reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.300 - ENFORCEMENT OF REGULATIONS › Section 61-78.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, and other pertinent documentation regarding a proposed or licensed
				  Hospice or Hospice Facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.300 - ENFORCEMENT OF REGULATIONS › Section 61-78.300.302 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A. Inspections
				shall be conducted prior to initial licensing of a Hospice or Hospice Facility. The
				Department, at its own determination, may also conduct subsequent
				inspections.
B. All Hospices, whether
				providing Inpatient or Outpatient Services, and Hospice Facilities are subject to
				inspection or investigation at any time without prior notice by individuals
				authorized by the South Carolina Code of Laws.
C. Individuals authorized by the Department shall
				be granted access to all properties and areas, objects, and records. If photocopies
				are made for the Department inspector, they shall be used only for purposes of
				enforcement of regulations and confidentiality shall be maintained except to verify
				individuals in enforcement action proceedings. Physical area of inspections shall be
				determined by the extent to which there is potential impact or effect upon patients
				as determined by the inspector. (I)
D. A
				Hospice or Hospice Facility found noncompliant with the standards of this regulation
				shall submit an acceptable written plan of correction to the Department that shall
				be signed by the administrator and returned by the date specified by the Department.
				The written plan of correction shall describe: (II)
1. The actions taken to correct each cited
				deficiency;
2. The actions taken to
				prevent recurrences (actual and similar);
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.400 - ENFORCEMENT ACTIONS › Section 61-78.400.401 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a Hospice, Hospice Facility,
				  or multiple location is in violation of any statutory provision, rule, or regulation
				  relating to the operation or maintenance of such Hospice, Hospice Facility, or
				  multiple location, the Department, upon proper notice to the licensee, may impose a
				  monetary penalty, and deny, suspend, or revoke its license.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.500 - POLICIES AND PROCEDURES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Policies and
			 procedures addressing each section of this regulation regarding patient care,
			 rights, and the operation of the Hospice shall be developed and implemented and
			 revised as required in order to accurately reflect actual Hospice operation. The
			 policies and procedures shall address the provision of any special care offered by
			 the Hospice. Information shall include the means by which the Hospice will meet the
			 specialized needs of the affected patients, such as those with Alzheimer's disease
			 and/or related dementia, and those who are physically and/or developmentally
			 disabled, in accordance with any laws which pertain to that service offered, such as
			 the Alzheimer's Special Care Disclosure Act. The Hospice shall establish a time
			 period for review of all policies and procedures. These policies and procedures
			 shall be accessible at all times and a hard copy shall be available or be readily
			 accessible electronically.
B. By its
			 application, the licensee agrees to comply with all standards in this regulation.
			 The policies and procedures shall describe the means by which the Hospice shall
			 assure that the standards described in this regulation are met.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Appropriate staff in
				numbers and training shall be provided to meet the needs and condition of the
				patients. Training and qualifications for the tasks each performs shall be in
				compliance with all professional standards and applicable federal and state
				laws.
B. Before being employed or
				contracted as a staff member or direct care volunteer by a Hospice, a person shall
				undergo a criminal background check pursuant to South Carolina Code Section
				44-7-2910.
				Direct care staff members and direct care volunteers of the Hospice shall not have a
				prior conviction or have pled no contest (nolo contendere) for child or adult abuse,
				neglect, exploitation, or mistreatment. The Hospice shall coordinate with applicable
				registries should licensed or certified individuals be considered as employees of
				the Hospice. For those staff members and volunteers who are licensed or certified, a
				copy of the license or certificate shall be available for review. (I)
C. The Hospice shall maintain accurate current
				information regarding all staff members and volunteers of the Hospice, including at
				least address, phone number, health and personal, work, and training background. The
				Hospice shall assign duties and responsibilities to all staff members and volunteers
				in writing and in accordance with the individual's capability.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.602 - Administrator (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Hospice shall designate an individual to serve as
				  administrator. The administrator shall have the authority and responsibility for the
				  functions and activities of the Hospice, be an employee of the Hospice, and be
				  available within a reasonable time and distance. Administrators hired subsequent to
				  the promulgation of this regulation shall hold at least a baccalaureate or associate
				  degree and have a minimum of three (3) years of experience in a health-related field
				  within the past five (5) years. A qualified staff member shall be designated, in
				  writing, to act in the absence of the administrator.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.603 - Medical Director (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Hospice shall designate a physician who assumes overall
				  responsibility for the medical component of the Hospice. This individual may also
				  serve as administrator.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.604 - Staffing (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A physician shall
				supervise the care and treatment of the patient while receiving Hospice treatment,
				care, and/or services.
