reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 78 - Pain Management Clinics › Subchapter D - Facility Requirements › Section I-7851 - Quality Assurance

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 pain management clinic, with active participation of its medical staff, shall
					 conduct an ongoing, comprehensive quality assurance (QA) program which shall be
					 a self-assessment of the quality of care provided at the clinic. Quality
					 indicators shall be developed to track and trend potential problematic areas.
					 These quality indicators shall include, at a minimum, the following:
1. the medical necessity of procedures
					 performed, complications as a result of such performed procedures, and
					 appropriateness of care;
2. any
					 significant adverse effects of medical treatment or medical therapy, including
					 the number of overdoses of prescribed medications or the number of deaths
					 resulting from such overdoses, or both;
3. the number of patients referred to other
					 health care providers for additional treatment or to an addiction
					 facility;
4. the number of patient
					 or family complaints or grievances and their resolutions;
5. the number of patients the clinic refuses
					 to continue to treat due to misuse, diversion of medications, or non-compliance
					 with prescribed medication treatment regimen;
6. identified infection control incidents;
					 and
7. the monitoring of patients
					 who have been treated with prescribed narcotic pain medication for a continuous
					 period of 12 months and longer.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 78 - Pain Management Clinics › Subchapter E - Patient Records › Section I-7861 - Patient Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. Retention of
					 Patient Records
1. The clinic shall establish
					 and maintain a medical record on each patient. The record shall be maintained
					 to assure that the medical treatment of each patient is completely and
					 accurately documented, records are readily available and systematically
					 organized to facilitate the compilation and copying of such information.
a. Safeguards shall be established to
					 maintain confidentiality and protection of the medical record, whether stored
					 electronically or in paper form, from fire, water, or other sources of damage
					 and from unauthorized access.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8003 - Licensing

Current through Register Vol. 50, No. 6, June 20, 2024
A. An application
					 packet shall be obtained from the Department of Health and Hospitals
					 (department or DHH). A completed application packet for a CRCC facility shall
					 be submitted to and approved by DHH prior to an applicant providing CRCC
					 services.
B. It shall be unlawful
					 to operate or maintain a CRCC without first obtaining a license from the
					 department. The Department of Health and Hospitals is the only licensing agency
					 for CRCC in the state of Louisiana.
C. A separately licensed CRCC shall not use a
					 name which is substantially the same as the name of another CRCC licensed by
					 the department unless the applicant is part of a corporation or is chain
					 affiliated.
D. The licensing agency
					 shall have authority to issue two licenses as described below.
1. Full license is issued only to those
					 applicants that are in substantial compliance with all applicable federal,
					 state, and local laws, regulations, and policies. The license shall be valid
					 until the expiration date shown on the license.
2. Provisional license is issued to those
					 existing licensed applicants which do not meet the criteria for full licensure.
					 The license shall be valid for six months or until the termination date stated
					 on such license.
a. An agency with a
					 provisional license may be issued a full license if at the follow-up survey the
					 applicant has corrected the violations. A full license will be issued for the
					 remainder of the year until the CRCC's license anniversary date.
b. DHH may re-issue a provisional license or
					 initiate licensing revocation of a provisional license when the CRCC fails to
					 correct violations within 60 days of being cited, or at the time of the
					 follow-up survey, whichever occurs first.
c. A provisional license may be issued by DHH
					 for the following nonexclusive reasons:
i.
					 the applicant has more than five violations of CRCC regulations during one
					 survey;
ii. the applicant has more
					 than three valid complaints in a one-year period;
iii. there is a documented incident that
					 places a patient at risk;
iv. the
					 applicant fails to correct violations within 60 days of being cited, or at the
					 time of a follow-up survey, whichever occurs first;
v. the applicant has an inadequate referral
					 base, other than at the time of the initial survey for licensure, has less than
					 10 new patients admitted since the last annual survey;
vi. the applicant fails to submit assessed
					 fees after notification by DHH; or
vii. there is documented evidence that the
					 applicant has bribed, or harassed any person to use the services of any
					 particular CRCC agency.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8005 - Survey

