Section 124.21. Rehabilitation services.

 

(1)   Organization.

(a) A hospital may have either a single rehabilitation service or separate services for physical therapy, occupational therapy, speech therapy and audiology.

(b) The service or services shall have written policies and procedures relating to organization and functions.

(c) The service chief shall have the necessary knowledge, experience, and capabilities to properly supervise and administer the service. A rehabilitation service chief shall be a physiatrist or other physician qualified to head the service. If separate services are maintained for physical, occupational, speech therapy services and audiology services, the service chief shall be a qualified physical or occupational therapist or speech pathologist or audiologist or a qualified physician.

(2)   Personnel.

(a) Physical therapy. If physical therapy services are offered, the services shall be given by or under the supervision of a qualified physical therapist.

(b) Occupational therapy. If occupational therapy services are offered, the services shall be given by or under the supervision of a qualified occupational therapist.

(c) Speech therapy. If speech therapy services are offered, the services shall be given by or under the supervision of a qualified speech pathologist.

(d) Audiology services. If audiology services are offered, the services shall be given by or under the supervision of a qualified audiologist.

(3)   Facilities. Facilities and equipment for physical, occupational, speech therapy and audiology services shall be adequate to meet the needs of the service or services and shall be in good condition.

(4)   Orders. Physical therapy, occupational therapy, speech therapy and audiology services shall be given in accordance with orders of a physician, a podiatrist or any allied health staff member who is authorized by the medical staff to order the service. The orders shall be incorporated into the patient's medical record.

(5)   Rehabilitation record. A record shall be maintained for each patient who receives rehabilitation services. This record shall be part of the patient's medical record.

Cr. Register, January, 1988, No. 385 , eff. 2-1-88.