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

Sets how the Agency makes nursing, physician services and drugs available 24 hours a day, 7 days a week, and other services whenever reasonable and necessary: the after-hours number, the on-call nurse, physician, supervisor and other disciplines, the Agency’s call-back and visit standards, how calls are handled and logged, and how the on-call system is tested and reviewed.

Preview: full text with a package
About this policy
Policy number
DC-HSP-SVC-01
Version
1.0
Main rule
42 CFR §418.100(c)(2)
Library
Washington, DC hospice · 60 policies
Category
Service delivery
Sections
19

In short

  • A nurse, a hospice physician and drugs are available 24 hours a day, 7 days a week.
  • After hours, families call (202) 555-0199. A live person always answers.
  • Call back within 15 minutes of the page, and when a visit is needed aim to arrive within 2 hours.
  • Log every call and hand it off to the registered nurse coordinator by the next business morning.
  • Teach every family to call us first, before 911, for problems related to the terminal illness.

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 (42 CFR §418.100(c)(2))
  • 5. Who Is On Call
  • 6. The After-Hours Number
  • 7. Handling a Call
  • 8. The On-Call Log and Next-Day Handoff
  • 9. Patients in Facilities
  • 10. Teaching Families to Call
  • 11. Testing and Reviewing the System
  • 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

  • Call your after-hours number now. Who answers, and how long does the nurse take to call back?
  • Show me the on-call schedule for this month for nurses and physicians.

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