Required Support Services

Section 380.600  Required Support Services a)         For the purpose of this Section, "physician orders" includes instructions from medical doctors (MD), doctors of osteo p athy (OD), dentists, podiatrists, advanced practice nurses (APN) in collaboration with an MD, and physician assistants (PA) under the supervision of a physician for that physician's patients. b) Facilities shall provide, at a minimum, the following services: physician, nursing, pharmaceutical, rehabilitative, and dietary services. To provide these services, the facility shall adhere to the following : 1) Each consumer shall be encouraged and assisted to achieve and maintain the highest level of self-care and independence.  Every effort shall be made to keep consumers active and out of bed for reasonable periods of time, except where contraindicated by physician orders . 2) Every consumer shall participate in a person-centered planning process regarding his or her total care and treatment , to the extent that his or her condition permits. 3) All medical treatment and procedures shall be administered as ordered by a physician.  All new physician orders shall be reviewed by the facility's director of nursing or charge nurse designee within 24 hours after the orders have been issued to ensure facility compliance with the orders.  Every woman consumer of child bearing age shall receive routine obstetrical and gynecological evaluations, as well as necessary prenatal care , except in triage centers. A)        The frequency and administration of obstetrical, gynecological and pre-natal care shall be according to the guidelines set forth in the Guidelines for Women's Health Care, published by the American College of Obstetricians and Gynecologists.  The date of the consumer's last obstetrical, gynecological or prenatal appointments shall be identified as part of the treatment assessment, and pregnancy screening may be required before medications are prescribed and administered. B)        If obstetrical and gynecological evaluations are performed in a facility, the facility shall ensure that the examination room is adequately equipped for these examinations. C)        If obstetrical and gynecological evaluations are not performed in a facility, the facility shall arrange with a local OB/GYN practice or clinic to have the evaluations performed at that location. c) Each consumer shall be provided with good nutrition and with necessary fluids for hydration in accordance with the Food and Nutrition Board of the National Research Council of the National Academy of Science's standard. d) Each consumer shall be provided visual privacy during treatment and personal care . e) Every consumer or consumer's guardian shall be permitted to inspect and copy all of his or her clinical and other records concerning his or her care kept by the facility or by his or her physician.  The facility may charge a reasonable fee for duplication of a record. (Section 3-104 of the Act) f)         A facility with a pharmacy on premises shall comply with the Controlled Substances Act. Facilities without pharmacies shall ensure that pharmacies they make arrangements, or contract, with comply with the Controlled Substances Act. g) Facilities licensed under the Act and this Part shall provide transitional living assistance to prepare those with serious mental illness to reintegrate successfully into community living settings .  (Section 1-101.3 of the Act)