Current through Register No. 40, October 3, 2024
(a) The licensee
shall provide administrative services that include the appointment of a full
time administrator who:
(1) Meets one of the
following requirements:
a. Has a bachelor's
degree in business administration or a health related field; or
b. Is a registered nurse currently licensed
in the state of New Hampshire with at least 12 months experience in clinical
nursing with 6 months of the experience being in the care of clients with
nephrology disorders;
(2) Is responsible for the day-to-day
operations of the ESRDDC;
(3)
Delegates, in writing, an alternate onsite, qualified designee who shall assume
the responsibilities of the administrator in his or her absence; and
(4) May hold more than one position within
the facility if qualified.
(b) The licensee shall credential licensed
practitioners involved in the direct care of clients as follows:
(1) The licensee shall establish a
credentialing committee composed of, at a minimum, the medical director, the
administrator, and the director of nursing; and
(2) The credentialing committee shall be
responsible for:
a. Establishing the
education and experience requirements of each direct-care position;
b. Establishing a system for determining that
the person being credentialed is:
1.Licensed or certified to practice health care in New
Hampshire; and
2.Qualified by education and experience to meet the
requirements of the position in a. above;
c. Approving, and documenting the approval
of, the duties that may be performed by the person being
credentialed;
d. Establishing a
procedure for updating the approvals in b. above as necessary; and
e. The annual review of all credentialed
personnel.
(c) The licensee shall provide medical
services that meet the guidelines in the Association for the Advancement of
Medical Instrumentation (AAMI) 's "American National Standard for Dialysate for
Hemodialysis" (RD 52:2009 edition), available as noted in Appendix A for:
(1) Water quality requirements and testing;
and
(2) The reuse of hemodialyzers
and other dialysis supplies.
(d) The licensee shall provide instructions
and education to clients, including but not limited to medical needs,
nutrition, hygiene, medical emergencies, community support and
resources.
(e) The licensee shall
appoint a medical director who:
(1) Is a
physician licensed in the state of New Hampshire;
(2) Is board certified in internal medicine
or pediatrics;
(3) Has completed a
board-approved training program in nephrology;
(4) Has at least 12 months experience
providing care to patients receiving dialysis; and
(5) Shall perform the following duties:
a. Participate in the ESRDDC's quality
assurance program;
b. Participate
in the implementation of corrective action plans in affected problem
areas;
c. Participate in the
credentialing process for all licensed health care practitioners;
d. Act as a liaison between the licensed
practitioners and the client;
e. Be
available to consult with the client's licensed practitioner, as
needed;
f. Participate in the
development of medical emergency procedures and all standing orders;
g. Be available to respond to the center by
phone or in person in the case of an emergency or shall ensure that a physician
meeting the qualifications of the medical director is available; and
h. Review and approve all patient care
policies including infection control for the ESRDDC.
(f) The licensee shall provide
nursing services that include:
(1) A
department of nursing that is under the supervision of a director of
nursing;
(2) The appointment of a
full time director of nursing who:
a. Is a
registered nurse currently licensed in the state of New Hampshire;
b. Has at least one year of experience as a
registered nurse caring for clients with nephrology disorders; and
c. Shall perform the following duties:
1.Provide nursing direction, supervision, and staff
evaluations to promote quality nursing care;
2.Be a member of the ESRDDC's quality improvement
committee; and
3.Participate in the development nursing protocols and
procedures; and
(3) Sufficient staff to meet the dialysis
needs of clients at all times while in the care of the facility.
(g) The licensee shall provide
dialysis technician services that include the employment of dialysis
technicians who are qualified through education and technical training as
required by the center's policies and procedures.
(h) The licensee shall not be required to
have a separate collection station license, pursuant to He-P 817 to collect
patient samples for laboratory testing from clients of its dialysis services.
(i) The ESRDDC must obtain a lab
license in accordance with He-P 808 if it performs laboratory testing unless
the ESRDDC limits the testing preformed to point of care waived glucose
testing.
(j) The licensee shall not
be required to have a separate home health license, pursuant to He-P 809, to
provide staff-assisted home dialysis in a client's place of
residence.
(k) The licensee shall
provide social work services, including the employment of a sufficient number
of social workers to meet the needs of their clients and who:
(1) Have at least a master's degree in social
work; or
(2) Have a bachelor's
degree in a health or human services field, plus:
a. Two years experience as a social worker;
and
b. Have established a
consultative relationship with a person holding a master's degree in social
work.
(l) The
licensee shall provide dietary services, including the employment of a
sufficient number of dietitians to meet the needs of clients and who:
(1) Are registered by the American Dietetic
Association and have one year of experience in clinical nutrition; or
(2) Have a baccalaureate or advanced degree
with major studies in food and nutrition or dietitian and one year of
experience in clinical nutrition.
#9963, eff
7-28-11
