Section 11-94.2-42 - Physician services(a) Admission orders and ongoing orders by a physician, physician assistant, or APRN and plan of treatment shall be in writing and carried out by the staff of the facility including arrangement for transfer to other facilities when indicated.(b) Each resident admitted to the facility shall be under the care of a physician selected by the resident, legal guardian, or surrogate.(c) The facility shall ensure that arrangements have been made for all physician, physician assistant, or APRN visits and services.(d) Physicians, physician assistants, or APRNs shall visit the facility as necessary to assure that adequate medical care is being provided, review plan of care, make pertinent recommendations, and determine appropriate level of care of resident.(e) Physician visits shall be made at least once every thirty days for the first ninety days of stay. After ninety days, a schedule of no less than quarterly visits may be adopted; however, this does not apply to residents who require specialized rehabilitative services. APRN, physician assistant, and physician visits may be alternated after the initial physician visit.(f) Physicians, physician assistants, or APRNs shall provide an annual health evaluation of each resident.(g) Each resident shall have a physical examination by a physician, physician assistant, or APRN within five days prior to admission or within one week after admission, and shall have had a tuberculosis clearance within the previous year, pursuant to section 11-164-10.(h) The facility shall promptly notify the physician, physician assistant, or APRN of any accident, injury, or change in the resident's condition.(i) The physician, physician assistant, or APRN shall write a discharge summary to ensure adequate continuing care when a resident is transferred to another primary care provider.(j) Each resident shall receive age-appropriate immunizations or vaccinations including but not limited to pneumococcal and annual influenza vaccines and any necessary immunizations following the recommendations of the Advisory Committee of Immunization Practices unless otherwise contraindicated, or refused by the resident, legal guardian, or surrogate. All immunizations provided shall be documented in each resident's medical record.Haw. Code R. § 11-94.2-42
[Eff 9/16/2022] (Auth: HRS §§ 321-9, 321-11) (Imp: HRS §§ 321-9, 321-11)