Other Professional Services and Diagnostic Services

(A) Each resident or resident’s guardian shall have the right to designate other licensed practitioners of his or her choice. (B) Dental. All residents shall be assisted to obtain proper dental care including prophylactic, therapeutic and emergency dental services. Such services shall be rendered with the knowledge of the primary care provider and consent of the resident or the resident’s guardian. (2) All dental services shall be documented and recorded in the clinical record. A SNCFC shall appoint a consultant dentist with experience or training in developmental disabilities who shall participate in the development of patient care policies related to dental health, familiarize him or herself with the dental condition, needs and care of each resident, and as necessary, participate in periodic staff conferences. A SNCFC shall retain the services of a dental hygienist to work under the general supervision of the consultant dentist. The dental hygienist shall conduct periodic inspections of residents every six months and develop dental disease prevention programs within the facility. A SNCFC shall ensure each resident has a complete dental examination annually. (C) Podiatric. (1) All residents shall have proper foot care and foot wear. When the services of a podiatrist are needed or requested, such services shall be rendered with the knowledge of the primary care provider. (3) All podiatric services shall be documented and recorded in the clinical record. (D) Residents shall be assisted to obtain other routine or special services as their needs may require, such as: (1) Eye examinations and eye glasses; (2) Auditory testing and hearing aids. (E) Residents shall be assisted to prepare for and meet appointments punctually at outpatient departments, clinics and primary care provider offices as scheduled. (F) Diagnostic Services. Facilities shall make arrangements for the prompt and convenient performance of regular and emergency diagnostic, laboratory, X-ray and other clinical tests or procedures when ordered by the resident’s primary care provider or the facility’s staff physician. (2) All findings and reports shall be recorded in the resident’s clinical record. (3) On-site clinical laboratory testing is limited to Clinical Laboratory Improvement Amendments (CLIA) waived tests. The facility must hold an active CLIA certificate of waiver. (4) Facilities shall not use or store X-ray equipment.