Current through Register Vol. 48, No. 12, March 22, 2024
a) All persons
shall be admitted to the Model by a member of the medical staff and shall be
under the professional care of a member of the medical staff.
b) No medication, treatment or diagnostic
test shall be administered to a patient except on the written order of a member
of the medical staff. Verbal orders shall be signed before the medical staff
member leaves the Model. Telephone orders shall be countersigned within 24
hours.
c) Policies and procedures
must be developed and implemented that address the following:
1) An initial nursing assessment shall be
performed by a registered nurse on admission of the patient to the
Model.
2) A nursing care plan shall
be developed and implemented that addresses the needs of the patient and is
coordinated with the patient's medical management plan.
3) Visiting rules shall be developed that
protect the health, safety and privacy of the patients.
A) Visiting hours shall be communicated to
the patient and posted in an area(s) visible to all persons entering the
Model.
B) No visitor shall
knowingly be admitted who has a known infectious disease, who has recently
recovered from such a disease, or who has recently had contact with such a
disease.
C) Smoking by visitors
shall be prohibited except in specially designated areas.
4) Emergency Care and Transfers
A) Policies and procedures shall be developed
which establish the extent of emergency treatment to be provided in the Model,
including basic life support procedures and transfer arrangements for patients
who require care beyond the scope provided by the Model.
B) There shall be monitoring equipment,
suction apparatus, oxygen, and cardiopulmonary resuscitation equipment
available in the Model.
C) Patient
transfers to a hospital shall be by a licensed ambulance service.
D) Appropriate medical records and a summary
of the events precipitating the transfer must accompany the patient.
E) The Model must have a written disaster
plan of operation with procedures to be followed in the event of fire, natural
disaster or other threat to patient safety.
5) Policies and procedures shall be developed
and implemented concerning the administration, storage, and disposal of
medications.
d) Written
discharge instructions shall be provided to each patient based upon the
patient's health care needs and the medical staff's instructions.
e) Patients shall be discharged only on the
written signed order of a member of the medical staff.