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A written record of the prescribed diet shall be kept. (13) Mechanical dishwashers shall use hot water temperatures exceeding 140°F in the wash cycle and 180°F in the final rinse cycle or shall be of a chemical sanitizing type approved by the National Sanitation Foundation. (8) A prescribed diet for an individual with a medically restricted diet shall be followed. (12) Utensils used for eating, drinking, preparation and serving of food or drink shall be washed after each use by a mechanical dishwasher or by a method approved by the Department of Environmental Resources. The provisions of this § 2380.124 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code Chapter 18, Subchapter C (relating to certified registered nurse practitioners) and Chapter 21, Subchapter C (relating to certified registered nurse practitioners). If an individual has a suspected adverse reaction to a medication, the facility shall notify the prescribing physician and the family or residential program immediately. The provisions of this § 2380.126 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code Chapter 18, Subchapter C (relating to certified registered nurse practitioners) and Chapter 21, Subchapter C (relating to certified registered nurse practitioners). (a) Prescription medications and injections of a substance not self-administered by individuals shall be administered by one of the following: (1) A licensed physician, licensed dentist, certified physician’s assistant, registered nurse or licensed practical nurse. (c) A list of prescription medications, the prescribed dosage, special instructions and the name of the prescribing physician shall be kept for each individual who self-administers medication. The medication log must identify the prescribing certified registered nurse practitioner (CRNP) when a medication was prescribed by a CRNP as authorized under 49 Pa. Notification of an adverse reaction to a medication may be made to the prescribing certified registered nurse practitioner (CRNP) when the medication was prescribed by a CRNP as authorized under 49 Pa. The provisions of this § 2380.131 adopted January 15, 1993, effective January 16, 1993, 23 Pa. (2) Menus shall be posted at least 1 program day prior to the menu date. (4) Written menus shall be retained for at least 2 months. (a) To be considered capable of self-administration of medications, an individual shall: (1) Be able to recognize and distinguish the individual’s own medication. The provisions of this § 2380.129 adopted January 15, 1993, effective January 16, 1993, 23 Pa. The dining area may be a program area as long as the area is not used for purposes of programming and dining at the same time. (c) The dining area shall have a sufficient number of tables and chairs to accommodate the maximum number of individuals scheduled for lunch or break at any one time. If the facility provides or arranges for meals for individuals, the following requirements apply: (1) Written daily menus shall be prepared and posted in a location visable to the individuals. The provisions of this § 2380.113 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, or a medical problem which might interfere with the health, safety or well-being of the individuals, written authorization from a licensed physician is required for the person to be present at the facility. (a) Prescription and nonprescription medications shall be kept in their original containers, except for medications of individuals who self-administer medications and keep their medications in personal daily or weekly dispensing containers. (4) Information of medical problems which might interfere with the safety or health of the individuals. (a) If a staff person or volunteer has a serious communicable disease as defined in 28 Pa.

The provisions of this § 2380.114 adopted January 15, 1993, effective January 16, 1993, 23 Pa. (d) Prescription and nonprescription medications shall be stored under proper conditions of sanitation, temperature, moisture and light. (d) Immunizations, vision and hearing screening and tuberculin skin testing may be completed, signed and dated by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physician’s assistant. If an individual refuses a routine medical examination, the refusal shall be documented in the individual’s record. (a) A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. (7) An assessment of the individual’s health maintenance needs, medication regimen and the need for blood work at recommended intervals. (11) Special instructions for an individual’s diet. (7) The quantity of food served at each meal shall contain at least one-third of the minimum daily requirements as recommended by the United States Department of Agriculture. (10) Food shall be protected from contamination while being stored, prepared, served and transported. (11) Uneaten food from a person’s dish or from family style serving dishes may not be served again or used in the preparation of other meals. (6) Each meal served shall contain at least one item from the dairy, protein, fruits and vegetables and grain food groups, unless medically contraindicated for an individual.

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