Specialized requirements - policy and personnel

(a) Personnel. (1) A physician with training and experience in rehabilitative medicine shall be appointed as medical director of the hospital or unit by the governing body based upon a recommendation from the medical staff. The medical director shall coordinate with other services provided by the hospital, and shall be responsible for developing policies concerning treatment and staffing. (2) The diagnosis and treatment rendered to each patient in rehabilitation hospitals or units shall be under the direction of a physician or licensed independent practitioner with training and experience in rehabilitative medicine. Every patient, upon admission, shall have written orders from a physician or licensed independent practitioner for the immediate care of the patient. (3) A registered nurse with experience in rehabilitation medicine shall be responsible for nursing administration. The number of registered nurses, licensed practical nurses and nursing support staff required on each shift to formulate and carry out the nursing components of the individual treatment plan for each patient shall be determined based upon acuity and the rehabilitative nursing needs of the patients. (4) All other required services shall be supported by adequate qualified staff who may be employed or under contract to provide services. All professional staff whether employed or under contract shall be licensed or certified as required by state law. (b) Policies and procedures. Polices and procedures shall be developed implemented that include at least the following: (1) The scope of each clinical service. (2) The appointment of a medical director, who shall be a physician qualified by training, experience, and knowledge of rehabilitative medicine. (3) A description of how staffing is arranged for twenty-four (24) hour services. (4) Admission procedures and criteria. (5) Patient evaluation procedures, including a policy which requires a treatment plan for each patient based on a functional assessment OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH 69 September 13, 2019 and evaluation. This policy shall require the initial treatment plan to be developed within seventy-two (72) hours of admission, and a comprehensive individualized plan developed no later than one (1) week after admission. The plan shall state the rehabilitative problems, goals, required therapeutic services, prognosis, anticipated length of stay, and planned discharge disposition. This comprehensive plan shall be developed by a multidisciplinary team of professionals treating the patient and shall be approved by the attending physician or licensed independent practitioner.