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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-7. [REPEALED] |
Section 29-704. NURSES AND PHYSICIANS
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704.1Except as provided in §704.2, the provider shall employ a registered nurse (RN) who shall be on the site daily for a minimum of four (4) scheduled hours.
704.2If there are eighteen (18) participants or more, the registered nurse shall be on the site daily for eight (8) hours.
704.3For day treatment programs providing services to the elderly, the registered nurse shall have at least two (2) years recent experience or specialized training in the care of the elderly.
704.4For day treatment programs providing services to persons who are developmentally disabled, the registered nurse shall have specialized training or one (1) year of experience working with the developmentally disabled.
704.5For day treatment programs offering services to individuals with mental disorders, the registered nurse shall have had specialized training in phychiatric mental health nursing or two (2) years of experience working in a psychiatric mental health setting.
704.6The registered nurse shall enter in each participant's record written notes on a monthly basis, or more often if indicated, as a part of the participant's care plan. Assistance in this activity may be delegated to other nursing personnel.
704.7The registered nurse shall coordinate the development and on-going review of each participant's individual care plan.
704.8The responsibilities of the registered nurse shall include the following:
(a)Providing or supervising required program nursing services for each participant;
(b)Giving technical nursing supervision to other nursing personnel;
(c)Assisting, as necessary, in the delivery of other required program service; and
(d)Assisting in meeting the psycho-social needs of participants.
704.9A physician shall be available to take professional responsibility for each participant's medication, emergency care, referral to a hospital or other appropriate facility, and all other medical and treatment decisions.
704.10The physician shall approve, in writing, each participant's individual plan of care.
704.11The physician shall be responsible for the following activities:
(a)Assisting in the development of the day treatment program's health policies;
(b)Participating in the multi-disciplinary team conferences;
(c)Consulting with the participant's personal physician when indicated; and
(d)Managing the delivery of all required medical services to ensure that needed services are provided in a timely manner by the appropriate personnel, consistent with each participant's plan of care.