B. Nursing care
				services shall be supervised by a staff registered nurse.
C. Minimum staffing for a Hospice Facility shall
				consist of one (1) registered nurse (RN) and one (1) additional direct care staff
				member on duty at all times. Staffing for Outpatient Services shall consist of a
				sufficient number of direct care staff on duty at all times to provide care to meet
				the needs of the patient population for all areas where direct care is provided. A
				Hospice Facility shall adhere to the following minimum staffing ratio:
1. Facilities with zero to ten (0 to 10) patients:
a. Two (2) staff members for shift one*
				(1);
b. Two (2) staff members for shift
				two* (2);
c. Two (2) staff members for
				shift three (3);
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.605 - Inservice Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				following training shall be provided by appropriate resources, such as, licensed or
				registered persons, video tapes, books, etc., to all staff members and direct care
				volunteers in the context of their job duties and responsibilities prior to patient
				contact and at a frequency determined by the Hospice, but at least annually:
1. Management and/or care of persons with
				contagious and/or communicable disease, for example, hepatitis, tuberculosis, HIV
				infection;
2. Care of persons specific
				to the physical and/or mental condition being cared for by the Hospice, such as,
				cancer, AIDS, dementia, or cognitive disability.
3. Use of restraints to include but not be limited
				to the provisions of Section 1804 (for designated staff members only);
4. OSHA standards regarding bloodborne
				pathogens;
5. Cardiopulmonary
				resuscitation (CPR) for designated staff members to ensure that there is a certified
				staff member available to patients who wish to receive CPR;
6. Confidentiality of patient information and
				records and the protection of patient rights;
7. Fire response training within twenty-four (24)
				hours of their first day on duty in the Hospice Facility (See Section
				1803);
8. Emergency procedures and
				disaster preparedness within twenty-four (24) hours of their first day on duty in
				the Hospice Facility (See Section 1800).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.606 - Health Status (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All staff and
				volunteers who have contact with patients shall have a health assessment within one
				(1) year prior to patient contact.
B.
				All staff and direct care volunteers shall undergo a tuberculin skin test pursuant
				to Section 1300.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.600 - STAFF AND TRAINING › Section 61-78.600.607 - Staff Living Quarters

Current through Register Vol. 48, No. 6, June 28, 2024
Other than patients, only staff members, volunteers, or owners of
				  the Hospice and members of the owner's immediate family may reside in a Hospice
				  Facility. Patient rooms shall not be utilized by staff members or volunteers nor
				  shall bedrooms of staff members or volunteers be utilized by patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.701 - Accidents and/or Incidents (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospice
				Facility shall report each accident and/or incident resulting in unexpected death or
				serious injury to the next of kin or responsible party for each affected individual
				at the earliest practicable hour, not exceeding twenty-four (24) hours. The licensee
				shall notify the Department immediately, not to exceed twenty-four (24) hours, via
				telephone, email, or facsimile. The licensee shall submit a report of the licensee's
				investigation of the accident and/or incident to the Department within five (5)
				calendar days. Accidents and/or incidents requiring reporting include, but are not
				limited to,:
1. Abuse, Neglect, or Exploitation
				(Confirmed);
2. Abuse, Neglect, or
				Exploitation (Suspected);
3. Criminal
				event against patient;
4. Fire;
				and
5. Use of physical
				restraints.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.702 - Patient Death

Current through Register Vol. 48, No. 6, June 28, 2024
The Hospice shall have a written plan to be followed at the time
				  of patient death. The plan must provide for:
A. Collection of data needed for the death
				certificate, as required by state law;
B. Recording time of death;
C. Assessment of death;
D. Notification of attending physician responsible
				for signing death certificate;
E.
