Inpatient Hospice Facility Operations and Non-Hospice Palliative Care Patients
Applies only if the Agency operates its own inpatient hospice facility. Sets the Ohio building, fire, room, meal and pharmaceutical standards of OAC 3701-19-08 and the federal standards of 42 CFR §418.110 (applying the stricter where they differ, such as no more than two patients per room), restraint and seclusion and death reporting, controlled drug storage, and, where the Agency chooses to admit non-hospice palliative care patients under ORC 3712.10, every requirement of OAC 3701-19-22.1, including informed consent, the 51 percent attestation, plan of care review at least every three days, record retention and notice to ODH.
- Policy number
- OH-HSP-FAC-03
- Version
- 1.0
- Main rule
- OAC 3701-19-08
- Library
- Ohio hospice · 60 policies
- Category
- Hospice care
- Sections
- 22
In short
- This policy applies only if the Agency runs its own inpatient hospice facility.
- A registered nurse gives direct care on every shift whenever patients are in the facility.
- No more than two patients share a room, and visitors, including children, are welcome at any hour.
- Controlled drugs are kept locked, and any discrepancy is reported at once.
- Non-hospice palliative care patients need signed consent and a plan of care review at least every three days.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (OAC 3701-19-08; 42 CFR §418.110)
- 5. Building, Fire and Safety
- 6. Rooms, Bathrooms and Patient Areas
- 7. Staffing and Nursing
- 8. Meals
- 9. Pharmaceutical Services and Controlled Drugs
- 10. Restraint and Seclusion
- 11. Non-Hospice Palliative Care Patients
- 11.1 Conditions and attestation
- 11.2 Referral, consent and information
- 11.3 Care of non-hospice palliative care patients
- 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 ODH determination that allowed your inpatient facility to admit patients and your current fire code documentation.
- How many patients can share a room here, and how much space does each have?
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