481—63.15 (135C) Physical examinations.
	 63.15(1) Each resident in a residential care facility for the mentally retarded shall have a designated licensed physician, who may be called when needed. (III)
	 63.15(2) Each resident admitted to a residential care facility for the mentally retarded shall have had a physical examination prior to admission. (II, III)
	  a.   	 If the resident is admitted directly from a hospital, a copy of the hospital admission physical and discharge summary may be a part of the record in lieu of an additional physical examination. A record of the examination, signed by the physician, shall be a part of the resident’s record. (II, III)
	  b.   	 The record of the admission physical examination and medical history shall portray the current medical status of the resident and shall include the resident’s name, sex, age, medical history, physical examination, diagnosis, statement of chief complaints, and results of any diagnostic procedures. (II, III)
	  c.   	 Screening and testing for tuberculosis shall be conducted pursuant to 481—Chapter 59. (II, III)
	 63.15(3) Arrangements shall be made to have a physician available to furnish medical care in case of emergency. (II, III)
	 63.15(4) Rescinded, effective 7/14/82.
	 63.15(5) The person in charge shall immediately notify the physician of any accident, injury, or adverse change in the resident’s condition. (I, II, III)
	 63.15(6) Each resident shall be visited by or shall visit the resident’s physician at least annually. The year period shall be measured from the date of admission and is not to include preadmission physicals. Any required physician task or visit in a residential care facility for the mentally retarded may also be performed by an advanced registered nurse practitioner, clinical nurse specialist, or physician assistant who is working in collaboration with the physician. (III)
	 63.15(7) Residents shall be admitted to a residential care facility for the mentally retarded only on a written order signed by a physician certifying that the individual being admitted requires no more than personal care and supervision but does not require nursing care. (III)
This rule is intended to implement Iowa Code section 135C.23(2).
[ARC 0663C, IAB 4/3/13, effective 5/8/13]