				Notification of next-of-kin or responsible party;
F. Authorization and release of body to funeral
				home; and
G. Notification to the
				Department of any death resulting from an injury, accident, or other possible
				unnatural causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.703 - Fire and Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Department shall be notified immediately via telephone, email, or fax regarding any
				fire in a Hospice Facility followed by a complete written report, to include fire
				department reports, if any, to be submitted within a time-period determined by the
				licensee, but not to exceed seventy-two (72) hours from the occurrence of the
				fire.
B. Any natural disaster or fire
				that jeopardizes the safety of any persons in the Hospice Facility shall be reported
				to the Department via telephone, email, or fax immediately, with a complete written
				report which includes the fire report from the local fire department, if
				appropriate, submitted within a time-period as determined by the licensee, but not
				to exceed seventy-two (72) hours.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.704 - Communicable Diseases and Animal Bites (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A Hospice providing Inpatient Services shall notify the
				  appropriate county health department of all cases of diseases and animal bites
				  required to be reported in accordance with Regulation Regulation
				  61-20, Communicable
				  Diseases.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.705 - Administrator Change

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall be notified in writing by the licensee within
				  ten (10) days of any change in administrator. The notice shall include at least the
				  name of the newly-appointed individual and effective date of the
				  appointment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.706 - Joint Annual Report

Current through Register Vol. 48, No. 6, June 28, 2024
Hospices shall complete and return a "Joint Annual Report" to the
				  Revenue and Fiscal Affairs Office (RFA) within the time period specified by the
				  Department or RFA.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.707 - Accounting of Controlled Substances (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Any licensee registered with the Department's Bureau of Drug
				  Control and the United States Drug Enforcement Agency shall report any theft or loss
				  of controlled substances to local law enforcement and to the Department's Bureau of
				  Drug Control upon discovery of the loss or theft.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.708 - Emergency Placements

Current through Register Vol. 48, No. 6, June 28, 2024
In instances where evacuees have been relocated to a Hospice
				  Facility, the Department shall be notified not later than the following workday of
				  the names of the individuals received.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.709 - Hospice Closure

Current through Register Vol. 48, No. 6, June 28, 2024
Prior to the permanent or temporary closure of a Hospice, the
				  Hospice shall notify the Department in writing of the intent to close, the effective
				  closure date, and, for a Hospice Facility, the place the patients have been
				  relocated. On the date of permanent closure, the license shall be returned to the
				  Department. For temporary Hospice closures, the Hospice shall notify the Department
				  in writing in advance of re-opening.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.700 - REPORTING › Section 61-78.700.710 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no patients in a Hospice
				  Facility for any reason for a period of ninety (90) days or more, the facility shall
				  notify the Department in writing that there have been no admissions, no later than
				  the one hundredth (100th) day following the date of departure of the last active
				  patient. At the time of that notification, the Department shall consider, upon
				  appropriate review of the situation, the necessity of inspecting the facility prior
				  to any new and/or re-admissions to the facility. The licensee is still required to
				  complete application and pay the licensing fee to keep the license active, even
				  though the facility is at zero census or temporarily closed. If the Hospice Facility
				  has no patients for a period longer than one (1) year, and there is a desire to
				  admit a patient, the facility shall re-apply to the Department for licensure and
				  shall be subject to all licensing requirements at the time of that application,
				  including construction-related requirements for a new Hospice Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.800 - PATIENT RECORDS › Section 61-78.800.801 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A Hospice shall maintain and store a record for each Hospice
				  patient in a manner that ensures confidentiality, security, and integrity of the
				  information.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.800 - PATIENT RECORDS › Section 61-78.800.802 - Content (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospice shall
				initiate and maintain an organized record for each patient. The record shall contain
				sufficient documented information to identify the patient and verify appropriate
				care rendered. All entries shall be written legibly in ink or typed, signed, and
				dated.