Current through Register Vol. 50, No. 6, June 20, 2024
A. A survey shall
					 be an on-site visit conducted to assure compliance with CRCC licensing
					 standards. Home visits may be conducted as part of the survey to ascertain
					 compliance.
B. Types of Survey
1. Initial Survey. After approval of the
					 application by DHH, the CRCC must become fully operational, in substantial
					 compliance with applicable federal, state, and local laws, and providing care
					 to two and only two patients at the time of the initial survey. No inpatients
					 shall be admitted until the initial on-site survey has been performed. The
					 initial on-site survey shall be scheduled after the agency notifies the
					 department that the agency is fully operational and providing services. If, at
					 the initial licensing survey, an agency has violations of licensing standards
					 which are determined to be of such a serious nature that they may cause or have
					 the potential to cause actual harm, DHH may deny licensing.
2. Licensing Survey. A licensing survey is an
					 unannounced on-site visit periodically conducted to assure compliance with CRCC
					 licensing standards.
3. Follow-up
					 Survey. An on-site follow-up may be conducted whenever necessary to assure
					 correction of violations. When applicable, DHH may clear violations at exit
					 interview and/or by mail.
4.
					 Complaint Survey. A complaint survey shall be conducted to investigate
					 allegations of noncompliance.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8007 - License Renewal Process

Current through Register Vol. 50, No. 6, June 20, 2024
A. A CRCC
					 license must be renewed annually.
B. An agency seeking a renewal of its CRCC
					 license shall:
1. request a renewal packet
					 from the bureau if one is not received at least 45 days prior to license
					 expiration;
2. complete all forms
					 and return to the bureau at least 30 days prior to license expiration;
					 and
3. submit the current annual
					 licensing fees with the packet. An application is not considered to have been
					 submitted unless the licensing fees are received.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8009 - Fees

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any remittance
					 submitted to DHH in payment of a required fee must be in the form of a company
					 or certified check or money order made payable to the Department of Health and
					 Hospitals.
B. Fee amounts shall be
					 determined by DHH.
C. Fees paid to
					 DHH are not refundable.
D. A fee is
					 required to be submitted with the following:
1. an initial application;
2. a renewal application;
3. a change of controlling ownership;
					 and
4. a change of name or physical
					 address.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8011 - Changes

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Department
					 of Health and Hospitals shall be notified, in writing, of any of the following
					 within five working days of the occurrence:
1. change in physical address. (An agency
					 must notify and receive approval from DHH prior to a change of physical
					 address);
2. change of agency
					 name;
3. change of phone
					 number;
4. change of hours of
					 operation/24 hour contact procedure;
5. change of ownership
					 (controlling);
6. change in address
					 or phone number of any branch office;
7. change of administrator (completed Key
					 Personnel Change Form, obtained from DHH, is required); and
8. change of director of nursing (completed
					 Key Personnel Change Form required); or
9. cessation of business.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8013 - Revocation or Denial of Renewal of License

Current through Register Vol. 50, No. 6, June 20, 2024
A. The secretary of DHH may deny an
					 application for a license, or refuse to renew a license or revoke a license in
					 accordance with the Administrative Procedure Act. An agency's license may not
					 be renewed and/or may be revoked for any of the following:
1. failure to be in substantial compliance
					 with the CRCC minimum standards;
2.
					 failure to uphold patient rights whereby violations may result in harm or
					 injury;
3. failure of the agency to
					 protect patients/persons in the community from harmful actions of the agency
					 employees; including, but not limited to:
a.
					 health and safety;
b.
					 coercion;
c. threat;
d. intimidation; and
e. harassment;
4. failure to notify proper authorities of
					 all suspected cases of neglect, criminal activity, or mental or physical abuse
					 which could potentially cause harm to the patient;
5. failure to maintain staff adequate to
					 provide necessary services to current active patients;
6. failure to employ qualified
					 personnel;
7. failure to remain
					 fully operational at any time for any reason other than a disaster;
8. failure to submit fees including, but not
					 limited to:
a. annual fee;
b. renewal fee;
c. provisional follow-up fee; or
d. change of agency address or name;
					 or
e. any fines assessed by
					 DHH;
9. failure to allow
					 entry to CRCC or access to any requested records during any survey;
10. failure to protect patients from unsafe,
					 skilled and/or unskilled care by any person employed by CRCC;
11. failure of CRCC to correct violations
					 after being issued a provisional license;
12. agency staff or owner has knowingly, or
					 with reason to know, made a false statement of a material fact in:
a. application for licensure;
b. data forms;
c. clinical records;
d. matters under investigations by the
					 department;
e. information
					 submitted for reimbursement from any payment source;
f. the use of false, fraudulent or misleading
					 advertising;
g. agency staff
					 misrepresented or was fraudulent in conducting CRCC business; or
h. convictions of a felony by an owner,
					 administrator, director of nursing or medical director as shown by a certified
					 copy of the record of the court of conviction; or if the applicant is a firm or
					 corporation, of any of its members or officers, or of the person designated to
					 manage or supervise the CRCC agency; or
13. failure to comply with all reporting
					 requirements in a timely manner.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter A - General Provisions › Section I-8015 - Notice and Appeal

