25, 2024
If transportation services are provided by a PPEC center
						and prescribed by the primary care or subspecialist physician, a procedure
						delineating personnel and equipment to accompany the child shall be included in
						the PPEC center procedure manual. PPEC center policy and procedure shall
						clearly state, regardless of the transportation provision, if the child is to
						be under the care of the PPEC center, the PPEC center is responsible for the
						safety of the children.
1. If the
					 PPEC Center provides transportation of the child to and from the center; the
					 PPEC center shall exercise best efforts to limit the time a child, regardless
					 of his/her region of origin, may be in transport, not to exceed an average of
					 one hour on any single trip.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-2.14.2

Current through June 25, 2024
All children shall be properly restrained whenever they
						are being transported in a motor vehicle.
1. Every person transporting a child under
					 the age of four (4) in a passenger motor vehicle and operated on a public
					 roadway, street or highway, shall provide for the protection of the child by
					 properly using a child passenger restraint device or system meeting applicable
					 federal motor vehicle safety standards, i.e., child safety seat.
2. Every person transporting a child in a
					 passenger motor vehicle operated on a public roadway, street or highway, shall
					 provide for the protection of the child by using a belt positioned booster seat
					 system meeting applicable federal motor vehicle safety standards if the child
					 is at least four (4) years of age, but less than seven (7) years of age and
					 measures less than four (4) feet nine (9) inches in height or weighs less than
					 sixty-five pounds.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-2.14.3

Current through June 25, 2024
An individual seat restraint must be used for each
						child. The use of an individual seat restraint for two or more children is not
						allowed.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-2.14.4

Current through June 25, 2024
Should the PPEC center provide or contract for
						transportation, it is incumbent upon the center to assure that:
1. All drivers are appropriately licensed;
2. All vehicles used for the
					 transportation of the PPEC center children have current safety inspection
					 stickers, licenses (vehicle tag) and registration;
3. Insurance adequately covers the
					 transportation of children;
4. A
					 daily sign-in sheet or log is maintained of the children being transported and
					 include the to/from location;
5. A
					 trained medical escort will accompany all children during transport. An
					 additional medical escort shall be required for every six children. The driver
					 of the bus/vehicle cannot serve as a medical escort;
6. Children board and leave from the curbside
					 of the street and/or safely accompanied to the destinations;
7. Upon arrival via transportation to the
					 child's final destination care of child is relinquished to either a
					 parent/guardian or designated caregiver as authorized by the parent or
					 guardian.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 15 - Inservice Training For Staff and Parents and Guardians › Rule 15-16-1-2.15.1

Current through June 25, 2024
Each PPEC center shall develop staff and parent/guardian
						orientation and training programs. These programs include but are limited to
						the following:
1. Quarterly staff
					 development/inservice programs appropriate to the category of personnel will be
					 conducted to maintain quality patient care; All staff development programs will
					 be documented; to include date/time, trainer, listing of attendees and a
					 summary of the program content/training. This documentation shall be maintained
					 for a period of three years, unless pertinent to a specific child's care; then
					 reference to the training shall be maintained as part of the child's record as
					 long as the child receives the service of the center.
2. Annual pediatric cardiopulmonary
					 resuscitation review and update;
3. New hire orientation to acquaint the
					 employee with the philosophy, organization, program, practices and goals of the
					 PPEC center;
4. Parent orientation
					 to acquaint the parent/guardian to the PPEC center, including philosophy of the
					 center, goals, expectations, not only of staff/caregivers but also of parents
					 (such as expectation that parent and/or guardian participate in the IEP) and
					 services that can be offered and/or expected;
5. Parent/guardian trainings shall be
					 documented in the child's medical record.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 16 - Medical Record › Rule 15-16-1-2.16.1

Current through June 25, 2024
A medical record shall be maintained for each child. The
						medical record shall contain at least the following:
1. All details of the referral, admission,
					 correspondence and papers concerning the child;
2. Entries in the medical record shall be in
					 ink, shall be signed by the authorized personnel, to include name and
					 title/discipline, and shall include at least the following:
a. Physician's orders;
b. Flow charts of medications and treatments
					 administered;
c. Concise accurate
					 information and initialed case notes reflecting progress toward protocol of
					 care goals achievement or reasons for lack of progress;
d. Documentation of nutritional management
					 and special diets, as appropriate;
e. Documentation of nursing, physical,
					 occupational, speech, respiratory and social service assessments, goals,
					 treatment plans, documentation of each treatment, to include date, time and
					 therapy/treatments provided and progress of the child;
f. An individualized protocol of care
					 developed within ten (10) working days of admission and revised, as necessary,
					 to include recommended changes in the therapeutic plan. The disposition to be
					 followed in the event of emergency situations shall be specified in the plan of
					 care;
g. Medical history to
					 include allergies and special precautions;
h. Immunization record;
i. Quarterly reviews of the protocol of care
					 to update the plan in consultation with other professionals involved in the
					 child's care;
j. A discharge
					 order, written by the primary care or subspecialist physician, shall be
					 documented and entered in the child's record. A discharge summary, which
					 includes the reason for discharge, shall also be included.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 17 - Infection Control › Rule 15-16-1-2.17.1 - Infection Control Procedures