B. Specific entries and/or
				documentation shall include at a minimum:
1.
				Consultations by physicians or other authorized healthcare providers;
2. Orders for all medication, care, treatment,
				services, and procedures from physicians or other authorized healthcare providers
				shall be completed prior to, or at the time of admission, and updated when revised.
				Verbal orders received shall include the date of receipt of the order, description
				of the order, and identification of the individual receiving the order;
3. Care, treatment, and services
				provided;
4. Medications administered
				and procedures followed if an error is made, to include adverse reactions;
5. The Hospice Facility shall document medication
				administration by including medication name, dosage, mode of administration, date,
				time, and the signature of the individual administering or supervising the taking of
				the medication. Initials are acceptable when they can be identified readily by
				signatures;
6. Notes of
				observation;
7. Time and circumstances
				of death or of discharge or transfer, including condition at discharge or
				transfer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.800 - PATIENT RECORDS › Section 61-78.800.803 - Individualized Assessment

Current through Register Vol. 48, No. 6, June 28, 2024
An individualized assessment of physical, emotional, and spiritual
				  needs shall be conducted within forty-eight (48) hours of admission for each
				  patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.800 - PATIENT RECORDS › Section 61-78.800.804 - Plan of Care (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A plan of care ("POC") (See 100.MM) shall be developed by the
				  interdisciplinary team within five (5) days of admission, approved by a physician,
				  and updated as needed, and shall include the care, treatment, and services relative
				  to the needs of the patient and maintained in the patient record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.800 - PATIENT RECORDS › Section 61-78.800.805 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The licensee
				shall adequately produce, protect, and store patient records.
B. When a patient is transferred from a Hospice to
				another Hospice or other type of facility, copies of appropriate supporting
				documentation to include at a minimum, a copy of the POC and medication record shall
				be forwarded, in a manner preserving confidentiality, to the receiving Hospice or
				other type of facility (for use by the licensed Hospice operating in the facility)
				at the time of transfer. (II)
C. The
				patient record is confidential and may be made available only to authorized
				individuals. Active patient records, with the exception of records utilized by
				providers during home visits, shall be available at all times and shall be
				accessible by the staff member in charge and by other authorized individuals such as
				representatives of the Department. (II)
D. Records generated by organizations or
				individuals with whom the Hospice contracts for care, treatment, or services shall
				be maintained by the Hospice that has admitted the patient.
E. The Hospice shall determine the medium in which
				information is stored.
F. Hospices
				employing electronic signatures or computer-generated signature codes shall ensure
				authentication and security.
G. Upon
				discharge of a patient, the patient record shall be completed and filed in an
				inactive or closed file within a time period as determined by the Hospice, but no
				later than thirty (30) days after discharge. Closed patient records shall be stored
				by the licensee and retained for six (6) years following the discharge of the
				patient. Such records shall be made available to the Department upon
				request.
H. Upon discharge of the
				Hospice patient's family from bereavement services, the bereavement information
				shall be filed in an inactive or closed file within a time-period as determined by
				the Hospice. Closed bereavement information shall be stored by the licensee and
				retained in accordance with patient record retention.
I. The Hospice shall store medical records in an
				environment which will prevent unauthorized access and deterioration. The records
				shall be treated as confidential and shall not be disposed of before six (6) years.