Current through Register Vol. 50, No. 6, June 20, 2024
A. Notice shall
					 be given in accordance with the current state statutes.
B. Administrative Reconsideration. The CRCC
					 agency may request an administrative reconsideration of the violation(s) which
					 support the department's actions. This is an informal process and
					 reconsideration shall be conducted by a designated official(s) of the
					 department who did not participate in the initial decision to impose the
					 actions taken. Reconsideration shall be made solely on the basis of documents
					 and/or oral presentations placed before the official and shall include the
					 survey report and statement of violations and all documentation the CRCC
					 submits to the department at the time of the agency's request for
					 reconsideration. Correction of a violation shall not be a basis for
					 reconsideration and a hearing shall not be held. Oral presentations can be made
					 by the department's spokesperson(s) and the CRCC's spokesperson(s). This
					 process is not in lieu of the administrative appeals process and does not
					 extend the time limits for filing an administrative appeal. The designated
					 official shall have the authority only to affirm the decision, to revoke the
					 decision, to affirm part and revoke part, or to request additional information
					 from either the department or the CRCC.
C. Administrative Appeal Process. Upon
					 refusal of DHH to grant a license as provided in the current state statutes, or
					 upon revocation or suspension of a license, or the imposition of a fine, the
					 agency, institution, corporation, person, or other group affected by such
					 action shall have the right to appeal such action by submitting a written
					 request to the secretary of the department within 30 days after receipt of the
					 notification of the refusal, revocation, suspension of a license, or imposition
					 of a fine.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2175.14(B).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter B - Core Services › Section I-8021 - Core Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Core
					 services may be provided by employees of the CRCC or on a contractual basis.
					 The CRCC is responsible for all actions of the contract personnel.
B. The CRCC must provide the following core
					 services:
1. medical respite program
					 services;
2. nursing
					 services;
3. physician
					 services;
4. social work
					 services;
5. counseling services;
					 and
6. support services, including
					 trained volunteers and bereavement and pastoral care.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8027 - Administrator

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 administrator is a person who is designated, in writing, by the governing body
					 as administratively responsible for all aspects of CRCC operations. When the
					 administrator serves more than one licensed agency, he/she shall designate, in
					 writing, an alternate to serve as administrator for each site where he/she is
					 not physically housed continuously. The alternate shall be a full-time, on-site
					 employee of the CRCC and shall meet the same qualifications as the
					 administrator. The administrator and the director of nurses/alternates may be
					 the same individual if that individual is dually qualified. An administrator
					 serving as director of nurses, while employed by the CRCC, may not be employed
					 by any other licensed health care agency.
1.
					 An administrator must be a licensed physician, a licensed registered nurse, a
					 social worker with a master's degree, or a college graduate with a bachelor's
					 degree. An administrator shall have at least three years of documented
					 management experience in a health care service delivery.
2. The administrator shall be responsible for
					 compliance with all regulations, laws, policies and procedures applicable to
					 the CRCC facility specifically and to Medicare/Medicaid issues when applicable.
					 The administrator shall:
a. implement
					 personnel and employment policies to assure that only qualified personnel are
					 hired. Licensure and/or certification (as required by law) shall be verified
					 prior to employment and annually thereafter and records shall be maintained to
					 support competency of all allied health personnel;
b. implement policies and procedures that
					 establish and support quality patient care, cost control, and mechanisms for
					 disciplinary action for infractions;
c. ensure the CRCC employs qualified
					 individuals;
d. be on-site during
					 business hours or immediately available by telecommunications when off-site
					 conducting the business of the CRCC, and available after hours as
					 needed;
e. be responsible for and
					 direct the day-to-day operations of the CRCC facility;
f. act as liaison among staff, patients and
					 the governing board;
g. ensure that
					 all services are correctly billed to the proper payer source;
h. designate, in writing, an individual who
					 meets the administrator qualifications to assume the authority and the control
					 of the CRCC if the administrator is unavailable; and
i. designate in advance the IDT he/she
					 chooses to establish policies governing the day-to-day provisions of the
					 CRCC.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8029 - Counselor-Bereavement

