Vol. 2007, No. 15 (08/01/2007) PDF - Administrative Rules - Utah.gov

NOTICES OF PROPOSED RULES DAR File No. 30180
(b) A medical practitioner may repackage no more than one
week's worth of a client's prescription medication into individual
dose packages, each of which shall be labeled with the client's name,
the name of the medication, and the time, date, and dosage that the
medication is to be administered.
(c) Individual dose packages shall be stored together with the
original pharmacy packaging and pharmacy label, directions and
warnings.
(8) The staff-in-charge or a staff with documented training in
medication procedures that is designated by the staff-in-charge shall:
(a) administer or oversee the self-administration of prescription
medications only as prescribed by a medical practitioner;
(b) administer or oversee the self-administration of nonprescription
medications only as directed by the manufacturer;
(c) observe the client consume any medication;
(d) maintain an individual client medication log, which shall
include the client's name and photograph, medication, time and
dosage administered, effects of the medication, and initial or
signature of client and staff administering medication; and
(e) immediately notify a client's physician of any reactions to
medications that are severe or that are not expected according to
warnings on prescription or non-prescription labels.
(9) Each client medication log shall be maintained together
with the medication while the client is actively enrolled in the
program, and transferred to the client's file when the client leaves the
program.
(10) Upon discharge from a program, the program shall
transfer a client's unused medications to the client's guardian or, if
the client has no guardian, to the client.
(11) Unused or expired medications shall be destroyed by two
direct care staff, and the destruction shall be documented.
(12)(a) A program shall inform the client's guardian of any
emergency medical treatment no later than 48 hours after treatment
commences.
(b) Except for minor first aid treatment, a program shall obtain
the prior written consent of the client's guardian for any nonemergency
medical treatment, including the administration of
medication not provided by the guardian.
R501-2-13. Infectious Disease.
(1) The program shall have written policies and procedures
designed to prevent, or control infectious and communicable
diseases, including but not limited to AIDS, chickenpox, Gonorrhea,
Hepatitis, HIV, Measles, Meningitis, Mumps, Rabies, Syphilis,
Tuberculosis, or suspected or confirmed outbreaks of food-borne or
water-borne disease in the facility in accordance with local, state and
federal health standards.
(a) The program shall immediately report any individual
suffering from or suspected of having a disease that is infectious or
communicable to the County Health Department in accordance with
Section 26-6-6 and Rule R386-702.
(2) A program shall develop written policies and procedures
requiring the use of universal precautions to respond to incidents
involving bodily fluids, which shall include proper clean-up
procedures as recommended by the local health department.
(3) The program shall provide universal precautions training to
all staff and clients which shall include but is not limited to:
(a) hand washing rules;
(b) not permitting staff to work when sick;
(c) sanitizing rooms utilized by sick staff or clients; and
(d) procedures for limiting the exposure of healthy individuals
to sick individuals.
R501-2-14. Emergency Plans.
(1) The program shall have a written emergency response plan
describing how staff shall respond in an emergency, including but
not limited to severe weather, a fire, natural disaster, prolonged
disruption of utility services, medical emergency, a client who may
be missing, or significant criminal activity, to include:
(a) designation of authority and staff assignments;
(b) plan for evacuation, including but not limited to evacuation
of persons who are non-ambulatory and persons with disabilities;
(i) all staff and clients shall evacuate from a building within
two minutes after an alarm; or
(ii) all staff and clients in a program that is under exclusive
contract with DSPD and provides services only to DSPD clients
shall evacuate from a building in accordance with an emergency
plan that has been approved in writing by an Office of Licensing
Life Safety Inspector;
(c) transportation and relocation of staff and clients, including
but not limited to transportation and relocation of persons with
disabilities;
(d) location, supervision and care of clients after evacuation or
relocation, including but not limited to care of persons with
disabilities;
(e) notification of each client's guardian; and
(f) reporting significant criminal activity or medical
emergencies to local law enforcement, emergency first responders,
and the Office of Licensing.
(2) The program shall comply with its approved emergency
response plan.
(3) The program shall educate staff and clients on how to
respond to emergencies.
(a) The program shall conduct quarterly emergency response
drills, including fire drills.
(b) The program director shall maintain a detailed written
report for the Office of Licensing that assesses staff and client
compliance with the program's written emergency response plan.
(4) The program shall comply with the written safety
requirements of the local fire department, including but not limited
to requirements regarding emergency exits.
R501-2-15. Safety.
(1)(a) The program shall provide staff and clients with
emergency access to an operable telephone at all times.
(b) Local emergency telephone numbers, including fire, police,
poison control, emergency medical personnel, and other local
emergency numbers, shall be visibly posted by each telephone.
(c) On-call staff telephone numbers shall be immediately
available to on-duty staff.
(2) The program shall have a first-aid kit readily accessible
within 100 feet of all on-duty staff.
(a) The contents of each first-aid kit shall be as recommended
by a nationally recognized program, such as the American Red
Cross, or approved in writing by a medical practitioner.
(b) The contents of each first-aid kit shall be inventoried and
restocked within one week after each use, and no less than monthly.
(c) First aid kits that include any medication shall be locked.
(3) The program shall have at least one first-aid kit, one
operational carbon monoxide detecting device, one operational
40 UTAH STATE BULLETIN, August 1, 2007, Vol. 2007, No. 15