				Records may be destroyed after six (6) years provided that:
1. Records of minors must be retained until after
				the expiration of the period of election following achievement of majority as
				prescribed by statute; and
2. The
				Hospice retains a register, either electronic or paper based.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.900 - ADMISSION AND RETENTION

Current through Register Vol. 48, No. 6, June 28, 2024
A. Individuals seeking
			 admission shall be identified as appropriate for the level of care, treatment,
			 services, or assistance offered. The Hospice shall establish admission criteria that
			 are consistently applied and comply with local, state, and federal laws and
			 regulations.
B. The Hospice shall admit
			 and retain only those persons whose needs can be met by the accommodations and
			 services provided. (I)
C. Admissions and
			 retention of patients shall be deemed appropriate based on the following
			 considerations:
1. The person is under the care of
			 a physician, and is certified by the physician to be terminally ill and is
			 appropriate for services the Hospice is licensed to provide.
2. The person and/or his or her responsible party
			 agree to accept Hospice services;
3. The
			 person and family have a demonstrated need for physical, emotional, or spiritual
			 care that can be adequately provided by the Hospice, as defined in Section
			 100.P.
4. The person is not likely to
			 endanger himself or herself or others as determined by a physician or other
			 authorized healthcare provider. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1000 - PATIENT CARE, TREATMENT, AND SERVICES (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Services relative to
			 the needs of the patient and family are provided as identified in the POC, to
			 include emergency treatment as appropriate. These services shall be coordinated
			 across the continuum of care and modified as warranted based on any changing needs
			 of the patient and family with changes reflected in the POC. In instances of
			 emergency due to disaster, shall have a disaster plan to address the needs of the
			 patients, which includes the continued care, treatment, and services provided by the
			 Hospice to the patients in accordance with Section 1800.
B. Inpatient Services Disaster Plan. In instances
			 of emergency due to disaster, a Hospice Facility shall have a disaster plan to
			 address the needs of the patients, which includes the continued care, treatment, and
			 services provided by the Hospice to the patients in accordance with Section
			 1800.
C. Outpatient Services Disaster
			 Plan. In instances of emergency due to disaster, a Hospice licensed to provide
			 Outpatient Services shall assist its patients in the planning and development of an
			 appropriate individual emergency and disaster evacuation plan that addresses the
			 needs of the patient, including coordination of transportation assistance and in the
			 continuation of care, treatment, and services in the event of emergency evacuation
			 from their place of residence or when the nature of the disaster precludes the
			 Hospice from continuing such care, treatment, and services.
D. Nursing and other interdisciplinary services,
			 including medications administered, shall be provided in a safe, effective manner
			 and in accordance with local, state, and federal laws and regulation and with
			 established professional practices. Services provided shall be supervised by
			 appropriate qualified professionals and be available twenty-four (24) hours a day,
			 seven (7) days a week.
E. A Hospice
			 Facility shall provide or furnish the following:
1. All required care, treatment, and services in a
			 manner that does not require patients to ambulate nor does it impede patients from
			 ambulating from one site to another due to the presence of physical
			 barriers;
2. Methods for ensuring visual
			 and auditory privacy between patient and staff, volunteers, and/or visitors;
			 and
3. Equipment such as bedpans,
			 urinals, and hot water bottles as necessary to meet patient needs. Permanent
			 positioning of a portable commode at bedside shall only be permitted if the room is
			 private, the commode is maintained in a sanitary condition, and the room is of
			 sufficient size to accommodate the commode. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1100 - RIGHTS AND ASSURANCES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Hospice shall
			 comply with all relevant federal, state, and local laws and regulations related to
			 patient care and protections, such as, Title VI, Section 601 of the Civil Rights Act
			 of 1964, Americans with Disabilities Act (ADA), and ensure that there is no
			 discrimination with regard to source of payment, recruitment of potential patients,
			 location of patients, or provision of care, treatment, and services to patients.
			 Care shall not be discontinued or diminished due to the inability to pay for the
			 care until provisions can be made for transfer of the patient.