Current through Register Vol. 50, No. 6, June 20, 2024
A. The bereavement
					 counselor shall have documented evidence of appropriate training and experience
					 in the care of the bereaved, received under the supervision of a qualified
					 professional. The counselor shall implement bereavement counseling in a manner
					 consistent with standards of practice and CRCC policy. Services include, but
					 are not limited to:
1. assessment of grief
					 counseling needs;
2. providing
					 bereavement information and referral services to the bereaved, as needed, in
					 accordance with the POC;
3.
					 providing bereavement support to the CRCC staff as needed;
4. attending CRCC end of life IDT meetings;
					 and
5. documenting bereavement
					 services provided and progress of bereaved on clinical progress notes to be
					 incorporated in the clinical record within one week of the visit.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8031 - Counselor-Pastoral

Current through Register Vol. 50, No. 6, June 20, 2024
A. The pastoral
					 counselor shall have documented evidence of appropriate training and skills to
					 provide spiritual counseling, such as Bachelor of Divinity, Master of Divinity
					 or equivalent theological degree or training. The counselor shall provide
					 pastoral counseling based on the initial and ongoing assessment of spiritual
					 needs of the patient/family, in a manner consistent with standards of practice
					 including, but not limited to:
1. serving as
					 a liaison and support to community chaplains and/or pastoral
					 counselors;
2. providing
					 consultation, support, and education to the IDT members on spiritual
					 care;
3. attending IDT meetings;
					 and
4. documenting pastoral
					 services provided on clinical progress notes to be incorporated in the clinical
					 record within one week of the visit.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8033 - Dietician

Current through Register Vol. 50, No. 6, June 20, 2024
A. The dietician
					 shall be a registered dietician or a person who meets the qualification
					 standards of the Commission on Dietetic Registration of the American Dietetic
					 Association. The dietician shall implement dietary services consistent with
					 standards of practice including, but not limited to:
1. clinical progress notes, including the
					 nutritional status of the patient, are to be incorporated into the clinical
					 records within one week of the visit;
2. collaborate with the patient/family,
					 physician, registered nurse and/or the IDT in providing dietary counseling to
					 the patient/family;
3. instruct
					 patient/family and/or CRCC staff as needed;
4. evaluate patient socioeconomic factors to
					 develop recommendations concerning food purchasing, preparation and
					 storage;
5. evaluate food
					 preparation methods to ensure nutritive value is conserved, flavor, texture and
					 temperature principles are adhered to in meeting the individual patient's
					 needs; and
6. participate in IDT
					 conference as needed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8035 - Dietary Manager

Current through Register Vol. 50, No. 6, June 20, 2024
A. A dietary
					 manager shall meet one of the following:
1.
					 be a graduate of a dietetic technician or dietetic assistant training program,
					 approved by the American Dietetic Association, by correspondence or
					 classroom;
2. be a graduate of a
					 state-approved course that provides 90 or more hours of classroom instruction
					 in food service supervision and has experience as a supervisor in a health care
					 institution with consultation from a dietitian; or
3. have training and experience in food
					 service supervision and management in the military service, equivalent in
					 content to a dietetic technician or dietetic assistant training program,
					 approved by the American Dietetic Association, by correspondence or
					 classroom.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8037 - Director of Nurses

