Utah Admin. Code R432-750-11 - Hospice Services
(1)
(a) The licensee shall ensure that a unit of
care includes the patient and the patient's family.
(b) The licensee shall ensure that the
patient, family, or other primary care individual participates in the
development and implementation of the interdisciplinary care plan according to
their ability.
(2) The
licensee shall ensure that written policies and procedures include:
(a) a clearly defined and integrated
administrative structure between in-home care and inpatient services;
(b) a procedure for accepting
referrals;
(c) a procedure for
completing an initial assessment and developing the interdisciplinary care
plan;
(d) a procedure for
coordination of the care plan between in-home hospice and inpatient hospice
care;
(e) a procedure for providing
for and documenting that the interdisciplinary team meets regularly to evaluate
care and includes inpatient and in-home care staff;
(f) a procedure for the appropriate transfer
of care from hospice in-home care to hospice inpatient care and vice-versa
where available; and
(g) a
requirement that the care plan is available to each team member for in-home and
inpatient services.
(3)
The licensee:
(a) may include ancillary staff
when appropriate;
(b) shall meet at
least twice a month to develop and maintain an appropriate plan of care;
and
(c) shall provide hospice
care.
(4) The attending
physician shall sign each patient's care plan and ensure it includes:
(a) a description of each service provided,
at what interval, and by whom;
(b)
any pertinent diagnosis;
(c) each
objective, intervention, and goal of treatment, based upon needs identified in
a comprehensive patient assessment;
(d) the date the plan was
initiated;
(e) the dates of
subsequent reviews; and
(f) the
name of patient.
(5)
(a) A hospice nurse may not give any
medication or treatment requiring an order except when ordered by an individual
legally authorized to issue the order.
(b) The hospice nurse shall ensure an initial
order and subsequent changes in the order for the administration of medication
is signed by the person lawfully authorized to give the order and incorporated
in the patient's record.
(c) The
licensee shall ensure that only licensed personnel may receive a telephone
order and each telephone order is:
(i)
countersigned by the initiator within 15 days of the date of issue; and
(ii) recorded immediately in the
patient's medical record.
(d) The licensee shall ensure an order for
therapy services includes the specific procedures to be used and the frequency
and duration of the services.
(e)
The attending physician shall review, sign, and date orders at least every 90
days.
(f) Only licensed hospice
agency employees may administer medications to patients.
(g) A hospice agency employee shall
administer medications and treatments as prescribed and recorded in the
patient's record.
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.