West Virginia Code of State Rules
Agency 69 - Health And Human Resources
Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES
Series 69-09 - Neonatal Abstinence Centers
Section 69-9-10 - ADMISSION, DISCHARGE AND TRANSITION
Universal Citation: 69 WV Code of State Rules 69-9-10
Current through Register Vol. XLI, No. 38, September 20, 2024
10.1. Admission.
10.1.a. A center may accept an admission
under the following criteria:
10.1.a.1. The
patient is recommended or referred by physician;
10.1.a.2. The patient is in stable
condition;
10.1.a.3. The patient
has a diagnosis of neonatal abstinence syndrome without other unrelated health
conditions; and
10.1.a.4. The
patient has an adjusted age of 36 weeks of gestation if bom prematurely, and is
under the age of four months old.
10.1.b. The center shall have policies and
procedures detailing the admission process.
10.1.c. The center shall have policies and
procedures detailing the eligibility criteria for admission to the
facility.
10.1.d. Each parent must
sign a discharge preparation agreement upon admission acknowledging the
understanding their responsibilities for working towards discharge of their
baby. Parents must agree to, including but not limited to, the following:
10.1.d.1. Visit their patient at a frequency
determined by the physician and the parents;
10.1.d.2. Participate in the care of the
patient while present;
10.1.d.3.
Learn the patienfs stress cues and how to address them;
10.1.d.4. Learn and practice the minimal
stress protocol for the patient experiencing withdrawal;
10.1.d.5. Attends parenting classes provided
or arranged for by the center;
10.1.d.6. Attends weekly or biweekly meetings
with the social worker, nursing staff and when necessary, the
physician.
10.1.d.7. Participate in
education provided regarding discharge; and
10.1.d.8. Provide contact information where
they can be reached at any time.
10.2. Discharge.
10.2.a. The social worker will oversee the
discharge process with protective services or the legal representative with the
appropriate legal documentation.
10.2.b. Discharge planning shall begin upon
admission.
10.2.c. The family
and/or legal representative shall be actively involved in the discharge
planning.
10.2.d. Discharges must
have a physician's order.
10.2.e.
Situations for Appropriate Discharge.
10.2.e.1. The patient achieves the goals of
his or her plan of care and no longer needs care and treatment outside of the
home;
10.2.e.2. The patient reaches
the maximum benefit from the services of the center;
10.2.e.3. The patient no longer meets the
eligibility criteria; or
10.2.e.4.
The patient has needs exceeding the resources of the center.
10.2.f Discharge
Criteria:
10.2.f.1. The patient must meet the
following criteria prior to discharge from the center:
10.2.f.1.A. The patient shall be weaned off
pharmacological interventions for at least 72 hours;
10.2.f.1.B. The patient shall have aNAS score
average of less than 8 or may be discharged with a higher average score at the
discretion of the physician; and
10.2.f.1.C. Clearance by child protective
services, if applicable.
10.2.f.2. Parents and/or legal
representatives will meet criteria on the Parental Discharge Agreement and
received clearance from protective services for discharge.
10.2.f.3. Parents and/or legal
representatives will receive instruction for therapeutic handling.
10.2.f.4. Parental education will be an
ongoing process throughout the patient's hospitalization treatment.
10.2.f.5. All caregivers are required to
receive training on the:
10.2.f.5.A. Period
of excessive crying;
10.2.f.5.B.
Caring for drug exposed patients;
10.2.f.5.C. Therapeutic handling;
and
10.2.f.5.D. Discharge and
aftercare.
10.2.g. Discharge Needs and Aftercare.
10.2.g.1. An assessment shall be completed by
the center to determine whether the patient has access to appropriate baby
items for daily care in the home.
10.2.g.2. An assessment shall be completed by
the center to determine whether the patient has access to health, medical,
nutritional, social, crisis, and emergency support in the home.
10.2.g.3. Referrals shall be made to connect
the patient and their caregiver with the needed in home care and support to
meet their needs.
10.2.g.4.
Patients shall be referred to all appropriate community-based supports by the
date of discharge as part of the after-care plan.
10.2.h. Discharge for Going Home with a
Person other than a Biological Parent.
10.2.h.1. The legal representative must sign
a Discharge Authorization form. The form must state the name of the person the
patient is to be released to (including the father or other relative), date,
and a form of identification (copied). The completion of the form must be
witnessed.
10.2.h.2. Check the
identification of the person picking up the patient. Identification must
correspond with the name given on the Discharge Authorization form. If the
patient is being held in the custody of protective services, there must be an
additional release form in the chart and the protective services representative
must be present.
10.2.h.3. No
patient is to be discharged to any person, other than the biological parent or
legal representative, without signed consent unless the patient is in the
custody of the Department.
10.2.h.4. The person picking up the patient
must have all the appropriate legal documents and deemed appropriate by the
social worker of the facility.
10.2.h.5. Removal of the patient from the
center shall only take place after all legal documents are signed and approved
by the social worker of the facility.
10.2.h.6. The center's registered
professional nurse will accompany patient to the motor vehicle of the person
picking up the patient and document patient was secure in an approved
rear-facing car seat.
10.2.h.7.
Document to whom the patient was discharged and complete any state required
minor release reports.
10.3. Transfer.
10.3.a. The center shall have in effect a
transfer agreement with one or more hospitals to reasonably assure timely
admission of a patient to the hospital when transfer is medically appropriate
as determined by a physician; and
10.3.b. The center shall have in effect a
transfer agreement with one or more hospitals to reasonably assure medical and
other information needed for care and treatment of patient is exchanged between
the institutions.
Disclaimer: These regulations may not be the most recent version. West Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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