Current through Register Vol. XXXVIII, No. 51, December 23, 2021
12.1.a. If a hospice administers an inpatient
facility for acute symptom management, respite care or residential care, the
provisions of this section apply.
12.1.b. An inpatient facility shall have a
full time administrator. The administrator shall designate an individual who
shall act in his or her absence as needed.
An inpatient facility shall have a
full or part time physician to meet the needs of the patient.
12.1.c.1. A physician, who can be the medical
director for the hospice, or designee shall be available on call at all
inpatient facility shall make reasonable efforts to safeguard personal property
and promptly investigate complaints of any loss. At the time of admission, the
inpatient facility shall prepare a record of all clothing, personal possessions
and money brought by the patient to the inpatient facility. The inpatient
facility shall update the record as additional personal property is brought to
the inpatient facility.
an inpatient facility keeps patient funds, the funds shall be kept in an
account separate from the inpatient facility funds. Patient funds shall not be
used by the inpatient facility.
An inpatient facility shall have a
policy to admit only patients who:
Have been diagnosed as terminally ill; and
12.1.f.2. Have personally or through a legal
representative, in writing, given informed consent to receive hospice
facility admissions in excess of the licensed bed capacity are prohibited
except when the Director approves an emergency admission.
If a patient is transferred from
in-home hospice care to the inpatient facility then the following shall occur:
12.1.h.1. The home hospice staff shall
contact the inpatient facility with a report including the services to be
12.1.h.2. The home
hospice care shall provide a copy of the interdisciplinary team care plan
within twenty-four (24) hours to the inpatient facility;
12.1.h.3. The home hospice care shall provide
significant information to the inpatient facility to ensure continuity of
12.2.a. An inpatient
facility shall provide nursing care and services by or under the direct
supervision of a Registered Nurse at all times.
12.2.b. An inpatient facility shall have a
Registered Nurse on site at all times.
12.2.c. Nursing care and services shall be
provided in accordance with the plan of care developed by the interdisciplinary
team and as ordered by the physician.
12.2.d. Nursing care, staffing and services
shall meet the needs of the patients.
12.2.e. A Registered Nurse shall assign the
nursing care of each patient to other nursing personnel in accordance with the
patient's needs and the specialized qualifications and competence of the
nursing staff available.
Nursing care and services shall be provided in accordance with recognized
standards of practice.
12.3.a. The pharmaceutical services shall be
under the direction of a licensed pharmacist.
12.3.b. There shall be a medicine room or
drug preparation area of sufficient size for the orderly storage of drugs, both
liquid and solid dosage forms, and for the preparation of medications for
patient administration within the unit. In the event that a drug cart is used
for storage and administration of drugs, the room shall be of sufficient size
for storage of the cart without crowding.
12.3.c. An inpatient facility shall develop
policies to identify, monitor and track medication errors and adverse drug
reactions. The results shall be reported to the quality assurance
Laboratory and Radiological Services.
An inpatient facility shall maintain or have available, whether directly or
through a written agreement, adequate laboratory and radiological services
available to meet the needs of the patients.
Food and Dietetic Services.
12.5.a. An inpatient facility shall comply
with W. Va. Code §
12.5.b. An inpatient facility shall designate
a person, either directly or by contractual agreement, to serve as the food and
dietetic services manager with responsibility for the daily management of the
inpatient facility that does not provide the services of a certified dietary
manager shall, at a minimum, train all employees through the county health
departments' food managers training course or a comparable course.
12.5.d. An inpatient facility shall designate
a qualified dietitian, either directly or through a contractual agreement, who
is responsible for the development and implementation of a nutrition care
program to meet the needs of the patients. This dietician shall be available as
needed to assist in nutritional assessment, menu planning, educating staff and
evaluating safe food production.
12.5.e. Menus shall meet the needs of the
patients. Special diets shall be prepared and served as ordered.
12.5.f. A current therapeutic diet manual
approved by the dietitian and medical director shall be readily available to
all medical, nursing and food service personnel.
12.5.g. Families shall be allowed to store
home cooked food for a patient. This storage shall be readily available. Food
brought from home shall not be co-mingled with the food prepared by the hospice
for other patients.
12.6.a. A patient has the right to be free
from a restraint of any form imposed as a mean of coercion, discipline,
convenience or retaliation by staff.
The use of a restraint shall be:
12.6.b.1. Selected only when less restrictive
measures are found ineffective to protect the patient or other persons from
12.6.b.2. Only used as
ordered by the hospice physician or attending physician;
12.6.b.3. Implemented in the least
restrictive manner possible not to interfere with the palliative care being
12.6.b.4. In accordance
with safe and appropriate restraining practices; and
12.6.b.5. Ended at the earliest possible
hospice shall have policies and procedures for the use of restraints.
12.6.d. All staff shall receive training in
proper and safe restraining techniques and training in de-escalation of
behaviors at least annually.
12.6.e. The patient shall be monitored and
evaluated to ensure the safety of the patient.