048-10 Wyo. Code R. §§ 10-9 - Non-Hospice Inpatient Respite Care Services

(a) Accepting clients for non-hospice respite care under this subsection is voluntary.

(b) Hospice facilities that elect to provide non-hospice respite care services shall:

(i) Provide medication administration in accordance with federal and state physician's orders;

(ii) Provide activities and care in accordance with a plan of care developed by primary caregivers and hospice staff prior to admission.

(c) The hospice providing non-hospice respite care services shall be staffed with qualified personnel including a registered nurse and any additional disciplines needed to ensure adequate care and services are provided.

(d) The services shall include, but not be limited to:

(i) assistance with activities of daily living;

(ii) personal hygiene;

(iii) provision of nourishments;

(iv) appropriate recreational activities; and

(v) medication management.

(e) Non-hospice inpatient respite care services shall meet the following standards:

(i) provide a clean environment free of obstacles that could pose a hazard to client health or safety;

(ii) provide easily accessible toilet facilities, handwashing facilities, and paper towel dispensers in common areas; and

(iii) be accessible to patients with supporting devices for ambulation and wheelchairs.

(f) Non-hospice respite care services shall have written policies and procedures relevant to its operation. Such policies and procedures shall include, but not be limited to:

(i) Admission criteria and physician's orders that qualify patients to be appropriately served in the hospice facility that include the primary physician's name and contact information;

(ii) Meals and refreshments, including special diets that will be provided;

(iii) Handling of medical emergencies and subsequent transfer to acute care facility;

(iv) Infection control procedures;

(v) Recordkeeping of all medications administered and any adverse events occurring;

(vi) Safety interventions regarding potential elopement or wandering;

(vii) Assessment and interventions for patients with behaviors, including wandering;

(viii) Medication administration and monitoring; and

(ix) Activities program to meet the needs of the patients.

(g) The patient or responsible party and the hospice shall have a written, signed agreement outlining the respective rules of the hospice and responsibilities of each party.

Notes

048-10 Wyo. Code R. §§ 10-9

Amended, Eff. 4/1/2016.