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007.05.10-24. Recreational Therapy.

AR ADC 007.05.10-24Arkansas Administrative Code

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Ark. Admin. Code 007.05.10-24
007.05.10-24. Recreational Therapy.
In facilities with organized Recreational Therapy Services, the following shall apply:
A. Recreational Therapy Services shall be under the direction of a physician member of the Medical Staff.
B. Recreational Therapy Services shall be supervised by a therapist with current certification.
C. There shall be sufficient Recreational Therapy supportive staff to provide authorized Recreational Therapy Services.
D. There shall be documentation, verified by the physician director, of who may perform special procedures and give patient instructions.
E. The policy and procedure manual shall have evidence of ongoing review and/or revision. The first page of the manual shall have the annual review date, signature of the department supervisor and/or person(s) conducting the review.
F. There shall be written policies and procedures which shall include:
1. Job descriptions;
2. Infection prevention and control measures;
3. Recreational Therapy Services provided and a list of services shall be made available to the Medical Staff;
4. Orientation practices for new employees and volunteer personnel;
5. Assembly, operation and maintenance of all equipment;
6. Safety practices;
7. Security of supplies and tools; and
8. Activities off-campus.
G. All equipment, tools and machines shall be in good repair and under the control of the therapist supervisor. Documentation of preventive maintenance shall be maintained for the life of each piece of equipment.
H. Current reference material shall be available for the department.
I. Clinically relevant educational programs shall be conducted on a regularly scheduled basis at not less than 12 per year. There shall be evidence of program dates, attendance, and subject matter.
J. All recreational therapy prescriptions/work requests shall be authorized by a written and signed physician's order and shall include:
1. Identification of the patient;
2. Date;
3. Physician's name;
4. Type, frequency and duration of treatment; and
5. Originating signature.
K. Recreational Therapy Service records for each patient shall include:
1. Current written plan of care;
2. Documentation of attendance by the therapist in team meetings and the contribution by the therapist to the treatment plan;
3. Statement of treatment objectives;
4. Statement of patient's short-term and long-term rehabilitation potential;
5. Record of daily activity participation;
6. Justification of any continued rehabilitation care; and
7. Progress notes.
L. All Recreational Therapy personnel shall maintain competency in life support measures.
M. There shall be an ongoing QA/PI program.
N. If food and/or nutritional service functions are offered, infection prevention and control, storage and supervision shall be coordinated with the Dietary Department of the facility.
O. Contracted Recreational Therapy Services shall be under current agreement and the contractor shall fulfill all requirements of this Section.

Credits

Amended Jan. 1, 2016.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. ยง 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-24, AR ADC 007.05.10-24
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