10A NCAC 28D .0102       MEDICAL AND DENTAL CARE

(a)  The State Facility Director shall assure access to prompt, adequate and necessary medical and dental care and treatment to the client for physical and mental ailments and injuries and for the prevention of illness or disability as specified in G.S. 122C‑61(1).  "Necessary" may be determined in light of the client's length of stay and condition.  Short term clients shall be apprised of other medical and dental conditions and informed of appropriate medical and dental care.

(b)  All medical and dental care and treatment shall be consistent with accepted standards of medical and dental practice.  The medical care shall be performed under appropriate supervision of licensed physicians and the dental care shall be performed under appropriate supervision of licensed dentists.

(c)  Each client shall receive physical and dental examinations at least annually.

(d)  In cases of medical emergency or necessity:

(1)           if the necessary equipment or expertise is not available at the state facility, the attending physician shall arrange treatment at an appropriate medical facility;

(2)           if the client is at an unreasonable distance from his home facility, he shall be taken to a nearer appropriate hospital or clinic; and

(3)           if the events in Subparagraphs (d)(1) or (2) of this Rule occur, the State Facility Director shall assure that those persons specified in G.S. 122C‑206(e) are notified.

 

History Note:        Authority G.S. 122C‑57; 122C‑61; 122C‑206; 131E‑67; 143B‑147;

Eff. October 1, 1984;

Amended Eff. April 1, 1990; July 1, 1989.