Iowa Administrative Code

standards of practice for the ARNP’s respective population foci. Prior to treating a patient, an ARNP shall: 621.5(1) Establish a patient-provider relationship. 621.5(2) Perform and document the following, or have access to the patient’s health records where all of the following …

621.6(1) An ARNP who prescribes or administers a controlled substance shall: a. Review health history, including but not limited to a personal and family substance abuse risk assessment, or the documented rationale for not performing the assessment. b. Ensure the health record in…

621.7(1) Prior to the prescribing or dispensing of an opioid by an ARNP, the ARNP or the ARNP’s authorized delegate shall query the PMP database and the ARNP shall review the patient’s information contained in the PMP database. 621.7(2) This rule does not apply to an ARNP when tr…

canisters and spacers, or opioid antagonists in the name of a facility or school. 621.8(1) An ARNP may issue a prescription for one or more epinephrine auto-injectors in the name of a facility as defined in Iowa Code section 135.185(1), a school district, or an accredited nonpubl…

621.9(1) Telehealth permitted. A licensee may, in accordance with all applicable laws and rules, provide health care services to a patient through telehealth. 621.9(2) License required. An advanced registered nurse practitioner who provides services through telehealth to a patien…

the provisions of Iowa Code sections 509.3, 514.7, 514B.1 and 514F.1. [ARC 9166C, IAB 4/30/25, effective 6/4/25; Editorial change: IAC Supplement 6/11/25]

are established by the individual national certifying organization. National certifying organizations identified by the board pursuant to Iowa Code sections 509.3, 514.7, 514B.1, and 514F.1 are as follows: Addictions Nursing Certification Board American Academy of Nurse Practitio…

U.C.C.R. committee for the purpose set forth in Iowa Code section 514F.1, including questions regarding: 1. Appropriateness of levels of nursing care. 2. Documentation of the credentials of the nurse(s) offering the service(s). 3. Documentation of the care provided. 4. Documentat…

622.5(1) A U.C.C.R. committee will consist of five licensed registered nurses, three of whom shall be certified by the above. A quorum of the U.C.C.R. committee is three members. When a quorum is present, a position is carried by a majority of the committee members. 622.5(2) The …

622.6(1) Factors to determine appropriateness of nursing care deemed medically necessary may include but are not limited to: a. Utilization of the nursing process in establishing a nursing diagnosis. b. Development of a nursing care plan based on documentation of client needs and…

622.7(1) A request for review may be made to the board by a patient, licensee, or third-party payer of health care benefits. 622.7(2) The fee for a utilization and cost control review is $50 per individual patient review, made payable to the department of inspections, appeals, an…

stated in Iowa Code section 148I.1 apply to this chapter. “Administer” means the same as defined in Iowa Code section 155A.3(1). “Consultation” means discussing the aspects of an individual client’s circumstance with other professionals to ensure comprehensive and quality care fo…

623.2(1) Initial license. An individual seeking initial licensure as a certified professional midwife (CPM) will submit the following: a. A completed application for licensure. b. Payment of the application fee. c. A dated copy of the applicant’s current certification issued by t…

professional midwifery as set forth in Iowa Code chapter 148I, this chapter, and any other pertinent law or regulation. A licensed CPM shall: 623.3(1) Comply with the practice standards accepted by the North American Registry of Midwives as defined by the National Association of …

delegating to another CPM by: 623.4(1) Delegating only those midwifery tasks that fall within the delegate’s scope of practice, education, experience, and competence. 623.4(2) Matching the client’s needs and circumstances with the delegate’s qualifications and resources. 623.4(3)…

623.5(1) A licensee may: a. Obtain and administer drugs in accordance with Iowa Code section 148I.4. b. Obtain and administer the following drugs approved by the board of nursing: (1) Pyridoxine (vitamin B6) IM or IV for treatment of hyperemesis; (2) Terbutaline for cord prolapse…

148I or this chapter or for any wrongful act or omission related to the licensee’s practice, licensure, or professional conduct, including but not limited to the following: 623.6(1) In accordance with Iowa Code section 147.55(1), behavior that constitutes fraud in procuring a lic…

623.7(1) Telehealth permitted. A CPM may, in accordance with all applicable laws and rules, provide services to a client through telehealth. 623.7(2) License required. A CPM who provides services through telehealth to a client physically located in Iowa must be licensed by the bo…

indicated in this chapter. The definitions set out in Iowa Code section 135C.1 shall be considered to be incorporated verbatim in the rules. “Accommodation” means the provision of lodging, including sleeping, dining, and living areas. “Administrator” means a person approved by th…

63.10(1) General admission policies. a. Residents shall be admitted to a specialized residential care facility only on a written order signed by a primary care provider or psychiatrist, specifying the level of care, and certifying that the individual being admitted requires no mo…

63.11(1) Involuntary discharge or transfer permitted. A facility may involuntarily discharge or transfer a resident for only one of the following reasons: a. Medical reasons; b. The resident’s welfare or that of other residents; c. Repeated refusal by the resident to participate …

63.12(1) Each residency agreement shall: a. State the base rate or scale per day or per month, the services included, and the method of payment. (III) b. Contain a complete schedule of all offered services for which a fee may be charged in addition to the base rate. (III) Further…

63.13(1) Each resident in a residential care facility shall have a designated primary care provider who may be contacted when needed. (II, III) 63.13(2) Each resident admitted to a residential care facility shall have a physical examination prior to admission. (II, III) a. If the…

