HAR §11-99-11
HAR §11-99-11. Resident daily living care and training
Cite as Haw. Code R. § 11-99-11
(a) There shall be sufficient appropriately
§11-99-11
qualified facility staff to carry out the active
treatment program within the facility and to operate the
unit on a daily basis.
(b)
The facility staff shall participate in
appropriate activities relating to the care and
development of the residents including training in
activities of daily living and the development of
self-help and social skills.
(c)
The facility staff shall provide at least the
following:
(1)
Supportive services to enable residents to
participate fully in appropriate daily
activities.
(2)
Physical care and assistance to keep residents
clean, comfortable, well-groomed, and
protected from accidents and infections.
(3)
Necessary assistance to ensure that the
residents are appropriately dressed in their
own clothes.
(4)
Weighing of each resident at least monthly.
(5)
Regular documentation in the resident's record
of each resident's participation and progress
in activities carried out with the supervision
or assistance of facility staff.
(d)
Restraints shall be used only under a
physician's orders for specified and limited periods of
time and so documented and shall be used only when
resident is imminently dangerous to self or others.
(1)
If they are used in an emergency situation the
attending physician shall be contacted
immediately for orders affirming the temporary
need and the orders shall be reduced to
writing within twenty-four hours.
(2)
Regular observation and release of a resident
shall be required while restraints are in use.
(3)
No restraints with locking devices shall be
used.
(4)
There shall be written policies and procedures
governing the use of restraints.
(5)
Under no circumstances will a resident in
restraints be left for a period of time in a
facility without the presence of another
person who is fully capable of caring for the
resident in the event of an emergency.
§11-99-11
(e)
Sufficient and appropriately qualified
facility staff shall be available on the premises at all
times that residents are present. At least one member
of the staff shall always be readily accessible and able
to care for a resident who is away from the premises but
needs to return to the facility.
[Eff. April 29, 1985] (Auth: HRS §§321-9, 321-10,
321-11, 333-53) (Imp: HRS §§333-53)