Cal. Code Regs. Tit. 22, § 72523 - Patient Care Policies and Procedures
(a) Written patient care policies and
procedures shall be established and implemented to ensure that patient related
goals and facility objectives are achieved.
(b) All policies and procedures required of
these regulations shall be in writing, made available upon request to
physicians and other involved health professionals, patients or their
representatives, employees and the public shall be carried out as written.
Policies and procedures shall be reviewed at least annually, revised as needed
and approved in writing by the patient care policy committee.
(c) Each facility shall establish and
implement policies and procedures, including but not limited to:
(1) Physician services policies and
procedures which include:
(A) Orientation of
new physicians to the facility and changes in physician services and/or
policies.
(B) Patient evaluation
visits by the attending physician and documentation of alternate schedules for
such visits.
(2) Nursing
services policies and procedures which include:
(A) A current nursing procedure
manual.
(B) Provision for the
inventory and identification of patients' personal possessions, equipment and
valuables.
(C) Screening of all
patients for tuberculosis upon admission. These procedures shall be determined
by the patient care policy committee. A tuberculosis screening procedure may
not be required if there is satisfactory written evidence available that a
tuberculosis screening procedure has been completed within 90 days of the date
of admission to the facility. Subsequent tuberculosis screening procedures
shall be determined by the attending physician.
(D) Notification of the licensed healthcare
practitioner acting within the scope of his or her professional licensure
regarding sudden or marked adverse change in a patient's condition.
(E) Conditions under which restraints are
used, the application of restraints, and the mechanism used for monitoring and
controlling their use.
(3) Infection control policies and
procedures.
(4) Dietary services
policies and procedures which include:
(A)
Provision for safe, nutritious food preparation and service.
(B) A provision for maintaining a current
dietetic service procedure manual.
(5) Pharmaceutical services policies and
procedures.
(6) Activity program
policies and procedures.
(7)
Housekeeping services policies and procedures which include provision for
maintenance of a safe, clean environment for patients, employees and the
public.
Notes
Note: Authority cited: Sections 1275, 100275 and 131200, Health and Safety Code. Reference: Sections 1276, 1316.5, 131050, 131051 and 131052, Health and Safety Code.
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