Ariz. Admin. Code § R9-10-508 - Transfer; Discharge
A. An
administrator, in coordination with the Arizona Department of Economic
Security, Division of Developmental Disabilities, shall ensure that:
1. A resident is transferred or discharged
if:
a. The ICF/IID is not authorized or not
able to meet the needs of the resident, or
b. The resident's behavior is a threat to the
health or safety of the resident or other individuals at the ICF/IID;
and
2. Documentation of a
resident's transfer or discharge includes:
a.
The date of the transfer or discharge;
b. The reason for the transfer or
discharge;
c. A 30-day written
notice except:
i. In an emergency,
or
ii. If the resident no longer
requires rehabilitation services or habilitation services as determined by a
physician or the physician's designee;
d. A notation by a physician or the
physician's designee if the transfer or discharge is due to any of the reasons
listed in subsection (A)(1); and
e.
If applicable, actions taken by a personnel member to protect the resident or
other individuals if the resident's behavior is a threat to the health and
safety of the resident or other individuals in the ICF/IID and beyond the
ICF/IID's scope of services.
B. Except for a transfer of a resident due to
an emergency, an administrator shall ensure that:
1. A qualified intellectual disabilities
professional or, if the resident has a nursing care plan or medical care plan,
a registered nurse coordinates the transfer and the services provided to the
resident;
2. According to policies
and procedures:
a. An evaluation of the
resident is conducted before the transfer;
b. Information from the resident's medical
record, including orders that are in effect at the time of the transfer, is
provided to a receiving health care institution; and
c. A personnel member explains The risks and
benefits of the transfer to the resident or the resident's representative;
and
3. Documentation in
the resident's medical record includes:
a.
Communication with an individual at a receiving health care
institution;
b. The date and time
of the transfer;
c. The mode of
transportation; and
d. If
applicable, the name of the personnel member accompanying the resident during a
transfer.
C.
Except in an emergency, a qualified intellectual disabilities professional or,
if the resident has a nursing care plan or medical care plan, a registered
nurse shall ensure that before a resident is discharged:
1. Written follow-up instructions are
developed with the resident or the resident's representative that include:
a. Information necessary to meet the
resident's need for medical services and nursing services; and
b. The state long-term care ombudsman's name,
address, and telephone number;
2. A copy of the written follow-up
instructions is provided to the resident or the resident's representative;
and
3. A discharge summary:
a. Is developed by a qualified intellectual
disabilities professional or, if the resident has a nursing care plan or
medical care plan, a registered nurse;
b. Authenticated by the resident's attending
physician or designee; and
c.
Includes: a.
i. The resident's need for rehabilitation services or
habilitation services at the time of transfer or discharge;
b.ii. The
resident's need for medical services or nursing services;
c.iii.
The resident's developmental, behavioral, social, and nutritional
status;
d.iv. The resident's
medical and psychosocial history;
e.v. The date of the
discharge; and
f.vi. The location of the
resident after discharge.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. An administrator, in coordination with the Arizona Department of Economic Security, Division of Developmental Disabilities, shall ensure that:
1. A resident is transferred or discharged if:
a. The ICF/IID is not authorized or not able to meet the needs of the resident, or
b. The resident's behavior is a threat to the health or safety of the resident or other individuals at the ICF/IID; and
2. Documentation of a resident's transfer or discharge includes:
a. The date of the transfer or discharge;
b. The reason for the transfer or discharge;
c. A 30-day written notice except:
i. In an emergency, or
ii. If the resident no longer requires rehabilitation services or habilitation services as determined by a physician or the physician's designee;
d. A notation by a physician or the physician's designee if the transfer or discharge is due to any of the reasons listed in subsection (A)(1); and
e. If applicable, actions taken by a personnel member to protect the resident or other individuals if the resident's behavior is a threat to the health and safety of the resident or other individuals in the ICF/IID and beyond the ICF/IID's scope of services.
B. Except for a transfer of a resident due to an emergency, an administrator shall ensure that:
1. A qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan , a registered nurse coordinates the transfer and the services provided to the resident;
2. According to policies and procedures:
a. An evaluation of the resident is conducted before the transfer;
b. Information from the resident's medical record, including orders that are in effect at the time of the transfer, is provided to a receiving health care institution; and
c. A personnel member explains risks and benefits of the transfer to the resident or the resident's representative ; and
3. Documentation in the resident's medical record includes:
a. Communication with an individual at a receiving health care institution;
b. The date and time of the transfer;
c. The mode of transportation; and
d. If applicable, the name of the personnel member accompanying the resident during a transfer.
C. Except in an emergency, a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan , a registered nurse shall ensure that before a resident is discharged:
1. Written follow-up instructions are developed with the resident or the resident's representative that include:
a. Information necessary to meet the resident's need for medical services and nursing services; and
b. The state long-term care ombudsman's name, address, and telephone number;
2. A copy of the written follow-up instructions is provided to the resident or the resident's representative ; and
3. A discharge summary:
a. Is developed by a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan , a registered nurse;
b. Authenticated by the resident's attending physician or designee; and
c. Includes: a. i. The resident's need for rehabilitation services or habilitation services at the time of transfer or discharge; b. ii. The resident's need for medical services or nursing services; c. iii. The resident's developmental, behavioral, social, and nutritional status; d. iv. The resident's medical and psychosocial history; e. v. The date of the discharge; and f. vi. The location of the resident after discharge.