{"ref":"TX-HSP-SVC-01","title":"24-Hour Availability, On-Call and Backup Services","category":"Service delivery","summary":"Sets out how the Agency makes nursing, physician services and drugs available 24 hours a day, seven days a week, how patients are taught to reach the Agency after hours, how the on-call nurse responds, and how backup services are arranged when a scheduled staff member is not available.","inShort":["Nurses, a hospice doctor and medicines are available 24 hours a day, 7 days a week.","Teach every family the after-hours number, (512) 555-0199, and to call us first for any problem.","When on call, call the patient back within 15 minutes of being paged, and visit whenever it is needed or asked for.","If you cannot make a visit, tell the scheduler at least 2 hours ahead so it can be covered.","Never pressure a family to cover a visit themselves. A family member who agrees must sign a backup agreement."],"primaryCitation":"26 TAC §558.290","citations":["26 TAC §558.290","26 TAC §558.850(d)-(e)","26 TAC §558.243(c)(2)(A)(i)","26 TAC §558.281(6)"],"federalCitations":["42 CFR §418.100(c)(2)","42 CFR §418.64"],"surveyorAsks":["Call your after-hours number now. Who answers, and how quickly does a nurse call back?","How are patients taught to reach you after regular business hours?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.290; §558.850(d)-(e))","5. Teaching Patients How to Reach the Agency","6. The On-Call System","6.1 Response standards","6.2 Handling the call","6.3 Drugs, supplies and equipment after hours","7. Emergencies in the Home","8. Backup Services When Scheduled Staff Are Not Available","9. Other Services Around the Clock","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}