Section 481.63.9. General policies.

       63.9(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)

       63.9(2) There shall be a written job description developed for each category of worker in facilities. The job description shall include title of job, job summary, age range, qualifications (formal education and experience), skills needed, physical requirements, and responsibilities. (III)

       63.9(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)

       63.9(4) Health certificates for all employees shall be available for review. (III)

       63.9(5) Rescinded IAB 10/19/88, effective 11/23/88.

       63.9(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)

       63.9(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)

       63.9(8) The residential care facility for the intellectually disabled shall have established policies concerning the control, investigation, and prevention of infections within the facility. (III)

       63.9(9) Each facility licensed as a residential care facility for the intellectually disabled shall provide an organized continuous 24-hour program of care commensurate with the needs of the residents of the home and under the direction of an administrator whose combined training and supervisory experience is such as to ensure adequate and competent care. (III)

       63.9(10) Each facility shall have a written and implemented infection control program addressing the following:

        a.           Techniques for hand washing consistent with Guidelines for Handwashing and Hospital Control, 1985, Centers for Disease Control, U.S. Department of Health and Human Services, PB85-923404; (I, II, III)

        b.           Techniques for handling of blood, body fluids, and body wastes consistent with Guideline for Isolation Precautions in Hospitals, Centers for Disease Control, U.S. Department of Health and Human Services, PB96-138102; (I, II, III)

        c.           Dressings, soaks, or packs; (I, II, III)

        d.           Infection identification; (I, II, III)

        e.           Resident care procedures to be used when there is an infection present consistent with Guideline for Isolation Precautions in Hospitals, Centers for Disease Control, U.S. Department of Health and Human Services, PB96-138102; (I, II, III)

        f.            Sanitation techniques for resident care equipment; (I, II, III)

        g.           Techniques for sanitary use and reuse of feeding syringes and single-resident use and reuse of urine collection bags; (I, II, III)

        h.           Techniques for use and disposal of needles, syringes, and other sharp instruments consistent with Guideline for Isolation Precautions in Hospitals, Centers for Disease Control, U.S. Department of Health and Human Services, PB96-138102; (I, II, III)

CDC Guidelines may be obtained from the U.S. Department of Commerce, Technology Administration, National Technical Information Service, 5285 Port Royal Rd., Springfield, Virginia 22161 (1-800-553-6847).

       63.9(11) Aseptic techniques. If a resident needs any of the treatments or devices on the list below, written and implemented procedures regarding aseptic techniques shall be followed.

        a.           Intravenous or central line catheter consistent with Guideline for Prevention of Intravascular Device Related Infections, Centers for Disease Control, U.S. Department of Health and Human Services, PB97-130074, (I, II, III)

        b.           Urinary catheter, (I, II, III)

        c.           Respiratory suction, oxygen or humidification, (I, II, III)

        d.           Decubitus care, (I, II, III)

        e.           Tracheostomy, (I, II, III)

        f.            Nasogastric or gastrostomy tubes, (I, II, III)

        g.           Sanitary use and reuse of feeding syringes and single-resident use and reuse of urine collection bags. (I, II, III)

       63.9(12) 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; ARC 0765C, IAB 5/29/13, effective 7/3/13]