Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-5 - END STAGE RENAL DISEASE TREATMENT AND TRANSPLANT CENTERS › Section 420-5-5-.03 - Patient Care

Current through Register Vol. 42, No. 9, June 28, 2024
(1) General.
(a) Medical Supervision and Emergency
			 Coverage. The facility ensures that the health care of each patient is under
			 the continuing supervision of a physician and that a physician is available 24
			 hours a day, seven days a week for emergency situations. A roster of physicians
			 providing emergency services is posted at the nurses' station.
(b) Patient Care Policies. The facility shall
			 have written patient care policies relating to all areas of care, and are
			 developed by the physician director or medical staff and approved by the
			 governing body. The patient care policies are reviewed periodically to
			 determine effectiveness, but at least annually.
(c) Patient Long-Term Program and Patient
			 Care Plan.
1. The facility maintains for each
			 patient a written long-term program and patient care plan to ensure that each
			 patient receives the appropriate modality of care and the appropriate care
			 within that modality.
2. The
			 long-term program states that most suitable treatment modality (dialysis or
			 transplantation) and the most suitable dialysis setting (facility or home). The
			 program is developed by a professional team and the patient, is formally
			 reviewed and revised as necessary, and accompanies the patient on
			 inter-facility transfer.
3. The
			 patient care plan is developed by a professional team and the patient, and is
			 based on the nature of the patient's illness, the treatment prescribed, and an
			 assessment of the patient's needs. The patient care plan is personalized for
			 the individual, reflects the ongoing psychological, social and functional needs
			 of the patient. It is reviewed at least semi-annually.
4. The physician responsible for the
			 patient's medical supervision evaluates the patient's immediate and long-term
			 needs and prescribes, with input from other professional personnel involved in
			 the care of the patient, a planned regimen of care.
(d) Admission and Discharge Policies and
			 Procedures. Policies and procedures must be developed for admission and
			 discharge of in-facility care, self-care and home-care patients.
(e) Medical History and Physical Examination.
			 A complete patient medical history and physical examination must be obtained
			 and recorded. The physical examination and history must be made prior to or on
			 the date of admission and the patient must be re-examined on an annual
			 basis.
(f) Patient Rights. Policies
			 regarding the rights and responsibilities of patients shall be established.
			 These policies must be made available to patients, any guardians, next-of-kin
			 and sponsoring agencies. The staff of the facility must be trained and involved
			 in the implementation of these policies and procedures. Patients must be fully
			 informed by a physician of their medical condition, unless medically
			 contraindicated (as documented in their medical records).
(g) Patient Transport. If a patient is unable
			 to ride in an upright position or if such patient's condition is such that he
			 or she needs observation or treatment by Emergency Medical Services personnel,
			 or if the patient requires transportation on a stretcher, gurney or cot, the
			 facility shall arrange or request transportation services only from providers
			 who are ambulance service operators licensed by the Alabama State Board of
			 Health. If such patient is being transported to or from a health care facility
			 in another state, transportation services may be arranged with a transport
			 provider licensed as an ambulance service operator in that state. For the
			 purposes of this rule, and upright position means no more than 2 0 degrees from
			 vertical.