Washington Administrative Code
Title 246 - Health, Department of
FACILITY STANDARDS AND LICENSING
Chapter 246-324 - Private alcohol and chemical dependency hospitals
Section 246-324-035 - Policies and procedures
Universal Citation: WA Admin Code 246-324-035
Current through Register Vol. 24-18, September 15, 2024
(1) The licensee shall develop and implement the following written policies and procedures consistent with this chapter and services provided:
(a) Criteria for admitting and retaining
patients;
(b) Methods for assessing
each patient's physical and mental health prior to admission;
(c) Providing or arranging for the care and
treatment of patients;
(d) Assuring
patient rights according to chapters 71.05 and 71.34 RCW, including posting
those rights in a prominent place for the patients to read;
(e) Protecting against abuse and neglect and
reporting suspected incidents according to the provisions of chapters 71.05,
71.34, 74.34 and 26.44 RCW;
(f)
Fire and disaster plans, including:
(i)
Accessing patient-occupied sleeping rooms, toilet rooms and
bathrooms;
(ii) Summoning internal
or external resource agencies or persons, such as a poison center, fire
department, and police;
(g) Emergency medical care, including:
(i) Physician orders;
(ii) Staff actions in the absence of a
physician; and
(iii) Storing and
accessing emergency supplies and equipment;
(h) Managing assaultive, self-destructive, or
out-of-control behavior, including:
(i)
Immediate actions and conduct; and
(ii) Documenting in the clinical
record;
(i) Pharmacy and
medication services consistent with WAC
246-324-210;
(j) Infection control as required by WAC
246-324-100;
(k) Staff actions upon:
(i) Patient elopement;
(ii) A serious change in a patient's
condition, and immediately notifying family according to chapters 71.05 and
71.34 RCW;
(iii) Accidents or
incidents potentially harmful or injurious to patients, and documentation in
the clinical record; and
(iv)
Patient death;
(l)
Smoking on the hospital premises;
(m) Responsibility for patients' personal
property, including recording any valuables left on deposit with the
hospital;
(n) Allowing patients to
work on the premises, according to WAC
246-324-180;
(o) Maintenance and housekeeping functions,
including schedules;
(p) Cleaning,
inspecting, repairing and calibrating electrical, biomedical and therapeutic
equipment, and documenting actions;
(q) Transporting patients for:
(i) Diagnostic or treatment
activities;
(ii) Hospital connected
business and programs; and
(iii)
Medical care services not provided by the hospital;
(r) Transferring patients to other health
care facilities or agencies;
(s)
Obtaining and retaining criminal history background checks and disclosure
statements consistent with WAC
246-324-030;
(t) Research involving patients;
(u) Clinical records consistent with WAC
246-324-200, the Uniform Medical
Records Act, chapter 70.02 RCW and Title 42 C.F.R., chapter 1, Part 2,
10/1/89;
(v) Food service
consistent with chapter 246-215 WAC and WAC
246-324-230.
(2) The licensee shall review and update the policies and procedures annually or more often as needed.
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040. 95-22-013, § 246-324-035, filed 10/20/95, effective 11/20/95.
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