| Section
D: Health Care Services and Support |
Y-D-01
Pharmaceutical Operations
(Essential)
(Name change from Pharmaceuticals) |
Formerly Y-29
The former “Pharmaceuticals” standard is now split
into 2 essential standards focusing on operational and
clinical issues, respectively. It is the intent of this
standard that the facility’s pharmaceutical services
are legally and properly operated. The operational
issues covered in this standard remain basically the
same as in previous versions. (See also Y-D-02.) |
Y-D-02
Medication Services
(Essential) |
Formerly Y-29
This new essential standard contains the clinical issues
carved out of the former Pharmaceuticals standard. This
standard intends that prescriptive practices are
commensurate with current community practice. The
content and requirements for facilities regarding these
clinical issues remain basically the same. (See also
Y-D-01.) |
Y-D-03
Clinic Space, Equipment, and Supplies
(Important) |
Formerly Y-30
An intent of this important standard is that the
facility provides sufficient equipment and space to
support the health services program. The amount of space
and the configuration of the room(s) needed for the care
and treatment of patients may vary with the size of the
facility and the kinds of services provided on site.
Expectations for equipment for dental screening vs.
equipment required in a dental operatory are given.
Minimum expectations for space, equipment and supplies
are specified. These remain essentially the same as in
previous versions with the addition of trash containers
for biohazardous and “sharps” materials. |
Y-D-04
Diagnostic Services
(Important) |
Formerly Y-31
An intent of this important standard is that the
facility provides the necessary diagnostic services for
patient care. This standard remains basically the same,
but the compliance indicators highlight issues and ask
explicitly that the RHA maintain documentation of any
required licenses or certifications of on-site services;
and that procedural manuals for on-site services include
protocols for calibration of testing devices.
Clarification was added that the basic testing equipment
listed as expected to be at each facility is required
only in facilities that have full-time health staff. The
CLIA certification or waiver is a recommendation, not a
requirement. |
Y-D-05
Hospital and Specialty Care Arrangements
(Important)
(Name change from Hospital and Specialized Ambulatory
Care) |
Formerly Y-32
This important standard intends that juveniles have
access to necessary hospitalization and specialty
services. The standard remains basically the same, but
the requirement for the treating facility to provide a
summary of treatment given with follow-up instructions
is now explicit. There is documentation of current
licensure, certification or inspections as required in
the state for specialty services provided on site such
as dialysis or mobile ambulatory surgery. |
