(a) The facility shall have and implement a written health service plan developed in consultation with the health service authority. The health service plan shall establish the facility's health care delivery system and detail the protocols for the delivery of medical, mental health, and dental services for all residents. The plan shall include:
  (1) procedures for conducting health screenings and health assessments;
  (2) procedures for the referral of residents in need of medical attention, either self-reported or identified by staff, for medical, mental health, and dental services;
  (3) procedures for emergency health care services;
  (4) procedures to ensure continuity of care in accordance with the instructions of the medical provider including the delivery of treatment, medication, referrals, follow up, and medically modified diets;
  (5) procedures relating to informed consent as required by Texas Family Code Chapter 32 for medical, dental, psychological, and surgical treatment; immunizations; and counseling services;
  (6) procedures relating to procurement, distribution, dispensing, disposal, and accounting of prescription and over-the-counter medication;
  (7) procedures for performing all examinations, treatments, and other procedures in a confidential setting consistent with facility operations and security;
  (8) procedures for off-premises transportation and evacuation of residents with medical restrictions;
  (9) procedures for identification and control of communicable diseases;
  (10) procedures for staff education and training relating to the facility's health care delivery system;
  (11) procedures relating to first aid kit contents, location, and periodic inspections; and
  (12) procedures for pregnant residents to receive timely and appropriate prenatal care, specialized obstetrical services when indicated, and postpartum care. These procedures shall also include procedures for the safe and appropriate restraint (both physical and mechanical) of pregnant residents.
(b) The health service plan shall be reviewed at least once every 24 months in consultation with the health service authority.

Source Note: The provisions of this §343.322 adopted to be effective January 1, 2010, 34 TexReg 7095; amended to be effective January 1, 2015, 39 TexReg 9243