Current through Register Vol. 50, No. 6, June 20, 2024
A. The director
					 of nurses (DON) shall be designated, in writing, by the governing body to
					 supervise all aspects of patient care, all activities of professional staff and
					 allied health personnel, and responsible for compliance with regulatory
					 requirements. The DON, or alternate, shall be on site or immediately available
					 to be on site at all times during operating hours, and additionally as needed.
					 If the DON is unavailable he/she shall designate a registered nurse to be
					 responsible during his/her absence.
B. The director of nurses shall be a
					 registered nurse and must be currently licensed to practice in the state of
					 Louisiana:
1. with at least three years
					 experience as a registered nurse. One of these years shall consist of full-time
					 experience in providing direct patient care in a hospice, home health,
					 pediatric, oncology, or CRCC setting; and
2. be a full-time employee of only one CRCC
					 facility. The director of nurses is prohibited from simultaneous/concurrent
					 employment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8039 - Governing Body

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC shall
					 have a governing body that assumes full legal responsibility for determining,
					 implementing and monitoring policies governing the CRCC's total operation. No
					 contracts/arrangements or other agreements may limit or diminish the
					 responsibility of the governing body. The governing body shall:
1. designate an administrator who is
					 responsible for the day to day management of the CRCC program;
2. ensure that all services provided are
					 consistent with accepted standards of practice;
3. develop and approve policies and
					 procedures which define and describe the scope of services offered;
4. review policies and procedures at least
					 annually and revise them as necessary; and
5. maintain an organizational chart that
					 delineates lines of authority and responsibility for all CRCC
					 personnel.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8041 - Home Health Aide

Current through Register Vol. 50, No. 6, June 20, 2024
A. The home health
					 aide shall be a qualified person who provides direct patient care and/or
					 housekeeping duties in the home or homelike setting under the direct
					 supervision of a registered nurse. The home health aide competency evaluation
					 is to be completed by a registered nurse prior to the home health aide being
					 assigned to provide patient care.
B. The home health aide shall:
1. have a current nursing assistant
					 certification and have successfully completed a competency evaluation;
					 or
2. have successfully completed a
					 training program and have successfully completed a competency evaluation;
					 or
3. have successfully completed a
					 competency evaluation; and
4.
					 exhibit maturity, an empathetic, sympathetic attitude, and ability to deal
					 effectively with the demands of the job;
5. have the ability to read, write, and carry
					 out directions, promptly and accurately; and
6. when employed by more than one agency,
					 inform all employers and coordinate duties to assure highest quality when
					 providing services to the patents.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8043 - Licensed Practical Nurse

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 licensed practical nurse (LPN) shall work under the direct supervision of a
					 registered nurse and perform skilled nursing services as delegated by a
					 registered nurse.
B. A licensed
					 practical nurse must:
1. be currently
					 licensed by the Louisiana State Board of Practical Nurse Examiners with no
					 restrictions; and
2. have at least
					 two years full-time experience as an LPN; and
3. when employed by more than one agency,
					 inform all employers and coordinate duties to assure quality provision of
					 services.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8045 - Medical Director/Physician Designee

Current through Register Vol. 50, No. 6, June 20, 2024
A. The medical director/physician designee is
					 a physician, currently and legally authorized to practice medicine in the
					 state, and knowledgeable about the medical and psychosocial aspects of
					 pediatric palliative care. The medical director reviews, coordinates, and is
					 responsible for the management of clinical and medical care for all patients.
					 The medical director or physician designee may be an employee or a volunteer of
					 the agency. The agency may also contract for the services of the medical
					 director or physician designee. The medical director/physician designee shall
					 be a doctor of medicine or osteopathy licensed to practice in the state of
					 Louisiana.
B. The medical director
					 or physician designee assumes overall responsibility for the medical component
					 of the patient care program and shall include, but not be limited to:
1. serving as a consultant with the attending
					 physician regarding pain and symptom control as needed;
2. serving as the attending physician, if
					 designated by the patient/family unit;
3. reviewing patient eligibility for CRCC
					 services;
4. serving as a medical
					 resource for the interdisciplinary team;
5. developing and coordinating procedures for
					 the provision of emergency medical care;
6. participating in the development of the
					 POC prior to providing care, unless the POC has been established by an
					 attending physician; and
7.
					 participating in the review and update of the POC, unless the plan of care has
					 been reviewed/updated by the attending physician. These reviews must be
					 documented.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8047 - Occupational Therapist

