Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › GENERAL REQUIREMENTS › Section 2600.29a - Hospice care and services-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a personal care home elects to provide
					 assistance with IADLs or ADLs for a resident who receives hospice care and
					 services in accordance with §
											2600.29 (relating to hospice care
					 and services), the home shall provide for the resident's personal care needs,
					 as well as meet the needs directed by the hospice agency for the time period
					 that hospice service staff are not physically present in the home, and in
					 accordance with the resident's medical evaluation, assessment and support
					 plan.
(b) A home that elects to
					 serve one or more residents who receive hospice care and services in accordance
					 with §
											2600.29 is not required to
					 evacuate a resident who is actively dying, during a fire drill, if all of the
					 following are met:
(1) A physician, who is
					 not an employee or contractor of the home, has certified in writing that the
					 resident is actively dying and may suffer bodily injury or a hastened death as
					 a result of participation in a fire drill.
(2) The resident, the resident's power of
					 attorney for health care, the resident's legal guardian or the resident's
					 health care representative has provided written informed consent that the
					 person is not to evacuate in a fire drill.
(3) If practicable, the home is to locate the
					 bedroom of a resident receiving hospice care and services on the ground level
					 of the building and near to an exit or fire-safe area as defined in §
												2600.132(d)
					 (relating to fire drills).
(4)
					 During a fire drill, the one designated person at the home who has knowledge in
					 advance of the fire drill is to immediately upon setting off the fire alarm to
					 begin the fire drill, go to the room of the resident who meets the conditions
					 of paragraphs (1)-(3), and notify the affected resident and any staff person
					 who attempts to evacuate the resident, that this is a fire drill and the
					 resident is not to be evacuated.
(5) If the provisions of paragraph (4) are
					 initiated, the informed staff person is to immediately practice a fire drill
					 evacuation in accordance with the following:
(i) Access a mode of transport such as a bed
					 on wheels, a chair on wheels or a drag mat in the resident's bedroom or nearby
					 area, which is not currently occupied by the resident.
(ii) Reasonably simulate the level of effort
					 required to move the resident and proceed to practice evacuation to the nearest
					 unblocked exit or fire safe area. The simulation will include the number of
					 staff persons that is required during an evacuation to safely move the
					 resident.
(6) If the
					 provisions of paragraph (4) are not initiated, staff persons will proceed to
					 evacuate the resident. All staff persons are to be trained to follow this
					 evacuation procedure.
(7) The home
					 is to maintain sufficient staffing at all times to provide for the safe
					 evacuation of all residents, including the resident who is actively dying while
					 receiving hospice care and services, in accordance with the fire drill practice
					 requirements specified in paragraph (5) and §
												2600.132(a)-(j).
					 A resident who meets the conditions of paragraphs (1)-(3) is a resident with
					 mobility needs in accordance with §
												2600.4 (relating to
					 definitions).
(8) A hospice agency
					 staff person may participate in the fire drill if the staff person is
					 physically present in the home continuously on a 24-hour basis during the
					 active dying process.
(9) The total
					 time to evacuate all residents, including the practice provision of paragraph
					 (5), may not exceed the time allotted under § 2600.132(d).
(10) The resident's assessment and support
					 plan are to be kept current and specify the requirements of this section as it
					 relates to the specific resident.
(11) Documentation of compliance with this
					 section is to be kept in the fire drill record, as well as in the resident's
					 record. The documentation is to include the following:
(i) A copy of the Department of Health
					 license for the hospice agency.
(ii) Written certification by the physician
					 as specified in paragraph (1).
(iii) Written informed consent as specified
					 in paragraph (2).
(iv) Written
					 documentation of the home's consideration of relocation of the resident's
					 bedroom as specified in paragraph (3).