Current through Register Vol. 24-18, September 15, 2024
The licensee shall:
(1) Employ sufficient, qualified staff to:
(a) Provide adequate patient
services;
(b) Maintain the hospital
free of safety hazards; and
(c)
Implement fire and disaster plans.
(2) Develop and maintain a written job
description for the administrator and each staff position;
(3) Maintain evidence of appropriate
qualifications and current credentials prior to hiring, or granting or renewing
clinical privileges or association of any health care professional;
(4) Verify work references prior to hiring
staff;
(5) Assure all patient-care
staff including those transporting patients and supervising patient activities,
except licensed staff whose professional training exceeds first-responder
training, have within thirty days of employment:
(a) Current cardiopulmonary resuscitation
cards from instructors certified by the American Red Cross, American Heart
Association, United States Bureau of Mines, or Washington state department of
labor and industries; and
(b)
Current first-aid cards from instructors certified as in (a) of this
subsection.
(6) Provide
and document orientation and appropriate training for all staff, including:
(a) Organization of the hospital;
(b) Physical layout of hospital, including
buildings, departments, exits, and services;
(c) Fire and disaster plans, including
monthly drills;
(d) Infection
control;
(e) Specific duties and
responsibilities;
(f) Policies,
procedures, and equipment necessary to perform duties;
(g) Patient rights according to chapters
71.05 and 71.34 RCW and patient abuse;
(h) Managing patient behavior; and
(i) Appropriate training for expected
duties.
(7) Make
available an ongoing, documented, in-service education program including, but
not limited to:
(a) For each staff person,
training to maintain and update competencies needed to perform assigned duties
and responsibilities; and
(b) For
patient care staff, in addition to (a) of this subsection, the following
training:
(i) Methods of patient
care;
(ii) Using the least
restrictive alternatives;
(iii)
Managing assaultive and self-destructive behavior;
(iv) Patient rights pursuant to chapters
71.05 and 71.34 RCW;
(v) Special
needs of the patient population, such as children, minorities, elderly, and
individuals with disabilities;
(vi)
Cardiopulmonary resuscitation; and
(vii) First-aid training.
(8) When volunteer
services are used within the hospital:
(a)
Designate a qualified employee to be responsible for volunteer
services;
(b) Provide and document
orientation and training according to subsections (6) and (7) of this section
for each volunteer; and
(c) Provide
supervision and periodic written evaluations of each volunteer working directly
with patients.
(9) In
addition to following WISHA requirements, protect patients from tuberculosis by
requiring each staff person to have upon employment or starting service, and
each year thereafter during the individual's association with the hospital:
(a) A tuberculin skin test by the Mantoux
method, unless the staff person:
(i) Documents
a previous positive Mantoux skin test, which is ten or more millimeters of
induration read at forty-eight to seventy-two hours;
(ii) Documents meeting the requirements of
this subsection within the six months preceding the date of employment;
or
(iii) Provides a written waiver
from the department or authorized local health department stating the Mantoux
skin test presents a hazard to the staff person's health.
(b) A second test one to three weeks after a
negative Mantoux skin test for staff thirty-five years of age or older;
and
(c) A chest X-ray within seven
days of any positive Man-toux skin test.
(10) Report positive chest X-rays to the
appropriate public health authority, and follow precautions ordered by a
physician or public health authority;
(11) Restrict a staff person's contact with
patients when the staff person has a known communicable disease in the
infectious stage which is likely to be spread in the hospital setting or by
casual contact; and
(12) Maintain a
record on the hospital premises for each staff person, during employment and
for two years following termination of employment including, but not limited
to:
(a) An employment application;
(b) Verification of required education,
training and credentials;
(c)
Documentation of contacting work references as required by subsection (4) of
this section;
(d) Criminal history
disclosure and background checks as required in WAC
246-324-030;
(e) Verification of current cardiopulmonary
resuscitation and first-aid;
(f)
Tuberculin test results, reports of X-ray findings, exceptions, physician or
public health official orders, and waivers; and
(g) Annual performance evaluations.
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
95-22-013, § 246-324-050, filed 10/20/95, effective
11/20/95.
