(b) Manufacturer.
(c) Model.
(d) Serial number.
(e) Date of repair.
(f) Specific repair made.
(g) Name of person or company performing the repair.
(10) Maintain testing equipment to ensure accurate calibration. Testing equipment shall be appropriate for the level of service offered. Scales used to weigh liquid oxygen reservoirs shall be properly maintained to ensure accuracy.
(11) Provide counseling including all of the following:
(a) Utilize orientation checklists for review of all of the following:
1. Instructions for use of the equipment.
2. Safety precautions.
3. Cleaning procedures.
4. Maintenance procedures.
5. Return demonstrations on back up oxygen systems.
(b) Instruct the patient about emergency and routine contact procedures.
(c) Deliver and review written instruction materials to ensure that the patient receives information regarding the operation of the equipment.
(12) Develop, implement and document a written plan of services in the patient record, including an assessment of the safety of the home environment, the caregiver or patient ability to comply with the prescription and the caregiver or patient ability to operate and clean the equipment as instructed.
(13) Maintain all required home medical oxygen records for a period of 5 years.
Section 2. EFFECTIVE DATE. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats. ---------------------------------------------------------------------------------------------------------------------
(END OF TEXT OF RULE)
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Dated September 21, 2017 Agency
Chair of the Pharmacy Examining Board
