1. (a) The FSW or Health Services Specialist will:

   1. (1) Sign any necessary consent for medical or dental treatment (excluding mental health services — see 9 CAR § 40-750) prior to the child receiving treatment in the following cases, consent may be given in person, over the phone, or via fax:

      1. (A) Nonemergency surgical procedures;
      2. (B) Nonemergency invasive procedures;
      3. (C) “End of life” nonemergency procedures which include:

2. (i) Do-not-resuscitate orders, with the Director of the Division of Children and Family Services approval and a court order;

   1. (ii) Withdrawal of life support, with director approval and a court order; and

      1. (iii) Organ donation, with director approval; and
      2. (D) Nonemergency medical procedures relating to a criminal investigation or judicial proceeding that involves gathering forensic evidence;
   2. (2) Complete the CFS-368: Child’s Health Services Plan within fourteen (14) calendar days after completion of the comprehensive health assessment;
   3. (3) Inform parents of any medical treatment and involve them as appropriate;
   4. (4) Update the CFS-368: Child’s Health Services Plan at least every six (6) months;
   5. (5) Provide copies of updates of the CFS-368: Child’s Health Services Plan to the child’s parents and the out-of-home placement provider; and
   6. (6) Ask the medical provider to complete the CFS-366: Health Screening.

3. (b) Life sustaining treatment.

   1. (1) The FSW must obtain the permission of the Director of the Division of Children and Family Services and a court order for the withholding or withdrawing of life sustaining treatment of any child in the custody of the division.
   2. (2) The FSW must obtain the permission of the director for any organ donation.

Codification Notes: This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: "07/2009"