Mich. Admin. Code R. 325.45353 - Nursing services
Rule 353.
(1) A
hospice shall assure that a registered professional nurse completes an initial
assessment of the patients condition within 48 hours after the election of
hospice care, unless sooner as requested by the physician, patient, or patient
representative.
(2) A comprehensive
assessment of the patient must be completed by the hospice interdisciplinary
care team no later than 5 calendar days after the election of hospice care. The
comprehensive assessment must identify the patients immediate physical,
psychosocial, emotional, and spiritual needs related to the terminal
illness.
(3) The patient care plan
must be established by the hospice interdisciplinary care team. The patient
care plan must include problems, interventions, and goals specific to the
patient and family unit and all medications, medical equipment, and other
pertinent items used by the patient. The patient care plan must be revised or
updated every 15 days or as the needs of the patient/family unit
change.
(4) A staff member, as
designated in the patients record, is responsible for the coordination,
implementation, and ongoing review of each plan. The plan must be recorded and
maintained as part of the patient and family unit record.
(5) The patient care plan must give direction
to the care given in meeting the physical, psycho-social, and spiritual needs
of the patient and family unit. The plan must be personalized to meet the
individuals needs and treatment decisions.
(6) Resource materials relating to the
administration and untoward effects of medications and treatments used in pain
and symptom control must be readily available to hospice personnel.
(7) The hospice shall arrange for the
availability of nursing services 24 hours a day, 7 days a
week.
Notes
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