Licensed Inpatient Hospice Facility Operations

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.

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About this policy

Policy number: LA-HSP-FAC-03
Version: 1.0
Main rule: LAC 48:I §8247
Library: Louisiana hospice · 60 policies
Category: Hospice care
Sections: 22

In short

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.

What's inside

22 sections. The full text comes with the One-time Policy Pack.

Full text with a package

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

An inspector may ask

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.

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Rules it follows

LAC 48:I §8247LAC 48:I §8253LAC 48:I §8255LAC 48:I §8257LAC 48:I §8205.A.2LAC 48:I §8215.A.1LAC 48:I §8221.BLAC 48:I §12533.F.2-3LAC 51:II.503R.S. 40:2184(2)(d)42 CFR §418.11042 CFR §418.113(b)(6), (d)(3)

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