Current through Register Vol. 50, No. 6, June 20, 2024
A. An
					 occupational therapist, when provided, must be licensed by the state of
					 Louisiana and registered by the American Occupational Therapy
					 Association.
B. The occupational
					 therapist shall assist the physician in evaluating the patient's level of
					 functioning by applying diagnostic and prognostic procedures including, but not
					 limited to:
1. providing occupational therapy
					 in accordance with physician's orders and the POC;
2. guiding the patient and family in his/her
					 use of therapeutic, creative, and self-care activities for the purpose of
					 improving function, in a manner consistent with accepted standards of
					 practice;
3. observing, recording,
					 and reporting to the physician and/or interdisciplinary team the patient's
					 reaction to treatment and any changes in the patient's condition;
4. instructing and informing other health
					 team personnel including, when appropriate, home health aides and family
					 members in certain phases of occupational therapy in which they may work with
					 the patient;
5. documenting each
					 visit made to the patient and incorporating notes into the clinical record
					 within one week of the visit;
6.
					 participating in IDT conferences as needed; and
7. preparing a written discharge summary when
					 applicable, with a copy retained in patient's clinical record and a copy
					 forwarded to the attending physician.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8049 - Pharmacist

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC shall
					 employ a pharmacist licensed in the state of Louisiana or have a written
					 agreement with a pharmacist licensed in the state of Louisiana to advise the
					 CRCC facility on ordering, storage, administration, disposal, and record
					 keeping of drugs and biologicals.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2175.14(B).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8051 - Physical Therapist

Current through Register Vol. 50, No. 6, June 20, 2024
A. The physical
					 therapist (PT), when provided, must be currently licensed by the Louisiana
					 State Board of Physical Therapy Examiners. The physical therapist shall assist
					 the physician in evaluating the patient's functional status and physical
					 therapy needs in a manner consistent with standards of practice to include, but
					 not limited to:
1. assisting in the formation
					 of the POC;
2. providing services
					 within the scope of practice as defined by state law governing the practice of
					 physical therapy, in accordance with the POC, and in coordination with the
					 other members of the IDT;
3.
					 observing and reporting to the physician and the IDT, the patient's reaction to
					 treatment and any changes in the patient's condition;
4. instructing and informing participating
					 members of the IDT, the patient, family/care givers, regarding the POC,
					 functional limitations and progress toward goals;
5. documenting each visit made to the patient
					 and incorporating notes into the clinical record within one week of the
					 visit;
6. when physical therapy
					 services are discontinued, preparing a written discharge summary, with a copy
					 retained in the patient's clinical record and a copy forwarded to the attending
					 physician; and
7. participating in
					 IDT conferences as needed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8053 - Registered Nurse

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC
					 facility shall designate a registered nurse (RN) to coordinate the
					 implementation of the POC for each patient.
B. A licensed RN must be currently licensed
					 to practice in the state of Louisiana with no restrictions and:
1. have at least two years full-time
					 experience as a registered nurse; and
2. if employed by more than one agency,
					 he/she must inform all employers and coordinate duties to assure quality
					 service provision.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8055 - Social Worker

