Ohio Administrative Code › Title 5139 - Department of Youth Services › Chapter 5139-35 - Community Residential Centers › Section 5139-35-14 - Medical and health care services

Current through all regulations passed and filed through July 1, 2024
(A) The following standards are mandatory:
(1) Written policy and procedure shall
			 require each CRC to have a licensed physician(s) or medical resources such as a hospital
			 or clinic designated for the medical supervision, care and treatment of
			 residents. The CRC shall ensure twenty-four-hour availability of consultation,
			 advice and emergency services response. Such resources shall be located in the
			 same or nearby community.
(2)
			 Written policy and procedure shall require that a medical examination be
			 conducted within fourteen days before or after admission and updated annually.
(3) Written policy and procedure shall
			 provide for the prompt notification of children's parents/guardians and the
			 responsible agency in case of serious illness, serious surgery, serious injury
			 or death.
(4)
									The CRC shall have a written policy,
			 procedure, and practice providing for the proper management of pharmaceuticals
			 and shall address the following subjects:
(a)
										A formulary
			 specifically developed for the facility prescription practices that
			 requires:
(i)
											Prescription practices including requirements that
			 psychotropic medications are prescribed only when clinically indicated as one
			 facet of a program of therapy.
(ii)
											"Stop order"
			 time periods for all medications.
(iii)
											The prescribing
			 provider reevaluates a prescription prior to its renewal.
(b)
										Procedures for medication receipt, storage, dispensing, and
			 administration or distribution.
(c)
										Maximum security
			 storage and periodic inventory of all controlled substances, syringes, and
			 needles.
(d)
										Dispensing of medicine in conformance with appropriate
			 federal and state laws.
(e)
										Administration of medication by persons properly
			 trained and/or under the supervision of the health autority and/or facility
			 administrator or designee.
(f)
										Accountability
			 for administering or distributing medications in a timely manner and according
			 to physician's orders.
(5) Written policy shall prohibit the
			 administration of stimulants, tranquilizers, or psychotropic drugs, solely for
			 behavior management, unless it is a part of an ongoing therapeutic medical
			 treatment procedure prescribed by the responsible health care
			 authority.
(6) Written policy and
			 procedure require that, following the admission of a child, the CRC shall
			 attempt to verify prescribed medications and the proper dosages of these
			 medications are administered at the time interval prescribed by the appropriate
			 medical authority.
(7) Written
			 policy and procedure shall require that each staff person who is responsible,
			 in whole or in part, for administering medication to a child be provided with a
			 written schedule of the child's medication. In addition, a copy of this
			 schedule shall be maintained in each child's record and shall, at a minimum,
			 include the following instructions and information:
(a) The name of the child.
(b) The name of each medication to be
			 administered.
(c) The proper dosage
			 of each medication to be administered.
(d) The timetable for
			 administration.
(e) All unique
			 instructions regarding administration.
(f) Information provided by qualified health
			 care personnel concerning possible side effects of each medication.
(8) Written policy and procedure
			 shall require that a medical record be maintained on each child which shall
			 include pertinent information concerning illnesses, communicable diseases,
			 physical abnormalities, allergies and the administration of
			 treatment.
(9) Written policy and
			 procedure shall require a written plan for the staff's response to children who
			 are identified as potentially suicidal.
(10) Written policy and procedure shall
			 require that first-aid kits are available and have been approved by
			 qualified health care personnel.
			 These kits will be maintained to ensure that the contents are in good
			 condition.
(11) Written
			 policy and procedure shall require that all  staff be
			 certified and maintain certification in first aid and CPR.
(12) The CRC shall have written policy and
			 procedure governing the development, and subsequent updating, of a facility
			 formulary or drug list for pharmaceuticals stocked by the facility.
(13) Written policy and procedure shall
			 require that children be informed of the procedures for gaining access to
			 medical services.
(14) Written
			 policy and procedure shall provide for informing appropriate staff of special
			 medical and mental health problems of children.
(15)
									All written
			 policies and procedures are approved by the responsible health care
			 authority.