S.C. Code Regs. ch. 61, 61-17, 61-17.500 - POLICIES AND PROCEDURES
A. There shall
be written policies and procedures addressing the manner in which the
requirements of this regulation shall be met. The written policies and
procedures shall accurately reflect actual facility practice regarding care,
treatment, procedures, services, record keeping and reporting, admission and
transfer, physician services, nursing services, social services, resident
rights and assurances, medication management, pharmaceutical services, meal
service operations, emergency procedures, fire prevention, maintenance,
housekeeping and infection control, the operation of the facility, and other
special care and procedures as identified in this section. The policies and
procedures shall address the provision of any special care offered by the
facility that would include how the facility shall meet the specialized needs
of the affected residents such as Alzheimer's disease and/or related dementia,
physically or developmentally disabled, in accordance with any laws that
pertain to that service offered, for example, Alzheimer's Special Care
Disclosure Act.
B. Specifically,
there shall be written policies and procedures to:
1. Assure that residents do not develop
pressure-related wounds unless the resident's clinical condition demonstrates
that they were unavoidable and to address treatment of existing
pressure-related wounds;
2. Address
resident exit-seeking and elopement, including prevention and actions to be
taken in the event of occurrence;
3. Implement advance directives in accordance
with S.C. Code Sections
44-77-10,
et seq. , including provisions to inform and provide written
information to all adult residents concerning the right to accept or refuse
medical treatment and, at the individual's option, formulate an advance
directive. The policies shall not condition treatment or admission upon whether
the individual has executed or waived an advance directive;
4. Control the use and application of
physical restraints and all facility practices that meet the definition of a
restraint, such as bed rails used to keep a resident from getting out of
bed;
C. All policies and
procedures shall:
1. Establish a time period
for review of policies and procedures in writing and such reviews shall be
documented;
2. Be revised as
appropriate in order to reflect actual facility practice; and
3. Be accessible to staff, printed or
electronically, at all times.
D. If the facility permits any portion of a
resident's record to be generated by electronic or optical means, there shall
be policies and procedures to prohibit the use or authentication by
unauthorized users.
Notes
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