Ga. Comp. R. & Regs. R. 111-8-22-.07 - Facility Communication Responsibilities
(1) The facility shall develop, adopt,
implement, and enforce policies and procedures to ensure that each patient is:
(a) Provided communication of information in
a manner effective for the patient, which may include the services of an
interpreter or written form, as appropriate;
(b) Fully advised of their medical condition
in terms that they understand, or, if they are unable to understand, their
representative is so advised;
(c)
Informed of all treatment modalities and settings for the treatment of end
stage renal disease, and of the criteria for suitability for each treatment
modality and setting;
(d) Informed
about, and given the opportunity to participate in, all decisions about care,
including the right to refuse treatment and the medical consequences of
refusal;
(e) Informed about all
services provided by the facility, the qualifications and training of staff
providing services, and the charges for services provided;
(f) Informed of the facility's reprocessing
of dialyzers or bloodlines, if supplies are reused;
(g) Transferred or discharged only for
medical reasons, for the welfare of the patient, other patients, or staff, or
for on payment of fees, and given at least thirty (30) days advance notice of
the transfer or discharge unless such delay presents significant risk to the
patient or others, and that there is documentation of efforts to resolve issues
leading to discharge when the discharge is against the patient's
wishes;
(h) Provided information
about, and allowed to formulate, advance directives and have them honored in
accordance with current statutes; and
(i) Informed of the facility's internal
mechanisms for receiving and responding to complaints from patients and others
regarding services, and the mechanisms for filing a grievance or complaint
against the facility through the licensing agency, without fear of denial of
services or retaliation by the facility.
(2) The facility shall inform each patient
upon admission of their responsibilities in the treatment process, and of the
facility's rules regarding patient conduct.
(3) The facility shall report to the
Department whenever any of the following incidents involving patients receiving
dialysis services through the facility occurs:
(a) Any unanticipated patient death not
related to the natural course of the illness or the patient's underlying
condition occurring at the facility or as a direct result of treatment received
in the facility;
(b) Any serious
injury resulting from the malfunction or intentional or accidental misuse of
patient care equipment;
(c)
Exsanguination while at the facility;
(d) Any patient dialyzed with another
patient's dialyzer where the facility reuses the hemodialyzers;
(e) Any deviation in fulfilling the patient
prescription which results in a significant adverse patient outcome;
(f) Any sexual or physical assault of or by a
patient which is alleged to have occurred in the facility.
(4) The facility shall make an initial report
of the incident within twenty-four (24) hours or by the next business day from
when the incident occurred, or from when the facility has reasonable cause to
suspect a reportable incident. The initial report shall be received by the
Department in confidence, and shall include at least:
(a) The name of the facility;
(b) The date of the incident and that date
that the facility became aware that a possible reportable incident may have
occurred;
(c) The medical record
number(s) of any affected patient(s);
(d) The type of incident suspected, with a
brief description of the incident; and
(e) Any immediate corrective action or
preventative action taken by the facility to ensure against the replication of
the incident prior to the completion of the facility investigation.
(5) The facility is required to
conduct an investigation of any of the incidents listed above and to complete
and retain on site a written report of the results of the investigation within
forty-five (45) days of the discovery of the incident. The complete report of
the investigation shall be available to the Department for inspection at the
facility, and shall contain at least the following:
(a) An explanation of the circumstances
surrounding the incident, including the results of a root cause analysis or
other appropriate quality improvement process or tool;
(b) Any findings and conclusions associated
with the review; and
(c) A summary
of any actions taken to correct identified problems associated with the
incident, and to reduce the potential for recurrence of the incident.
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.
No prior version found.