63.14(1) Resident record. The licensee shall keep a permanent record on all residents admitted to a specialized residential care facility with all entries current, dated, and signed. (III) The record shall include: a. Name and previous address of resident; (III) b. Birth date, se…

63.15(1) A complete change of bed linens shall be provided at least once a week and more often if necessary. (III) 63.15(2) Residents shall receive sufficient supervision to promote personal cleanliness. (II, III) 63.15(3) Residents shall have clean clothing as needed. Clothing s…

63.16(1) Drug storage. a. Residents who have been certified in writing by their primary care provider as capable of taking their own medications may retain these medications in their bedroom, but locked storage must be provided, with staff and the resident having access, and the …

63.17(1) The residential care facility personnel shall assist residents in obtaining annual and emergency dental services and shall arrange transportation for such services. (III) 63.17(2) Dental services shall be performed only on the request of the resident, responsible party, …

63.18(1) Dietary staffing. Personnel who are responsible for food preparation or service, or both food preparation and service, shall have an orientation on sanitation and safe food handling prior to handling food and shall have annual in-service training on food protection. (III…

63.19(1) Orientation. Within 24 hours of admission, each resident shall receive orientation to the facility. The orientation program shall be documented in the resident’s file and shall include, but shall not be limited to, a review of the resident’s rights, the daily schedule, h…

in accordance with 7—Chapter 2504. A request for waiver will be granted or denied by the director within 120 calendar days of receipt. [ARC 3740C, IAB 4/11/18, effective 5/16/18; ARC 5719C, IAB 6/16/21, effective 7/21/21; Editorial change: IAC Supplement 8/5/26]

63.20(1) Activities program. Each residential care facility shall provide suitable group and individual activities for residents. (III) a. The activities provided shall be designed to meet the needs and interests of each resident and to assist residents in continuing normal activ…

63.21(1) Each facility shall ensure that policies and procedures are written and implemented which include, at a minimum, the provisions of this rule and which govern all areas of service provided by the facility. These policies and procedures shall be available to staff, residen…

recognition of dignity and individuality, including privacy in treatment and in care for personal needs. (I, II) 63.22(1) Staff shall display respect for residents when speaking with, caring for, or talking about them, as constant affirmation of their individuality and dignity as…

persons of the resident’s choice, unless to do so would infringe upon the rights of other residents, and may send and receive personal mail unopened. (II) 63.23(1) Subject to reasonable scheduling restrictions, visiting policies and procedures shall permit residents to receive vi…

63.24(1) Residents shall be permitted to keep reasonable amounts of personal clothing and possessions for their use while in the facility. The facility shall offer the resident the opportunity to have personal property itemized and documented on an inventory sheet upon the reside…

or conservator by the court may manage the resident’s own personal financial affairs. To the extent the facility assists in management, under written authorization by the resident, the management shall be carried out in accordance with Iowa Code section 135C.24. (II) 63.25(1) The…

as provided by Iowa Code section 347B.5. (II) 63.26(1) Residents may not be used to provide a source of labor for the facility against their will. Approval by the primary care provider or physiatrist is required for all work programs. (I, II) 63.26(2) Residents who perform work f…

times and shall be free from mental, physical, sexual, and verbal abuse, exploitation, neglect, and physical injury. (I, II) 63.27(1) Mental abuse includes, but is not limited to, humiliation, harassment, and threats of punishment or deprivation. (I, II) 63.27(2) Physical abuse i…

written policies that define the uses of physical restraints, designate the administrator or designee as the person who may authorize their use, establish a mechanism for monitoring and controlling their use, and provide staff with proper training. (I, II) 63.28(1) Temporary phys…

and maintenance of a safe environment for residents and personnel. (I, II, III) 63.29(1) Fire safety. a. All residential care facilities shall meet the fire safety rules and regulations as promulgated by the state fire marshal. (I, II) b. The size of the facility and needs of the…

63.3(1) Application and licensing—new facility or change of ownership. In order to obtain a specialized residential care facility license for a facility not currently licensed as a specialized residential care facility or for a specialized residential care facility when a change …

63.30(1) Each resident room shall be cleaned on a routine schedule. (III) 63.30(2) All rooms, corridors, storage areas, linen closets, attics, and basements shall be kept in a clean, orderly condition, free of unserviceable furniture and equipment and accumulations of refuse. (II…

63.31(1) The building, grounds, and other buildings shall be maintained in a clean, orderly condition and in good repair. (II, III) 63.31(2) Window treatments and furniture shall be clean and in good repair. (II, III) 63.31(3) Cracks in plaster, peeling wallpaper or paint, and te…

63.32(1) Residents’ personal laundry shall be marked with an identification if commingled with other residents’ personal laundry. (III) 63.32(2) Bed linens, towels, and washcloths shall be clean and stain-free. (III) 63.32(3) If laundry is done in the facility, a clean, dry, well…

63.33(1) All garbage shall be gathered, stored, and disposed of in a manner that will not permit transmission of disease, create a nuisance, or provide a breeding or feeding place for vermin or insects. (III) 63.33(2) All containers for refuse shall be watertight and rodent-proof…

63.34(1) Linen supplies. a. There shall be an adequate supply of linens so that each resident shall have at least three washcloths, hand towels, and bath towels per week. (III) b. A complete change of bed linens shall be available in the linen storage area for each bed. (III) c. …