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

Utah Admin. Code R432-750-11
Amended by Utah State Bulletin Number 2023-10, effective 5/5/2023 Amended by Utah State Bulletin Number 2025-05, effective 2/18/2025

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