B. The following rights shall be guaranteed to the
			 patient, and, at a minimum, the Hospice shall provide the patient a written and oral
			 explanation of these rights:
1. Hospice Services.
a. To be informed of care to be provided and the
			 opportunity to participate in care and treatment and to be informed about, and
			 updated on changes in condition;
b. To
			 refuse to participate in experimental research;
c. To choose a physician or other authorized
			 healthcare provider;
d. Confidentiality
			 of patient records;
e. Respect and
			 security for the patient's property and in a Hospice Facility for the patient to
			 keep personal possessions as space permits, unless it interferes with the rights and
			 safety of other patients.
f. Advance
			 directive options;
g. Freedom from abuse
			 (physical or mental), neglect, and exploitation;
h. Freedom from physical restraint through the use
			 of medications unless they are prescribed by a doctor.
i. Respect and dignity in receiving care,
			 including privacy in receiving treatment or personal care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1200 - PATIENT PHYSICAL ASSESSMENT (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A medical history and
			 physical assessment shall be completed for patients within thirty (30) days prior to
			 or no later than forty-eight (48) hours after admission. The physical assessment
			 shall address the appropriateness of admission, medications required and
			 self-administration status, and identification of special conditions and/or care
			 required, for example, communicable disease, such as tuberculosis, Alzheimer's
			 disease and/or related dementia, pain management, imminent death.
B. The physical assessment shall be performed only
			 by a physician or other authorized healthcare provider.
C. If a patient or potential patient has a
			 communicable disease, the Hospice shall seek advice from a physician or other
			 authorized healthcare provider in order to:
1.
			 Ensure the Hospice has the capability to provide adequate care and prevent the
			 spread of that condition and that the staff members and/or volunteers are adequately
			 trained;
2. Transfer the patient to an
			 appropriate facility, if necessary.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1300 - INFECTION CONTROL › Section 61-78.1300.1301 - Staff Practices (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Staff and volunteer practices shall promote conditions that
				  prevent the spread of infectious, contagious, or communicable diseases and provide
				  for the proper disposal of toxic and hazardous substances. These preventive measures
				  and practices shall be in compliance with applicable guidelines of the
Bloodborne Pathogens Standard of the Occupational Safety and Health Act
				  (OSHA) of 1970
; the Centers for Disease Control and Prevention (CDC);
				  Regulation Regulation
				  61-105, Infectious Waste Management,
				  and other applicable federal, state, and local laws and
				  regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1300 - INFECTION CONTROL › Section 61-78.1300.1302 - Tuberculosis Risk Assessment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				Hospice Facilities shall conduct an annual tuberculosis risk assessment in
				accordance with CDC guidelines (see
CDC Guidelines for Preventing the
				Transmission of Mycobacterium Tuberculosis in Healthcare Facilities
) to
				determine the appropriateness and frequency of tuberculosis screening and other
				tuberculosis related measures to be taken.
B. The risk classification (low risk, medium risk)
				shall be used as part of the risk assessment to determine the need for an ongoing TB
				screening program for staff and volunteers and patients and the frequency of
				screening. A risk classification shall be determined for the entire Hospice
				Facility. In certain settings, such as healthcare organizations that encompass
				multiple sites or types of services, specific areas defined by geography, functional
				units, patient population, job type, or location within the setting may have
				separate risk classifications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1300 - INFECTION CONTROL › Section 61-78.1300.1303 - Staff and Volunteer Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to date of hire or
				initial patient contact, the tuberculosis status of direct care staff and volunteers
				shall be determined in the following manner in accordance with the applicable risk
				classification:
B. Low Risk:
1. Baseline two-step Tuberculin Skin Test (TST) or
				a single Blood Assay for
Mycobacterium tuberculosis
(BAMT): All
				staff and volunteers (within three (3) months prior to contact with patients) unless
				there is a documented TST or BAMT result during the previous twelve (12) months. If
				a newly employed staff member or volunteer has had a documented negative TST or BAMT
				result within the previous twelve (12) months, a single TST (or single BAMT) can be
				administered to serve as the baseline.
