State of Connecticut Department of Developmental Services

Medical Advisories and Health Standards
Number
Subject

22-1

Health Standard No. 22-1 Preadmission Screening for Persons Applying for Nursing Facility Admission (OBRA) Revised: March 21, 0222
Replaces I.E.PO.005 Preadmission Screening for Persons Applying for Nursing Home Admission (OBRA)
  HS No. 22-1 Attachment A OBRA Preadmission Screening Report Level II Summary
  HS No. 22-1 Attachment B Preadmission Screening Determination Notification
  HS No. 22-1 Attachment C DDS Contact Sheet
  HS No. 22-1 Attachment D SNF Code Status Change Form
  HS No. 22-1 Attachment E Placement Notification for OBRA Form
   

21-2

 Health Standard No. 21-2 Medication Administration Certification Guidelines for Developmental Services Supported Living Workers Within the Individual Family Supports Division  Effective: October 1, 2021
  Health Standard No. 21-2 Attachment A Quarterly Medication Administration Audit Form and Instructions
   

21-1

 Health Standard No. 21-1 Osteoporosis Guidelines for Individuals Receiving DDS Supports Effective: July 28, 2021
  Health Standard No. 21-1 Attachment A Osteoporosis Information Sheet 
   
19-1
 Health Standard No. 19-1 Consent Required for Medical or Dental Procedures including Emergency Surgery Effective: July 1, 2019
   

18-1

 Health Standard No. 18-1 Homeopathic Remedies, Herbal Products, and Supplemental Products or Treatments Effective: November 19, 2018
   

17-1

 Health Standard No. 17-1 Water Safety Effective: December 1, 2017 (Replaces I.E.PO.001 & I.E.PR.001 Water Safety)
  HS No. 17-1 Attachment A Aquatic Activity Screening Form
   

16-2

 Health Standard No. 16-2 Safe Eating and Drinking Guidelines for Individuals with Swallowing Difficulties (Dysphagia) Revised: December 1, 2016 
  HS No. 16-2 Attachment A Swallowing Episode Report Form (SERF) and Instructions
  HS No. 16-2 Attachment B Bedside Swallow Evaluation
  HS No. 16-2 Attachment C Aspiration Precautions Sample Protocol
  HS No. 16-2 Attachment D Reflux Precautions Sample Protocol
  HS No. 16-2 Attachment E Guidelines for Consistency Modifications of Food and Liquids
  HS No. 16-2 Attachment F Site Meal Observation Documentation Form
  HS No. 16-2 Attachment G Individual Meal Observation Documentation Form
   
16-1 Healthcare/Nursing Services for Individuals Receiving DDS Individualized Home Supports (IHS)
Attachment -
Attachment A - Minimum Preventative Care Guidelines for Persons with Intellectual/Developmental Disabilities
Deferred Limited and Declined Care Review Form
Health Care Coordination Guidelines
16-1 Health Standard IHS PowerPoint Presentation
   
 14-1 Interpretive Guidelines for the DDS Regulations Concerning the Administration of Medication by Certified Unlicensed Personnel.  Replaces Medical Advisory 89-1, 93-1, 97-1, 99-3
   
13-01
Attachment -
   
09-2
 Guidelines for Deferred, Limited, or Declined Healthcare
Deferred Limited and Declined Care Progress Note
Deferred Limited and Declined Care Review Form
   
09-1
Routine Preventative Health Care
Replaces Medical Advisories 98-8 and 99-2
Attachment A - Minimum Preventative Care Guidelines for Persons with Intellectual/Developmental Disabilities
Attachment B - Health Problem and Health History List
Attachment C - Family Health History Form
   
07-1
 Health Standard #07-1 Dysphagia
2000-2
 Monitoring for Abnormal Involuntary Movements (Tardive Dyskinesia Screening)
 2000-1
 Infection Control
 99-4
End of Life Decisions to Withhold and/or Withdraw Medical Treatment (As of 5/26/2004, Replaced by DDS Procedure:
 99-3
Replaced by Medical Advisory 14-1
 99-2
 Replaced by Health Standard 09-1
99-1
 Replaced by Health Standard 07-1
98-8
 Replaced by Health Standard 09-1
98-7
 Recommendations to Prevent Aspiration Pneumonia*
98-6
 Guidelines for Neurological Care of DDS Clients with Epilepsy*
98-5
 Standards for Multiple Psychotropic Drug Use* 
98-4
 Health Promotion and Disease Prevention in Older Adults* 
98-3
 Practical Guidelines for Care of Persons with Down Syndrome and Dementia
98-2
 Guidelines for Management of Clients with Vancomycin Resistant Enterococci in DDS Operated or Funded Facilities or Programs * 
98-1
 Guidelines for Management of Individuals with Methicillin- Resistant Staphylococcus aureus in DDS Operated or Funded Facilities or Programs*
97-3
 Guidelines for Prevention of Bloodborne Pathogens (HIV & HBV) for DDS Clients*
97-2
 Advance Directive for DDS Clients (As of 5/26/04, Replaced by DDS Procedure: I.E.PR.007a)
92-2
 Monitoring the Use of Psychotropic Medication Prescribed for DDS Clients*
91-4
 Reporting Deaths of DDS Clients to the Office of the Chief Medical Examiner (As of 3/15/02, Replaced by DDS Procedure: I.D.PR.003)
91-3
 Autopsies (As of 3/15/02, Replaced by DDS Procedure: I.D.PR.004)
91-2
 Unlabeled Use of Medications for their Behavior Modifying Effects for DDS Clients*
91-1
 Neuroleptic Dose Reduction*
 87-2
 Withholding Cardiopulmonary Resuscitation of Terminally Ill DDS Clients (As of 5/26/04, Replaced by DDS Procedure: I.E.PR.007.c)
*under revision