Current through Register Vol. 50, No. 6, June 20, 2024
A. The social
					 worker shall have a master's degree from a school of social work and be
					 licensed by the Louisiana State Board of Social Work Examiners. The social
					 worker shall have documented clinical experience appropriate to the counseling
					 and casework needs of children with life-limiting illnesses and their families.
					 When the social worker is employed by one or more agencies he/she must inform
					 all employers and cooperate and coordinate duties to assure the highest
					 performance of quality when providing services to the patient and
					 family.
B. The social worker shall
					 assist the physician and other IDT members in understanding significant social
					 and emotional factors relating to the patient's health status and shall
					 include, but not be limited to:
1. assessment
					 of the social and emotional, and familial factors having an impact on the
					 patient's health status;
2.
					 assisting in the formulation of the POC;
3. providing services within the scope of
					 practice as defined by state law and in accordance with the POC;
4. coordination with other IDT members and
					 participating in IDT conferences;
5. preparing clinical and/or progress notes
					 and incorporate them into the clinical record within one week of the
					 visit;
6. participating in
					 discharge planning, and in-service programs related to the needs of the patient
					 and family;
7. acting as a
					 consultant to other members of the IDT; and
8. when medical social services are
					 discontinued, submitting a written summary of services provided, including an
					 assessment of the patient's current status, to be retained in the clinical
					 record.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8057 - Speech Pathologist

Current through Register Vol. 50, No. 6, June 20, 2024
A. A speech
					 pathologist, when provided, must be licensed by the Louisiana Board of
					 Examiners for Speech-Language Pathology and Audiology. The speech pathologist
					 shall assist the physician in evaluation of the patient to determine the type
					 of speech or language disorder and the appropriate corrective therapy in a
					 manner consistent with standards of practice to include, but not limited to:
1. providing rehabilitative services for
					 speech and language disorders;
2.
					 observing, recording and reporting to the physician and the IDT the patient's
					 reaction to treatment and any changes in the patient's condition;
3. instructing other health personnel and
					 family members in methods of assisting the patient to improve and correct
					 speech disabilities;
4.
					 communicating with the registered nurse, director of nurses, and/or the IDT the
					 need for a continuation of speech pathology services for the patient;
5. participating in IDT conferences, as
					 needed;
6. documenting each visit
					 made to the patient and incorporating notes in the clinical record within one
					 week of the visit; and
7. preparing
					 a written discharge summary as indicated with a copy retained in patient's
					 clinical record and a copy forwarded to the attending physician.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter C - Personnel › Section I-8059 - Volunteers

Current through Register Vol. 50, No. 6, June 20, 2024
A. Volunteers play
					 a vital role in enhancing the quality of care delivered to the patient/family
					 by encouraging community participation in the overall CRCC program. Volunteers
					 who provide patient care and support services according to their experience and
					 training must be in compliance with agency policies, and under the supervision
					 of a CRCC employee. Volunteers shall be mature, nonjudgmental, caring
					 individuals supportive of the CRCC concept of care, willing to serve others,
					 and appropriately oriented and trained. Volunteers who are qualified to provide
					 professional services must meet all standards associated with their specialty
					 area.
B. The volunteer shall:
1. provide assistance to the CRCC program,
					 and/or patient/family in accordance with designated assignments;
2. provide input into the plan of care and
					 interdisciplinary group meetings, as appropriate;
3. document services provided:
4. maintain strict patient/family
					 confidentiality; and
5. communicate
					 any changes or observations to the assigned supervisor.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter D - Patient Care Services › Section I-8067 - Admission Criteria

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC
					 shall have written policies to be followed in making decisions regarding
					 acceptance of patients for care. Decisions are based upon medical, physical and
					 psychosocial information provided by the patient's attending physician, the
					 patient/family and the interdisciplinary team. The admission criteria shall
					 include:
1. the ability of the agency to
					 provide core services on a 24-hours basis and provide for or arrange for
					 non-core services to the extent necessary to meet the needs of individuals for
					 care that is reasonable and necessary for the palliation and management of
					 life-limiting illness and related conditions;
2. documentation of a life-threatening
					 illness signed by a physician;
3.
					 assessment of the patient/family needs and desire for CRCC services;
4. informed consent signed by the patient's
					 representative who is authorized in accordance with state law to elect the
					 care, which will include the purpose and scope of CRCC services; and
5. patient meets all other criteria required
					 by any applicable payor sources.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter D - Patient Care Services › Section I-8069 - Plan of Care (POC)