Current through June 25, 2024
Each PPEC center shall have written infection control
						procedures to include at least the following:
1. The PPEC center shall contain an isolation
					 room with one large glass area for observation of the child. Isolation
					 procedures shall be used to prevent cross-contamination. The room shall be
					 equipped with emergency outlets and equipment as necessary to provide are to
					 the child. A bathroom accessible to the isolation room but separate from the
					 other PPEC center's rooms is required. Procedures must address that all
					 equipment must be thoroughly cleaned and sanitized when brought into the
					 isolation room and upon removal from the room;
2. All cribs and beds shall be labeled with
					 the individual child's name. Linens are to be maintained clean and in good
					 repair and shall be removed for laundering whenever soiled or needed; however,
					 laundering of all linens shall occur, at a minimum, on a weekly basis;
3. Antibacterial soap and
					 disposable paper towels shall maintained at each sink. Policy shall address
					 that staff shall wash their hands between each treatment and care interaction
					 with a child for which the hands may become contaminated/soiled;
4. Children suspected of having a
					 communicable disease, which may be contacted through casual contact, as
					 determined by the facility's medical director, shall be isolated; the parent(s)
					 shall be notified of the condition; and the child shall be removed from the
					 PPEC center as soon as possible. When the communicable disease is no longer
					 present; as written by a written physician's statement, the child may return to
					 the PPEC center; and
5. PPEC
					 center staff suspected of having a communicable disease shall not return to the
					 PPEC center until all signs and symptoms which relate to the communicable
					 disease are no longer evident, as evidenced by a written physician's statement.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 18 - Quality Assurance › Rule 15-16-1-2.18.1

Current through June 25, 2024
The PPEC center shall have a quality assurance program
						and will conduct quarterly reviews of the PPEC center's medical records for at
						least one-half (1/2) of the children served by the PPEC center at the time of
						the quality assurance review.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 18 - Quality Assurance › Rule 15-16-1-2.18.2

Current through June 25, 2024
The quality assurance review will be conducted by, at a
						minimum, two members of the quality assurance committee. The quality assurance
						responsibilities shall rotate among the quality assurance committee at least on
						an annual basis.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 18 - Quality Assurance › Rule 15-16-1-2.18.3

Current through June 25, 2024
Each quarterly quality assurance review shall include:
1. A review of the protocols in each
					 child's Protocol of Care to assure that it clearly reflects the assessed needs
					 of the child, to include but not be limited to, the evaluation,
					 goals/expectation, treatment modalities and care provided, by each professional
					 discipline serving the child;
2. A
					 review of the steps, process, and success in achieving the goals;
3. Identification of goals not being achieved
					 as expected, reasons for lack of achievement and plans to promote goal
					 achievement;
4. When a child's
					 clinical status changes, either improvement or decline, that the protocol of
					 care is revised to accommodate the child's change in status as evidence by
					 revised professional assessments and re-formulation of goals;
5. Within ten days of the review, the quality
					 assurance committee will meet, discuss and ratify the report. Within fifteen
					 days of the review, the quality assurance committee shall furnish copies of its
					 report to the PPEC center medical and nursing directors.
6. The PPEC center shall develop a corrective
					 action plan for each area in which the center failed to meet the established
					 expectations and goals and shall assure implementation of measures, as
					 appropriate, for correction of any deficient area. PPEC center management, to
					 include the medical director and the director of nursing, shall sign the
					 quality assurance report indicating awareness of the deficient findings and
					 shall insure that measures are put into place to correct any deficient practice
					 and/or to prevent the reoccurrence of any such practice.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.1

Current through June 25, 2024
Each PPEC center shall maintain an age and
						developmentally appropriate environment including but not limited to
						furnishings, equipment, adaptive devices and indoor/outdoor therapeutic
						play/educational equipment and supplies, etc.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.2

