Section 134.66. Medical services.

 

(1)   Medical services - general. A facility shall have written agreements with health care providers to provide residents with 24-hour medical services, including emergency care.

(2)   Physician services.

(a) Attending physician.

1. Each resident shall be under the supervision of a physician of the resident's or guardian's choice who shall evaluate and monitor the resident's immediate and long-term needs and prescribe measures necessary for the health, safety and welfare of the resident.

2. The attending physician shall participate in the development of the individual program plan required under s. DHS 134.60 (1) (b) 1. for each newly admitted resident under his or her care as part of the interdisciplinary team process.

3. The attending physician shall ensure that arrangements are made for medical care of the resident during the attending physician's absence.

(b) Physician's visits.

1. Each resident shall be seen by his or her attending physician at least once a year and more often as needed.

2. The attending physician shall review the resident's individual program plan required under s. DHS 134.60 (1) (b) .

3. The attending physician shall write orders for medications, special studies and routine screening examinations as indicated by the resident's condition or as observed at the time of a visit and shall also review existing orders and treatments for needed changes at the time of each visit.

4. A progress note shall be written, dated and signed by the attending physician at the time of each visit.

5. Physician visits are not required for respite care residents except as provided under s. DHS 134.70 (5) .

(c) Participation in evaluation. A physician shall participate in the interdisciplinary review under s. DHS 134.60 (1) (c) 2. when a physician's participation is indicated by the medical or psychological needs of the resident.

(d) Designated physician. The facility shall designate a physician by written agreement with the physician to advise the facility about general health conditions and practices and to render or arrange for emergency medical care for a resident when the resident's attending physician is not available.

(3)   Monitoring resident health. The facility shall promptly detect resident health problems by means of adequate medical surveillance and regular medical examinations, including annual examinations of vision and hearing, routine immunizations and tuberculosis control measures, and shall refer residents for treatment of these problems.

Cr. Register, June, 1988, No. 390 , eff. 7-1-88.

Note

See requirements in s. DHS 134.68 for providing or obtaining laboratory, radiologic and blood services. Microsoft Windows NT 6.1.7601 Service Pack 1