Current through Register Vol. 50, No. 6, June 20, 2024
A. A written plan
					 of care is developed for each patient/family by the physician, the medical
					 director or physician designee and the IDT. The care provided to an individual
					 must be in accordance with the POC.
B. At least one of the persons involved in
					 developing the POC must be the registered nurse who conducted the initial
					 assessment. Within three days of the assessment, the IDT must establish the
					 POC. The POC shall be signed by the physician and an appropriate member of the
					 IDT.
C. At a minimum the POC will
					 include:
1. an assessment of the individual's
					 needs and identification of services;
2. detailed description of the scope and
					 frequency of services needed to meet the patient's and family's
					 needs;
3. identification of
					 problems with realistic and achievable goals and objectives;
4. medical supplies and appliances, including
					 drugs and biologicals needed for the palliation and management of the
					 life-limiting illness and related conditions;
5. patient/family understanding, agreement
					 and involvement with the POC; and
6. recognition of the patient/family's
					 psychological, social, religious and cultural variables, values, strengths, and
					 risk factors.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter D - Patient Care Services › Section I-8071 - Pharmaceutical Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC
					 facility shall ensure that pharmaceutical services are provided under the
					 directions of a pharmacist licensed to practice in the state of Louisiana. The
					 facility shall ensure that pharmaceutical services are provided in accordance
					 with appropriate methods and procedures for the storage, dispensing and
					 administering of drugs and biologicals. The CRCC facility is responsible for
					 ensuring that pharmaceutical services are provided in accordance with accepted
					 professional principles and appropriate federal, state, and local laws, whether
					 drugs and biologicals are obtained from community or institutional pharmacists
					 or stocked by the facility. The CRCC shall ensure the appropriate monitoring
					 and supervision of the pharmaceutical needs of the patient, and have written
					 policies governing prescribing, administering, controlling, storing and
					 disposing of all biologicals and drugs.
B. The CRCC shall provide for the
					 pharmaceutical needs of the patient, consistent with the Board of Pharmacy
					 regulations.
C. The CRCC shall
					 institute procedures which protect the patient from medication
					 errors.
D. CRCC procedures shall
					 provide verbal and written instructions to patient and family as
					 indicated.
E. CRCC policies and
					 procedures shall describe which drugs and treatments are administered by the
					 agency. All drugs shall be administered in compliance with the needs of the
					 client and applicable laws and regulations.
F. The CRCC pharmacy shall have a pharmacy
					 permit issued by the Louisiana Board of Pharmacy to allow ordering, storage,
					 dispensing, and delivering of legend prescriptive orders. The CRCC shall have a
					 current controlled dangerous substance license and a DEA registration. Pharmacy
					 services shall be directed by a registered pharmacist licensed to practice in
					 Louisiana.
G. A physician must
					 order all medications for the patient.
1. If
					 the medication order is verbal, the physician shall give it only to a licensed
					 nurse, pharmacist, or another physician; and the individual receiving the order
					 shall record and sign it immediately.
2. All orders (to include telephone and/or
					 verbal) shall be signed by the prescribing physician in a timely manner, not to
					 exceed 30 days.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter D - Patient Care Services › Section I-8073 - Pathology and Laboratory Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 The CRCC shall provide or have access to pathology and laboratory services
					 which comply with Clinical Laboratory Improvement Amendments (CLIA) guidelines
					 and meet the patient's needs.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2175.14(B).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 80 - Children's Respite Care Centers › Subchapter D - Patient Care Services › Section I-8075 - Discharge/Transfer

Current through Register Vol. 50, No. 6, June 20, 2024
A. The CRCC shall
					 provide adequate and appropriate patient/family information at the time
					 discharge or transfer.
B. The CRCC
					 shall develop appropriate policies/procedures for discharge planning.
C. The CRCC shall clearly document the reason
					 for discharge. The CRCC patient shall be discharged only under following
					 circumstances:
1. change in status of the
					 life-limiting illness;
2. if the
					 safety/well being of the patient or of the CRCC staff is compromised. The CRCC
					 shall make every effort to resolve these problems satisfactorily before
					 discharge. All efforts by the CRCC to resolve the problem shall be documented
					 in detail in the patient's clinical record;
3. patient no longer qualifies for CRCC
					 services due to age;
4.
					 patient/family's noncompliance with the POC;
5. if the patient transfers to another agency
					 or services; or
6. when the
					 patient's representative elects to discontinue services.