216-40-10 R.I. Code R. § 18.6

Current through June 12, 2024

Section 216-RICR-40-10-18.6 - Health Care Services

18.6.1Management of Services

A. Policies and procedures pertaining to the provision of services and supported by appropriate manuals and reference material shall be established by the appropriate professional staff and approved by the governing body. Such policies and procedures shall pertain to no less than the following:

1. The responsibility of the physician(s) for the provision of health care services;

2. The designation of personnel authorized to deliver health care services in accordance with licensure and/or certification requirements;

3. Standards of practice for each health care service provided;

4. Procedures that may and may not be performed;

5. Procurement and storage of all drugs and medications in accordance with R.I. Gen Laws Chapters 21-28 and 21-31 and disposal of all drugs and medications in accordance with Part 20-20-1 of this Title, Disposal of Drugs;

6. Designation of personnel authorized to prescribe, administer, dispense, or dispose of drugs in accordance with licensure and/or certification requirements;

7. Disposal of hypodermic needles, syringes and instruments in accordance with the requirements of Part 20-15-6 of this Title, Hypodermic Needles, Syringes, and Other Such Instruments;

8. Disclosure of patient information in accordance with Federal and State law; and

9. Such other conditions as may be deemed appropriate.

18.6.2Laboratory Services

A. Clinical laboratory services may be provided on the premises of the school-based health center.

1. If the laboratory services only consist of limited function tests, as defined by this Part, these services shall be subject to the "Clinical Laboratory Improvement Amendments of 1988"? incorporated above at § 18.2(A) of this Part.

2. If the laboratory services consist of tests more complex than limited function tests, the laboratory shall be additionally subject to the provisions of R.I. Gen. Laws Chapters 23-16.2 and 23-16.3, and the Regulations adopted thereunder.

18.6.3Infection Control

A. Policies and procedures governing infection control and reporting techniques shall be established in accordance with this section.

B. Infection control provisions shall be established for the mutual protection of patients, employees, and the public.

C. Reporting of Communicable Diseases

1. School-based health center personnel who are charged with reporting communicable diseases (e.g., physicians, physician assistants, registered nurse practitioners, midwives) shall promptly report to the Department cases of communicable diseases designated as "reportable diseases" by the Director of Health, when such cases are diagnosed in the schoolbased health center in accordance with Part 30-05-1 of this Title, Reporting and Testing of Infectious, Environmental, and Occupational Diseases.

2. When infectious diseases present a potential hazard to patients or personnel, these shall be reported to the Department, even if not designated as "reportable diseases."

3. School-based health centers must, in addition, comply with all other laboratory reporting requirements for tuberculosis, HIV/AIDS, sexually transmitted diseases, childhood lead poisoning, and occupational diseases as outlined in Part 30-05-1 of this Title, Reporting and Testing of Infectious, Environmental, and Occupational Diseases.

18.6.4Health Care Records

A. Each school-based health center shall maintain a health care record on every patient seeking health care services.

B. For each visit to the school-based health center, the health care record shall contain documentation relating to the following:

1. Patient identification (name, address, age and sex);

2. Pertinent health history and physical findings;

3. Diagnostic and therapeutic orders;

4. Reports of procedures, tests and findings of each visit;

5. Diagnostic impressions; and

6. Such other pertinent data as may be necessary to ensure continuity of patient care.

C. Procedures shall be established to ensure confidentiality of all medical records, including computer or electronic records.

D. Each school-based health center shall make provisions for the appropriate release or transfer of patient care information in accordance with the legal requirements governing confidentiality of health care information.

E. All medical records, either originals or accurate reproductions, shall be preserved for a minimum of five (5) years, except that records of minors shall be kept for at least five (5) years after such minor shall have reached the age of eighteen (18) years.

18.6.5Medical Equipment

Medical equipment and supplies for the reception, appraisal, examination, treatment and observation of patients shall be determined by the amount, type and extensiveness of services provided.

216 R.I. Code R. § 216-RICR-40-10-18.6

Amended effective 12/19/2021