{"ref":"LA-HSP-FAC-03","title":"Licensed Inpatient Hospice Facility Operations","category":"Hospice care","summary":"For an Agency with an inpatient hospice facility sublicense only: licensure, OPH and OSFM approvals, renewals and changes; care and a named advocate for each patient; 24-hour nursing with a registered nurse on every shift and at least one nurse to eight patients; room standards; water temperature logs and linen; isolation and tuberculosis rules; nutrition and food temperatures; pharmacy rules including 30-day order signing, 2-hour administration, quarterly monitoring and the STAT cabinet; restraint and seclusion; and visiting.","inShort":["This applies only if the Agency has a licensed inpatient hospice facility.","When patients are in the facility, staff are there 24 hours a day. Every shift has two direct care staff, one of them a registered nurse, and at least one nurse for every eight patients.","Only a licensed nurse, pharmacist or physician takes a verbal order and signs it right away. All orders are signed by the prescriber within 30 days.","Report medication errors and drug reactions immediately to the director of nurses, the pharmacist and the practitioner.","Water temperatures are logged at least monthly, and visitors are welcome at any hour, including small children."],"primaryCitation":"LAC 48:I §8247","citations":["LAC 48:I §8247","LAC 48:I §8253","LAC 48:I §8255","LAC 48:I §8257","LAC 48:I §8205.A.2","LAC 48:I §8215.A.1","LAC 48:I §8221.B","LAC 48:I §12533.F.2-3","LAC 51:II.503","R.S. 40:2184(2)(d)"],"federalCitations":["42 CFR §418.110","42 CFR §418.113(b)(6), (d)(3)"],"surveyorAsks":["Show me the staffing records for last week: was there a registered nurse giving direct care on every shift, and at least one nurse for every eight patients?","Who logs the hot water temperatures, and show me the log."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8247)","5. Licensure, Approvals and Changes","6. Care in the Facility","7. Nursing Services and Staffing","8. Patient Rooms and Common Areas","9. Water, Linen and the Physical Environment","10. Infection Control, Isolation and Tuberculosis","11. Nutrition Services","12. Pharmaceutical Services","13. Restraint and Seclusion (if Medicare-certified)","14. Visiting","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}