Current through June 25, 2024
Each PPEC center shall provide safety, medical and
						emergency equipment as described below. All equipment shall be maintained in a
						safe, usable and sanitary condition.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.3

Current through June 25, 2024
Each full size infant crib shall meet the construction
						standards as established in Federal Regulations 16 CFR 1219 or its successor
						regulation. Each non-full size infant crib shall meet the construction
						standards as established in Federal Regulations 16 CFR 1220 or its successor
						regulations. Pediatric hospital beds with rails, age appropriate elevated cots
						or toddler beds are permissible in the PPEC center. The PPEC center shall have
						documentation/specifications that cribs, beds and cots used in the center meets
						the stated federal construction and/or child safety standards as applicable.
						The use of stackable cribs and rest mats are prohibited.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.4 - Safety equipment

Current through June 25, 2024
The following items of safety equipment shall be
						available on the premises:
1. Fire
					 Code Items: extinguishers, alarms, smoke detectors as required by "Life Safety
					 Code" (NFPA 2000 Edition, at a minimum) which references, but is not limited
					 to:
a. Circuit interrupters;
b. Flush door openers;
c. Child proof latches on closets, cabinets;
d. Straps on all highchairs,
					 swings, infant seats;
e. Locks on
					 storage cabinets housing hazardous/poisonous materials;
f. Integral child proof safety outlets or
					 electrical outlet covers.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.5 - Medical Equipment/Supplies

Current through June 25, 2024
The following items at a minimum, shall be available on
						the premises:
1. Suction machines-one
					 per child requiring daily suctioning plus one suctioning machine for emergency
					 use;
2. Double lockable narcotic
					 cabinet;
3. Mechanical percussors
					 and hand percussors, as prescribed;
4. Oxygen-in two portable tanks in storage
					 carts (one with low flow, one with high flow regulator), two Oxygen
					 concentrators (one with low flow, one with high flow regulator) or piped in
					 with the appropriate tubing, neonate/infant, pediatric and adult manual
					 resuscitation devices with masks to accommodate faces and tracheotomies;
5. Ventilator with provisions for
					 mixing of gases to prescribed oxygen concentration as specifically prescribed
					 shall be available per child requiring mechanical ventilation in the PPEC
					 center;
6. Pulse oximeter with
					 supplies;
7. Electronice Blood
					 Pressure machine (Dinamap);
8.
					 First Aid supply kit;
9.
					 Thermometers-excluding glass thermometers, manual sphygmomanometers,
					 stethoscopes, otoscopes, and ophthalmoscopes;
10. Apnea monitoring supplies-belts, leads to
					 apply to monitors brought from home; and
11. Disposable supplies, to include but not
					 be limited to, gloves, scissors, and other disposable equipment needed by the
					 child or by staff in the care of the child, shall be on hand at the PPEC
					 center, as needed.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.6 - Emergency Equipment and Supplies

Current through June 25, 2024
At least the following items of emergency equipment and
						supplies shall be available on the premises:
1. Centers shall equip the building with an
					 emergency generating system; Level 1, Type 10 or equivalent in accordance with
					 current NFPA 110 Standard for Emergency and Standby Power Systems; with
					 adequate generating power to maintain full power to the building in the case of
					 power failure;
2. Basic emergency
					 equipment, including but not limit to:
a.
					 Airways - in a range of sizes appropriate for the children served;
b. Suction catheters-in a range of sizes as
					 necessary to meet the needs of each child served;
c. Pediatric manual resuscitators -
					 self-inflating, with preemie, infant and pediatric mask (and adult
					 resuscitators/mask available, if older, more developed children accepted);
d. Pediatric AED device;
e. Child oxygen mask;
f. Infant oxygen mask;
g. Oxygen regulator with mist bottle and
					 heating element;
h. Flashlight
					 with extra batteries;
i.
					 Stethoscope;
j. Feeding tubes - in
					 a range of appropriate sizes for the children being served;
k. Disposable syringes, needles with size
					 needles appropriate for the pediatric population and other children being
					 served;
l. Intravenous catheters,
					 angio-catheters an scalp vein needles in a range of appropriate pediatric sizes
					 (sizes as appropriate for each child being served);
m. Tourniquets; armboards for preemie, infant
					 and children being served, IV starting supplies, various sizes of adhesive
					 tape;
n. Two-way stopcocks;
o. Two electrical outlet adapters
					 for three-prong outlets;
p.
					 Betadine preps and alcohol supplies.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 19 - Equipment › Rule 15-16-1-2.19.7 - Fluids/Medications

