16 Del. Admin. Code § 3375-8.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 3375-8.0 - Services Available

8.1 Medical Services

8.1.1 Children shall be admitted to the PPECC upon prescription by the child's primary physician or by the medical director.

8.1.2 The child's primary physician shall maintain responsibility for the overall medical therapeutic plan and shall be available for consultation and collaboration with the PPECC medical and nursing directors.

8.1.3 Communication with the child's primary physician shall be provided by the nursing director or designee on a monthly or quarterly basis.

8.1.4 Prescribed therapies shall be adjusted, in consultation with the primary physician, to accommodate the child's condition.

8.2 Nursing Services

8.2.1 The PPECC nursing director shall participate in pre-admission planning along with other appropriate nursing staff.

8.2.2 Nursing personnel, under the direction of the nursing director, shall be responsible for implementing the nursing care.

8.2.3 Nursing personnel shall be responsible for monitoring and documenting the effects of prescribed therapies.

8.2.4 Nursing personnel shall participate in interdisciplinary staff meetings regarding the child's progress.

8.2.5 Nursing personnel shall be responsible for maintaining the child's record in accordance with facility policies and procedures.

8.2.6 Nursing personnel shall instruct the parent(s) or guardian(s) in how to provide the necessary therapies in the home.

8.3 Developmental Services

8.3.1 Each child shall have a functional assessment and an individualized program plan to include developmentally appropriate areas.

8.3.2 The child's program plan shall include specific programs and action steps to facilitate developmental progress and shall be reviewed at least quarterly.

8.3.3 The child's developmental and educational needs shall be incorporated into protocol for care.

8.3.4 The child's program plan shall include:

8.3.4.1 Measurable goals in needs areas and/or goals to enhance and normalize independent functioning in daily activities and to promote socialization in order to minimize difficulties in being assimilated into the home/community environment;

8.3.4.2 A description of the child's strengths and present performance level with respect to each goal;

8.3.4.3 Skills areas in priority order;

8.3.4.4 Anticipatory planning for specific areas identified as at-risk for problems even though a specific delay or problem may not yet be demonstrable.

8.3.5 The developmentalist and/or child life specialist shall participate in regularly scheduled interdisciplinary staff meetings.

8.3.6 A program for parent(s) or guardian(s) shall be provided to prepare parent(s) or guardian(s) to accommodate the child's needs.

8.4 The PPECC shall assist parent(s) or guardian(s) by including them in care-related conferences and teaching them how to perform necessary therapies and how to meet the developmental and psychosocial needs of their child at home.

8.5 PPECC staff shall make referrals to appropriate resources, facilitate access to community, social, educational and financial services, and shall provide assistance to enhance coping skills, interpersonal relationships and family functioning.

8.6 Nutrition Services

8.6.1 A dietitian/nutritionist shall be available for consultation regarding the nutritional needs and special diets of individual children.

8.6.2 All food and formula shall be provided by PPECC staff under the supervision of the nursing director.

8.6.3 Prepared foods shall be kept under refrigeration with identifying dates and the child's name.

8.7 Infection Control

8.7.1 PPECC shall have written policies and procedures for infection control in accordance with the Delacare Requirements for Day Care, and the needs of all children being treated.

8.7.2 The PPECC shall establish and implement an infection prevention and control program which shall be based upon Centers for Disease Control and Prevention and other nationally recognized infection prevention and control guidelines.

8.7.2.1 The infection prevention and control program must cover all services and all areas of the PPECC, including provision of the appropriate personal protective equipment for all patients, staff and visitors.

8.7.3 The individual designated to lead the PPECC's infection prevention and control program must develop and implement a comprehensive plan that includes actions to prevent, identify, and manage infections and communicable diseases. The plan must include mechanisms that result in immediate action to take preventive or corrective measures that improve the PPECC's infection control outcomes.

8.7.4 All PPECC staff shall receive orientation at the time of employment and annual in-service education regarding the infection prevention and control program.

8.7.5 Specific Requirements for COVID-19

8.7.5.1 Before their start date, all new staff, vendors and volunteers must be tested for COVID-19 in accordance with Division of Public Health guidance.

8.7.5.2 All staff, vendors and volunteers must be tested for COVID-19 in a manner consistent with Division of Public Health guidance.

8.7.5.3 The PPECC must follow recommendations of the Centers for Disease Control and Prevention and the Division of Public Health regarding the provision of care or services to patients by staff, vendor or volunteer found to be positive for COVID-19 in an infectious stage.

8.7.6 The PPECC shall amend their policies and procedures to include:

8.7.6.1 Work exclusion and return to work protocols for staff tested positive for COVID-19;

8.7.6.2 Staff refusals to participate in COVID-19 testing;

8.7.6.3 Staff refusals to authorize release of testing results or vaccination status to the PPECC;

8.7.6.4 Procedures to obtain staff authorizations for release of laboratory test results to the PPECC to inform infection control and prevention strategies; and

8.7.6.5 Plans to address staffing shortages and the PPECC demands should a COVID-19 outbreak occur.

8.8 Transportation Services.

8.8.1 If transportation is provided by a PPECC and prescribed by the primary physician, a procedure delineating personnel and equipment to accompany the child shall be included in the PPECC procedure manual.

16 Del. Admin. Code § 3375-8.0

25 DE Reg. 779( 2/1/2022) (final)