Section 51215.9 - Pediatric Subacute Care Unit -Physician Services(a) Physician services shall be provided in a pediatric subacute care unit in accordance with Section 72303, Title 22, California Code of Regulations, with the exception of (b)(1) of that section, and in accordance with (a) and (b) of this section.(b) Each pediatric subacute patient's attending physician shall perform an initial history and physical examination of the patient and prepare a written report of the examination within 24 hours of the patient's admission to the pediatric subacute care unit. In addition to documentation of history and physical examination, this report shall include a plan of treatment that addresses, at a minimum, the following areas: (1) The patient's level of function;(2) History of dependence on and potential for weaning from medical technology(ies);(3) Nutritional status, including growth history, anthropometric status and dietary needs; and(4) Need for physical therapy, occupational therapy or speech therapy assessment and services.(c) Medi-Cal beneficiaries receiving pediatric subacute care services shall be visited by their attending physician at least twice weekly during the first month of stay, and at a minimum of once each week thereafter, and more often as the patient's condition warrants.(d) A certified pediatric nurse practitioner or certified family nurse practitioner may, in collaboration with the pediatric subacute care unit patient's attending physician, provide non-duplicative services to pediatric subacute care unit patients within the scope of their practice requirements.(e) Each pediatric subacute care unit shall have a medical director who is a pediatrician currently certified by the American Board of Pediatrics, with demonstrated experience in caring for pediatric patients with dependence on medical technology. This requirement shall apply to a physician who has assumed the responsibility of medical director of a pediatric subacute care unit on or after the adoption date of this regulation. The pediatric subacute care unit medical director shall: (1) Act as liaison between facility administration and physicians attending pediatric subacute patients;(2) Be responsible for reviewing and evaluating pediatric subacute administrative and medical care policies and procedures;(3) Act as a consultant to the head nurse/nurse manager in matters relating to pediatric subacute patient care services;(4) Provide attending physician services to all pediatric subacute patients in the event of the absence or non-availability of other attending physicians;(5) Be responsible for reviewing pediatric subacute unit employees' preemployment and annual health examination reports.Cal. Code Regs. Tit. 22, § 51215.9
1. New section filed 6-30-97 as an emergency; operative 6-30-97 (Register 97, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-28-97 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48). Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14132.25, Welfare and Institutions Code.
1. New section filed 6-30-97 as an emergency; operative 6-30-97 (Register 97, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-28-97 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48).