{"ref":"NC-HSP-SVC-01","title":"24-Hour Availability, Nursing On-Call and After-Hours Response","category":"Service delivery","summary":"Makes hospice care available 24 hours a day, seven days a week, with nursing services by or under the supervision of a registered nurse at all hours, a physician on call, an after-hours number answered by a person, Agency response standards for call-backs and visits, an on-call log, and nursing on-call schedules kept for one year for the Division.","inShort":["Hospice care is available 24 hours a day, 7 days a week. A registered nurse is always on call.","Give every family the after-hours number and explain when to call.","Call the family back within 15 minutes. If a visit is needed, leave within 30 minutes.","Record every after-hours call on the on-call log and in the patient's record.","Hand off all calls and follow-ups to the day team by 9:00 a.m.","On-call schedules are kept so the State can see who was on call."],"primaryCitation":"G.S. 131E-203(c)","citations":["G.S. 131E-203(c)","10A NCAC 13K .0501(1), (1)(c)","10A NCAC 13K .0601(6)","G.S. 131E-144.3(10), (11)"],"federalCitations":["42 CFR §418.100(c)(2)","42 CFR §418.56(e)(4)","42 CFR §418.204(a)"],"surveyorAsks":["Show me the nursing on-call schedules for the past year.","What happens, step by step, when a family calls at 2:00 a.m.?"],"forms":[{"ref":"NC-HSP-SVC-01-A","title":"After-Hours On-Call Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (G.S. 131E-203(c))","5. The On-Call System","6. On-Call Schedules","7. Response Standards","8. Handling a Call","9. Handoff to the Day Team","10. Telling Patients and Families","11. Monitoring","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","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}}