Tenn. Comp. R. & Regs. 1200-08-10-.05 - ADMISSIONS, DISCHARGES, AND TRANSFERS
(1) Every person
admitted for care or treatment to any ASTC shall be under the supervision of a
physician licensed to practice in Tennessee. The name, address and telephone
number of the physician attending the patient shall be recorded in the
patient's medical record.
(2) The
above does not preclude the admission of a patient to an ASTC by a dentist or
podiatrist licensed to practice in Tennessee with the concurrence of a
physician member of the medical staff.
(3) This does not preclude qualified oral and
maxillo-facial surgeons from admitting patients and completing the admission
history and physical examination and assessing the medical risk of the
procedure on their patients. A physician member of the medical staff is
responsible for the management of medical problems.
(4) The facility shall ensure that no person
on the grounds of race, color, national origin, or handicap, will be excluded
from participation in, be denied benefits of, or otherwise subjected to
discrimination in the provision of any care or service of the facility. The
facility shall protect the civil rights of residents under the Civil Rights Act
of 1964 and Section 504 of the Rehabilitation Act of 1973.
(5) For purposes of this chapter, the
requirements for signature or countersignature by a physician, dentist,
podiatrist or other person responsible for signing, countersigning or
authenticating an entry may be satisfied by the electronic entry by such person
of a unique code assigned exclusively to him or her, or by entry of other
unique electronic or mechanical symbols, provided that such person has adopted
same as his or her signature in accordance with established ASTC protocol or
rules.
(6) Each ASTC must have a
written transfer agreement with a local hospital.
(7) The ASTC shall develop a patient referral
system both for referrals within the facility and other health care
providers.
(8) The ASTC shall have
available a plan for emergency transportation to a licensed local
hospital.
(9) The facility must
ensure continuity of care and provide an effective discharge planning process
that applies to all patients. The facility's discharge planning process,
including discharge policies and procedures, must be specified in writing and
must:
(a) Be developed and/or supervised by a
registered nurse, social worker or other appropriately qualified
personnel;
(b) Begin upon
admission;
(c) Be provided when
identified as a need by the patient, a person acting on the patient's behalf,
or by the physician; and
(d)
Include the likelihood of a patient's capacity for self-care or the possibility
of the patient returning to his or her pre-ambulatory surgical treatment center
environment.
(10) A
discharge plan is required on every patient, even if the discharge is to
home.
(11) The facility must
arrange for the initial implementation of the patient's discharge plan and must
reassess the patient's discharge plan if there are factors that may affect
continuing care needs or the appropriateness of the discharge plan.
(12) As needed, the patient and family
members or interested persons must be taught and/or counseled to prepare them
for post-operative care.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 68-11-202, 68-11-204, 68-11-206, 68-11-209, and 68-11-216.
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