Current through June 25, 2024
Basic drugs and solutions shall be on-site, available
						and accessible to medical/nursing staff, at all times:
1. Epinephrine (ampules, vials, or syringes)
					 - 2 each of 1:1000 and 1:10,000;
2. Dextrose (vials or syringes) 1 each of a)
					 25% solutions and b) 50% solutions;
3. Activated Charcoal (1);
4. Sterile Water (vials or syringes) - 2;
5. Normal Saline (vials or
					 syringes) - 2;
6. Intravenous
					 fluids of Dextrose 5% and 10% in water, Dextrose 5% in Lactated Ringers, Normal
					 Saline---500 cc/bag (2 each);
7.
					 Heparin 10 units - 2 (vials or syringes), Heparin 100unit - 2 (vials or
					 syringes);
8. Diphenhydramine
					 (Benadryl 50mg/ml) - 1 (vials or syringes).
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.1 - Construction

Current through June 25, 2024
For any existing construction, as of the date of this
						standard, shall meet, at a minimum, NFPA 101 Life Safety Code, current edition.
						In the event of the construction of a new PPEC center or substantial
						modification of an existing facility, any subsequent edition of NFPA, Life
						Safety Code may be used, provided the licensing agency approve the use of such
						edition and that all construction and/or modifications meet the requirements of
						the approved edition.
1. Automatic
					 Sprinklers Required. Facilities shall be protected throughout by a supervised
					 automatic sprinkler system installed in accordance with the current edition of
					 NFPA 13, Installation of Sprinkler Systems.
2. Fire Code Items:
a. Fire extinguishers in accordance with
					 current edition NFPA 10, Standard for Portable Fire Extinguishers.
b. Fire alarms and smoke detectors in
					 accordance with current edition of NFPA 72, National Fire Alarm Code.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.2

Current through June 25, 2024
The PPEC center at a minimum shall include the following
						programmatic design elements:
1.
					 Quiet rooms;
2. Nutritional and
					 food prep area;
3. Age appropriate
					 toileting facilities;
4. Indoor
					 and outdoor recreational exercise play areas, with each exercise play area
					 maintaining 35 square feet per licensed child;
5. Treatment room with med prep area;
6. Isolation room;
7. Clean and dirty storage areas;
8. Janitorial closet;
9. Biohazard closet;
10. Therapy/education/activity learning lab
					 area;
11. Laundry area;
12. Staff area;
13. Reception area;
14. Administrative office;
15. Separate guest and child entrances.
16. Maximum Occupant Load for the
					 building shall be calculated based on 100 gross square feet per person to
					 include staff and each child.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.3 - SUBMISSION OF PLANS AND SPECIFICATIONS

Current through June 25, 2024
Construction shall not be started for any institution
						subject to these standards (whether new or remodeling or additions to an
						existing licensed hospital) until the plans and specifications for such
						construction or remodeling have been submitted to the Licensing Agency in
						writing and its approval of the changes given in writing.
1.
Exception
: Foundation changes
					 made necessary by unanticipated conditions, or any conditions which present a
					 hazard to life or property if not immediately corrected.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.4

Current through June 25, 2024
Plans and specifications for any substantial
						construction or remodeling shall be prepared by competent architects and
						engineers licensed to practice in the state and who assume responsibility for
						supervising the construction. The following plans shall be submitted to the
						Licensing Agency for review:
1.
					 Preliminary Plans - To include schematics of buildings, plot plans showing size
					 and shape of entire site, existing structures, if any, streets and location and
					 characteristics of all needed utilities, floor plans of every floor dimensioned
					 and with proposed use of each room or area shown and gross area calculations as
					 defined by current edition NFPA 101 Life Safety Code. If for additions or
					 remodeling, provide plan or of existing building showing all proposed
					 alterations, outline specifications to include a general description of the
					 construction, type of finishes, and type of heating, ventilating, plumbing and
					 electrical systems proposed.
2.
					 Final Working Drawings and Specifications - Complete and in sufficient detail
					 to be the basis for the award of construction contracts.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.5

Current through June 25, 2024
All plans submitted for review must be accompanied in
						their first submission by an order of the governing board indicating the type
						and scope of license to be applied for.
Mississippi Code
						Annotated § 41-125-19
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 2 - MINIMUM STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES › Subchapter 20 - Physical Environment › Rule 15-16-1-2.20.6

Current through June 25, 2024
Plans receiving approval of the Licensing Agency upon
						which construction has not begun within six (6) months following such approval
						must be resubmitted for approval.
Mississippi Code
						Annotated § 41-125-19