Section 481.58.10. General policies.

       58.10(1) There shall be written personnel policies in facilities of more than 15 beds to include hours of work, and attendance at educational programs. (III)

       58.10(2) There shall be a written job description developed for each category of worker. The job description shall include title of job, job summary, qualifications (formal education and experience), skills needed, physical requirements, and responsibilities. (III)

       58.10(3) There shall be written personnel policies for each facility. Personnel policies shall include the following requirements:

        a.           Employees shall have a physical examination before employment. (I, II, III)

        b.           Employees shall have a physical examination at least every four years. (I, II, III)

        c.           Screening and testing for tuberculosis shall be conducted pursuant to 481—Chapter 59. (I, II, III)

       58.10(4) Health certificates for all employees shall be available for review. (III)

       58.10(5) Rescinded IAB 10/19/88, effective 11/23/88.

       58.10(6) There shall be written policies for emergency medical care for employees and residents in case of sudden illness or accident which includes the individual to be contacted in case of emergency. (III)

       58.10(7) The facility shall have a written agreement with a hospital for the timely admission of a resident who, in the opinion of the attending physician, requires hospitalization. (III)

       58.10(8) Infection control program. Each facility shall have a written and implemented infection control and exposure control program with policies and procedures based on the guidelines issued by the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. (I, II, III) CDC guidelines are available at http://www.cdc.gov/ncidod/dhqp/index.html.

       58.10(9) Infection control committee. Each facility shall establish an infection control committee of representative professional staff responsible for overall infection control in the facility. (III)

        a.           The committee shall annually review and revise the infection control policies and procedures to monitor effectiveness and suggest improvement. (III)

        b.           The committee shall meet at least quarterly, submit reports to the administrator, and maintain minutes in sufficient detail to document its proceedings and actions. (III)

        c.           The committee shall monitor the health aspect and the environment of the facility. (III)

       58.10(10) There shall be written policies for resident care programs and services as outlined in these rules. (III)

       58.10(11) Prior to the removal of a deceased resident/patient from a facility, the funeral director or person responsible for transporting the body shall be notified by the facility staff of any special precautions that were followed by the facility having to do with the mode of transmission of a known or suspected communicable disease. (III)

[ARC 0663C, IAB 4/3/13, effective 5/8/13]