SECTION 130:12-3-4. Admission requirements

(a)   Application for admission of a person age 0 to 21 shall be done by the person's legal guardian.

(b)   Persons are admitted as inpatients only upon the order of a member of the medical or dental staff with admitting privileges. A physician's order is not necessary in order to schedule and complete an admission screening.

(c)   All persons shall be required to complete the admission process with a registered nurse and other nursing personnel, as needed.

(d)   Proper immunization is required for each inpatient. The person shall provide a current valid immunization record according to the most current ACIP recommendations. If immunizations are not current, they shall be brought up-to-date during the admission with consent of the legal guardian providing no contraindications to immunization exist.

(e)   The person shall have had a PPD (Tuberculin skin test) within the last year. If PPD test was positive for tuberculosis, the person shall bring a statement from a physician that the person is free from active tuberculosis along with chest x-ray report and a report of any prophylactic medication received. PPD (Purified Protein Derivative) is the only diagnostic antigen that shall be accepted. The applicant shall have the skin test read by a medical professional. Self read tests shall not be accepted. The skin test shall be repeated at time of admission if PPD not used or if test was self read, unless a positive reaction occurred. A person may be admitted without a PPD if Center staff determine that the admission is an emergency, but the person shall be screened for signs and symptoms of tuberculosis at time of admission and a PPD shall be administered at that time.

(f)   For all persons who have resided in a long term care facility, all persons having a history of Hepatitis B and all persons with Down's Syndrome, a Hepatitis B profile report is required. These persons shall be screened for the Hepatitis virus prior to admission, and an individualized assessment of transmission risk shall be performed.

(g)   For all persons with Down's Syndrome, a report of previous x-rays of the atlanto axial vertebrae (C1-C2) is required.

(h)   A prescription report shall be provided for any medication currently being taken. The report shall be written by the person's physician.

(i)   If a person is taking an anticonvulsant medication, a blood level for the medication shall have been performed within one month prior to admission for evaluation or habilitation patients or within six months prior to admission for respite patients and a copy of the medication blood level, or report from physician, shall be brought with the person at time of admission.

(j)   Post-operative persons are requested to provide a copy of current hospitalization records to include the following:

(1)   history and physical, if completed within ten days of transfer,

(2)   lab report,

(3)   surgical report,

(4)   post-op report,

(5)   discharge summary,

(6)   physician's orders,

(7)   physician's written prescription for all Schedule II medications,

(8)   nursing discharge or transfer summary to include at least the following:

(A)   status of intake and output,

(B)   medications: amount and times to be given as well as the last time the medication was given.

(k)   Consent shall be obtained from the person's legal guardian at the time of admission for HIV/HBV testing to be used if needed at a later date during current admission.

(l)   Persons shall be screened for pediculosis (lice) and treated at the Center. Infestation with pediculosis shall not normally prevent admission.

(m)   Respite patients shall supply an adequate supply of all medications that shall be taken during the respite admission.

[Source: Added at 19 Ok Reg 2598, eff 7-11-02]