R432-104-8. Clinical Services

  (1) The following services shall be provided in-house and comply with R432-100.

  (a) Pharmacy Service, R432-100-25.

  (b) Laboratory Service, R432-100-23.

  (c) Rehabilitation Therapy Services, R432-100-21.

  (d) Dietary Service, R432-100-32.

  (e) Social Services, R432-100-26.

  (2) Occupational Therapy Services shall be available for all patients who require the service.

  (a) The occupational therapy services shall be directed by a licensed occupational therapist who shall have administrative responsibility for the occupational therapy department.

  (b) Staff occupational therapists shall be licensed by the Utah Department of Commerce Title 58, Chapter 42.

  (i) If Occupational Therapy Assistants are employed to provide patient services they shall be supervised by a licensed therapist.

  (ii) Patient services shall be commensurate with each person's documented training and experience.

  (c) Occupational Therapy services shall be initiated by an order from the medical staff.

  (d) Written policies and procedures shall be developed and approved in conjunction with the medical staff to include:

  (i) Methods of referral for services;

  (ii) Scope of services to be provided;

  (iii) Responsibilities of professional therapists;

  (iv) Admission and discharge criteria for treatment;

  (v) infection control;

  (vi) safety;

  (vii) individual treatment plans, objectives, clinical documentation and assessment;

  (viii) incident reporting system; and

  (ix) emergency procedures.

  (e) Equipment shall be calibrated to manufacturer's specifications.

  (f) There shall be a written individual treatment plan for each patient appropriate to the diagnoses and condition.

  (g) The Occupational Therapy department shall organize and participate in continuing education programs.

  (3) Speech Therapy services shall be available for all patients who require the service.

  (a) The Speech-Pathology language services shall be directed by a licensed Speech-Pathologist or Audiologist who shall have administrative responsibility for the Speech-Audiology therapy department.

  (b) Staff speech therapist and audiologist shall be licensed the Utah Department of Commerce, see Title 58, Chapter 41.

  (i) If Speech-language pathology aides or audiology aides are employed to provide patient services they shall be supervised by a licensed therapist.

  (ii) Patient services shall be commensurate with each person's documented training and experience.

  (c) Speech and Audiology services shall be initiated by an order from the medical staff.

  (d) Written policies and procedures shall be developed and approved in conjunction with the medical staff to include:

  (i) Methods of referral for services;

  (ii) Scope of services to be provided;

  (iii) Responsibilities of professional therapists;

  (iv) Admission and discharge criteria for treatment;

  (v) Infection control;

  (vi) Assistive Technology;

  (vii) Individual treatment plans, objectives, clinical documentation and assessment;

  (viii) Incident reporting system; and

  (ix) Emergency procedures.

  (e) Equipment shall be calibrated to manufacturer's specifications.

  (f) There shall be a written individual treatment plan for each patient appropriate to the diagnoses and condition.

  (g) The Department shall organize and participate in continuing education programs.

  (4) Respiratory Care Services shall comply with R432-100-19.