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24-Hour Availability, Nursing On-Call and After-Hours Response

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.

Preview: full text with a package
About this policy
Policy number
NC-HSP-SVC-01
Version
1.0
Main rule
G.S. 131E-203(c)
Library
North Carolina hospice · 60 policies
Category
Service delivery
Sections
19

In short

  • 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.

What's inside

19 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 (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

An inspector may ask

  • 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.?

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