Utah Admin. Code 432-150-16

Current through Bulletin 2024-18, September 15, 2024
Section R432-150-16 - Physician Services
(1)
(a) The licensee shall ensure a physician approves, in writing, a recommendation that an individual be admitted to the nursing care facility.
(b) Each resident shall remain under the care of a physician licensed in Utah to deliver the scope of services required by the resident.
(c) Nurse practitioners or physician assistants, working under the direction of a licensed physician may initiate admission to a nursing care facility pending personal review by the physician.
(2) The licensee shall provide supervision to ensure that the medical care of each resident is supervised by a physician. When a resident's attending physician is unavailable, another qualified physician shall supervise the medical care of the resident.
(3) The physician that supervises the resident's care shall:
(a) review the resident's total program of care, including medications and treatments, at each visit;
(b) write, sign, and date progress notes at each visit;
(c) indicate, in writing, direction and supervision of health care provided to residents by nurse practitioners or physician assistants; and
(d) sign each order.
(4) The licensee shall ensure that physician visits comply with the following:
(a) the physician notifies the facility of the name of the nurse practitioner or physician assistant who is providing care to the resident at the facility;
(b) a physician sees each resident at least once every 30 days for the first 90 days after admission, and at least every 60 days thereafter;
(c) physician visits are completed within ten days of the date the visit is required;
(d) except as permitted in Subsection R432-150-16(4)(e), the physician makes each required visit; and
(e) at the option of the physician, required visits after the initial visit may alternate between personal visits by the physician and visits by a physician assistant or nurse practitioner.
(5) The licensee shall provide or arrange for physician services 24 hours a day in case of an emergency.

Utah Admin. Code R432-150-16

Amended by Utah State Bulletin Number 2017-12, effective 5/16/2017
Amended by Utah State Bulletin Number 2024-01, effective 12/12/2023