Utah Admin. Code R432-750-5 - Personnel
(1) The hospice administrator shall maintain
qualified, competent personnel to perform their respective duties, services,
and functions.
(2) The licensee
shall develop and implement written policies and procedures that address the:
(a) contents of personnel files of employed
and volunteer staff;
(b) criteria
for, and frequency of, performance evaluations;
(c) frequency and documentation of in-service
training;
(d) job descriptions,
qualifications, and validation of licensure or certificates of completion as
appropriate for each position;
(e)
method and period of staff payment;
(f) orientation for direct and contract
employees, and volunteers;
(g)
staff benefits, including sick leave, vacation, and insurance; and
(h) staff work schedules.
(3) The licensee shall require
that each employee provide proof of registration, certification, or licensure
as required by the Utah Department of Commerce within 45 days of
hire.
(4)
(a) The licensee shall establish and
implement a policy and procedure for health screening of any hospice agency
personnel.
(b) The licensee shall
ensure that an employee placement health evaluation is completed when an
employee is hired.
(c) The
evaluation shall include at least a health inventory that outlines the
employee's history of any:
(i) condition that
may prevent the employee from performing assigned duties satisfactorily;
and
(ii) condition that predispose
the employee to acquiring or transmitting an infectious disease.
(d) The licensee shall develop
components of personnel health programs for employee health screening and
immunizations in accordance with Rule R386-702.
(e) Employee skin testing by the Mantoux
Method or other FDA-approved invitro serologic test and follow-up for
tuberculosis shall comply with Rule R388-804.
(f) The licensee shall ensure that each
employee is skin-tested for tuberculosis within two weeks of:
(i) development of symptoms of
tuberculosis;
(ii) initial hiring;
and
(iii) suspected exposure to a
person with active tuberculosis.
(g) Each employee with a known positive
reaction to skin tests is exempt from skin testing.
(h) The licensee shall report any infections
and communicable diseases reportable by law to the local health department in
accordance with Section
R386-702-3.
(5) The licensee shall document that each
employee, volunteer, and contract personnel is oriented to the hospice agency
and the job that they are hired to perform. Orientation shall include:
(a) each duty for an individual who is
trained, holds a certificate, or is licensed;
(b) ethics, confidentiality, and patient
rights training;
(c) information
about other community agencies, including emergency medical services;
(d) job descriptions training;
(e) opportunities for continuing education
appropriate to the patient population served;
(f) the policy related to volunteer
documentation, charting, hours, and emergencies;
(g) reporting requirements as outlined in
Rule R380-600 including reporting when observing or suspecting abuse, neglect,
and exploitation pursuant to Section
26B-6-205;
(h) the functions of each hospice agency
employee and the relationships between various positions or services;
and
(i) the hospice agency concept
and philosophy of care.
(6)
(a) The
licensee shall provide and document in-service training and continuing
education for staff at least annually.
(b) Members of the hospice agency
interdisciplinary team shall have access to in-service training and continuing
education appropriate to their responsibilities and to the maintenance of
skills necessary for the care of the patient and family.
(c) The training programs shall include the
introduction and review of effective physical and psychosocial assessment and
symptom management.
(d) The
licensee shall train personnel in appropriate Centers for Disease Control
infectious disease protocols.
(7) The hospice administrator shall appoint a
person to coordinate the activities of the interdisciplinary team and to:
(a) annually review and make recommendations,
where appropriate, of hospice agency policies covering admissions and
discharge, medical supervision, care plans, clinical records, and personnel
qualifications;
(b) assure that
ongoing assessments of the patient and family needs and implementation of the
interdisciplinary team care plans are accomplished;
(c) assure that the team meets regularly to
develop and maintain appropriate plans of care and to determine that staff will
be assigned to each case; and
(d)
schedule adequate quality and quantity of any level of hospice care.
(8) The licensee shall provide
access to individual or group support for interdisciplinary team members to
assist with stress or grief management related to providing hospice
care.
Notes
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No prior version found.