Current through September 21, 2024
(a) Accepting
clients for non-hospice respite care under this subsection is
voluntary.
(b) Hospice facilities
that elect to provide non-hospice respite care services shall:
(i) Provide medication administration in
accordance with federal and state physician's orders;
(ii) Provide activities and care in
accordance with a plan of care developed by primary caregivers and hospice
staff prior to admission.
(c) The hospice providing non-hospice respite
care services shall be staffed with qualified personnel including a registered
nurse and any additional disciplines needed to ensure adequate care and
services are provided.
(d) The
services shall include, but not be limited to:
(i) assistance with activities of daily
living;
(ii) personal
hygiene;
(iii) provision of
nourishments;
(iv) appropriate
recreational activities; and
(v)
medication management.
(e) Non-hospice inpatient respite care
services shall meet the following standards:
(i) provide a clean environment free of
obstacles that could pose a hazard to client health or safety;
(ii) provide easily accessible toilet
facilities, handwashing facilities, and paper towel dispensers in common areas;
and
(iii) be accessible to patients
with supporting devices for ambulation and wheelchairs.
(f) Non-hospice respite care services shall
have written policies and procedures relevant to its operation. Such policies
and procedures shall include, but not be limited to:
(i) Admission criteria and physician's orders
that qualify patients to be appropriately served in the hospice facility that
include the primary physician's name and contact information;
(ii) Meals and refreshments, including
special diets that will be provided;
(iii) Handling of medical emergencies and
subsequent transfer to acute care facility;
(iv) Infection control procedures;
(v) Recordkeeping of all medications
administered and any adverse events occurring;
(vi) Safety interventions regarding potential
elopement or wandering;
(vii)
Assessment and interventions for patients with behaviors, including
wandering;
(viii) Medication
administration and monitoring; and
(ix) Activities program to meet the needs of
the patients.
(g) The
patient or responsible party and the hospice shall have a written, signed
agreement outlining the respective rules of the hospice and responsibilities of
each party.
