Cal. Code Regs. Tit. 22, § 51215.9 - Pediatric Subacute Care Unit -Physician Services
(a) Physician services shall be provided in a
pediatric subacute care unit in accordance with Section
72303, Title 22, California Code
of Regulations, with the exception of (b)(1) of that section, and in accordance
with (a) and (b) of this section.
(b) Each pediatric subacute patient's
attending physician shall perform an initial history and physical examination
of the patient and prepare a written report of the examination within 24 hours
of the patient's admission to the pediatric subacute care unit. In addition to
documentation of history and physical examination, this report shall include a
plan of treatment that addresses, at a minimum, the following areas:
(1) The patient's level of
function;
(2) History of dependence
on and potential for weaning from medical technology(ies);
(3) Nutritional status, including growth
history, anthropometric status and dietary needs; and
(4) Need for physical therapy, occupational
therapy or speech therapy assessment and services.
(c) Medi-Cal beneficiaries receiving
pediatric subacute care services shall be visited by their attending physician
at least twice weekly during the first month of stay, and at a minimum of once
each week thereafter, and more often as the patient's condition
warrants.
(d) A certified pediatric
nurse practitioner or certified family nurse practitioner may, in collaboration
with the pediatric subacute care unit patient's attending physician, provide
non-duplicative services to pediatric subacute care unit patients within the
scope of their practice requirements.
(e) Each pediatric subacute care unit shall
have a medical director who is a pediatrician currently certified by the
American Board of Pediatrics, with demonstrated experience in caring for
pediatric patients with dependence on medical technology. This requirement
shall apply to a physician who has assumed the responsibility of medical
director of a pediatric subacute care unit on or after the adoption date of
this regulation. The pediatric subacute care unit medical director shall:
(1) Act as liaison between facility
administration and physicians attending pediatric subacute patients;
(2) Be responsible for reviewing and
evaluating pediatric subacute administrative and medical care policies and
procedures;
(3) Act as a consultant
to the head nurse/nurse manager in matters relating to pediatric subacute
patient care services;
(4) Provide
attending physician services to all pediatric subacute patients in the event of
the absence or non-availability of other attending physicians;
(5) Be responsible for reviewing pediatric
subacute unit employees' preemployment and annual health examination
reports.
Notes
2. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48).
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14132.25, Welfare and Institutions Code.
2. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48).
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