2. Periodic TST or BAMT is not required.
3. Post-exposure TST or BAMT for staff upon
				unprotected exposure to
M. tuberculosis
:
a. Perform a contact investigation when
				unprotected exposure is identified.
b.
				Administer one (1) TST or BAMT as soon as possible to all staff and volunteers who
				have had unprotected exposure to an infectious TB case or suspect. If the TST or
				BAMT result is negative, administer another TST or BAMT eight to ten (8 to 10) weeks
				after that exposure to
M. tuberculosis
ended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1300 - INFECTION CONTROL › Section 61-78.1300.1304 - Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Tuberculosis Status. The tuberculosis status of a patient in a Hospice Facility
				shall be determined upon admission by completion of a tuberculosis symptoms
				screening questionnaire.
B. Known or
				Suspected Tuberculosis. Patients known or suspected to have TB disease shall be
				transferred from the Hospice Facility if the Hospice Facility does not have an
				Airborne Infection Isolation (AII) room (See Section 100.C), required to undergo
				evaluation by a physician or legally authorized healthcare provider, and permitted
				to return to the Hospice Facility only with approval by the Department's TB Control
				program.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1300 - INFECTION CONTROL › Section 61-78.1300.1305 - Infectious Waste (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Accumulated waste, including all contaminated sharps, dressings,
				  and/or similar infectious waste, shall be disposed of in a manner compliant with
OSHA Bloodborne Pathogens Standard
and R.61-105.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1400 - AGREEMENTS FOR SERVICES (II)

Current through Register Vol. 48, No. 6, June 28, 2024
When a Hospice engages a source other than the Hospice to provide
				services normally provided by the Hospice, such as staffing, training, food service,
				professional consulting, maintenance, transportation, there shall be a written
				agreement with the source that describes how and when the services are to be
				provided, the exact services to be provided, and a statement that these services are
				to be provided by qualified individuals. The source shall comply with this
				regulation in regard to patient care, treatment, services, and
				rights.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1500 - QUALITY IMPROVEMENT PROGRAM (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a
			 written, implemented quality improvement program that provides effective
			 self-assessment and implementation of changes designed to improve the care,
			 treatment, and services provided by the Hospice.
B. The quality improvement program, at a minimum,
			 shall:
1. Establish desired outcomes and the
			 criteria by which policy and procedure effectiveness is regularly, systematically,
			 and objectively accomplished;
2.
			 Identify, evaluate, and determine the causes of any deviation from the desired
			 outcomes;
3. Identify the action taken
			 to correct deviations and prevent future deviation, and the person(s) responsible
			 for implementation of these actions;
4.
			 Establish ways to measure the quality of patient care and staff performance as well
			 as the degree to which the policies and procedures are followed;
5. Analyze the appropriateness of the POC and the
			 necessity of care, treatment, and services rendered;
6. Analyze the effectiveness of the fire plan
			 (hospice facility only);
7. Analyze all
			 accidents and incidents, to include all medication errors and unexpected patient
			 deaths;
8. Analyze any infection,
			 epidemic outbreaks, or other unusual occurrences which threaten the health, safety,
			 or well-being of the patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1601 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including controlled substances, medical supplies, and those items necessary for the
				rendering of first aid shall be properly managed in accordance with local, state,
				and federal laws and regulations. Such management shall address the securing,
				storing, and administering of medications, medical supplies, first aid supplies, and
				biologicals, their disposal when discontinued or outdated, and their disposition at
				discharge, death, or transfer of a patient.
B. The Hospice Facility shall provide appropriate
				methods and procedures for the dispensing and administering of medications or
				biologicals. Whether medications or biologicals are obtained from community or
				institutional pharmacies or stocked by the Hospice Facility, the Hospice Facility is
				responsible for ensuring the availability of medications and biologicals for its
				patients and for ensuring that pharmaceutical services are provided in accordance
				with accepted professional principles and appropriate federal, state, and local
				laws.
C. Applicable reference materials,
				such as Physician's Desk Reference (PDR), current Drug Reference Book, published
				within the previous year shall be available at the Hospice Facility in order to
				provide staff members and volunteers with adequate information concerning
				medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1602 - Medications and Treatment Orders (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Orders for medications and treatment shall be signed by a physician and incorporated
				in the patient's record maintained by the Hospice. Verbal and telephonic orders
				shall be received by an authorized healthcare provider. Therapists, pharmacists and
				social workers can receive only those orders pertinent to their specialty. The
				Hospice, to include a representation by physicians treating patients at the Hospice,
				a pharmacist, and the administrator may establish lists of categories of diagnostic
				or therapeutic verbal orders associated with any potential hazard to the patient
				that must be authenticated by the physician within a limited Hospice determined time
				period, but in no case shall any orders be authenticated later than forty-eight (48)
				hours from the date of the order. Controlled substances shall be included on the
				list to be authenticated within seven (7) days of the order and all other orders
				shall be authenticated within thirty (30) days.
B. Stop-Order Policies. All medication orders
				which do not specifically indicate the number of doses to be administered or the
				length of time the medication is to be administered shall automatically be stopped
				in accordance with written policies established by the Hospice Facility.
C. Standing Orders. Standing orders may be
				utilized if signed by the attending physician or medical director and updated not
				less than annually.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1603 - Emergency Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Hospice
				Facility shall maintain a kit containing medications for emergency use. The kit
				shall be readily available but must be properly secured. The kit shall contain such
				medications as selected and approved consistent with Hospice Facility policy and
				state and federal regulations. An inventory of medications maintained in the kit
				shall be attached to or placed in the kit.
B. The emergency kit shall be reviewed at least
				monthly to ensure that all medications are accounted for, unexpired, and properly
				replaced when used.
C. There shall be at
				least one (1) emergency kit on each patient floor.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.1600 - MEDICATION MANAGEMENT › Section 61-78.1600.1604 - Administering Medication (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medication,
				to include oxygen, shall be administered to patients only upon orders (to include
				standing orders) of a physician or other authorized healthcare provider. Medications
				accompanying patients at admission may be administered to patients provided the
				medication is in the original labeled container and the order is subsequently
				obtained as a part of the admission physical assessment. Hospice staff members shall
				consult with the attending physician or medical director for clarification if there
				are concerns regarding the appropriateness of administering medications due to the
				condition and/or state of the medication, for example, expired, makeshift or
				illegible labels, or the condition and/or state of health of the newly-admitted
				patient.
B. Doses of medication shall be
				administered by the same licensed nurse who prepared them for administration.
				Preparation shall occur no earlier than one hour prior to administering. Preparation
				of doses for more than one scheduled administration shall not be permitted. Each
				medication dose administered or supervised shall be properly recorded by initialing
				on the patient's medication record as the medication is administered. Recording
				medication administration shall include medication name, dosage, mode of
				administration, date, time, and the signature of the individual administering or
				supervising the taking of the medication. Recording shall include the medication,
				dosage, and mode of administration, date, time and identification of the person
				administering the medication(s). Initials are acceptable when they can be identified
				readily by signatures.
C. Medications
				shall be administered in accordance with state practice acts by a physician or other
				authorized healthcare provider, or licensed nurse.
D. Medications ordered for a specific patient
				shall not be provided or administered to any other patient. Medications prescribed
				for a specific patient cannot be administered to another person.
E. Self-administration of medications shall be
				allowed only on the specific written orders of the patient's attending physician.
				(Self-administered medications shall be recorded on the medication administration
				records by the appropriate licensed staff.) Prescribed and over-the-counter
				medications, such as nitroglycerin, skin ointments, may be kept at bedside upon
				physician orders if kept in a closed area, such as the drawer of the patient's night
				stand, in accordance with Hospice Facility policy.
F. The Hospice Facility shall have a policy
				related to self-administration of medication.