South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-78 - Standards for Licensing Hospices › Sec2 61-78.100 - DEFINITIONS

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of this regulation, the following definitions shall
				apply:
A. Administrator. The individual
			 designated by the governing body to be responsible for the day-to-day management of
			 the Hospice and when licensed to provide Inpatient Services, Hospice
			 Facility.
B. Advanced Practice
			 Registered Nurse. An individual who has Official Recognition as such by the South
			 Carolina Board of Nursing.
C. Airborne
			 Infection Isolation (AII). A room designed to maintain Airborne Infection Isolation
			 (AII), formerly called a negative pressure isolation room. An Airborne Infection
			 Isolation (AII) room is a single-occupancy patient-care room used to isolate persons
			 with suspected or confirmed infectious tuberculosis (TB) disease. Environmental
			 factors are controlled in Airborne Infection Isolation (AII) rooms to minimize the
			 transmission of infectious agents that are usually spread from person-to-person by
			 droplet nuclei associated with coughing or aerosolization of contaminated fluids.
			 Airborne Infection Isolation (AII) rooms may provide negative pressure in the room
			 (so that air flows under the door gap into the room), an air flow rate of six to
			 twelve (6 to 12) air changes per hour (ACH), and direct exhaust of air from the room
			 to the outside of the building or recirculation of air through a high efficiency
			 particulate air (HEPA) filter.
D.
			 Architect. An individual currently registered as such by the South Carolina State
			 Board of Architectural Examiners.
E.
			 Attending Physician. The physician who is identified by the patient as having the
			 most significant role in the determination and delivery of medical care to the
			 patient.
F. Authorized Healthcare
			 Provider. An individual authorized by law and currently licensed in South Carolina
			 to provide specific care, treatment, or services to patients such as, advanced
			 practice registered nurse, physician assistant.
G. Consultation. A visit by Department
			 representative(s) to provide information to the licensee in order to facilitate
			 compliance with these regulations.
H.
			 Controlled Substance. A medication or other substance included in Schedule I, II,
			 III, IV, and V of the Federal Controlled Substances Act and the South Carolina
			 Controlled Substances Act.
I. Counseling
			 Services. Counseling includes bereavement counseling, as well as dietary, spiritual,
			 and any other counseling services provided to the individual and family or
			 responsible party.
J. Department. The
			 South Carolina Department of Health and Environmental Control (DHEC).
K. Dietitian. A person who is registered by the
			 Commission on Dietetic Registration and licensed by the South Carolina Department of
			 Labor, Licensing and Regulation.
L.
			 Dietary Counseling. Education and interventions provided to the patient and family
			 regarding appropriate nutritional intake as the patient's condition progresses.
			 Dietary counseling is provided by qualified individuals, which may include a
			 registered nurse, dietitian or nutritionist, when identified in the patient's plan
			 of care.
M. Direct Care Staff
			 Member/Direct Care Volunteer. Individuals who provide care to patients within the
			 parameters of their training and/or as determined by state law or statute.
N. Health Assessment. An evaluation of the health
			 status of a staff member or volunteer by a physician, other authorized healthcare
			 provider, or registered nurse, pursuant to written standing orders and/or protocol
			 approved by a physician's signature. The standing orders or protocol shall be
			 reviewed annually by the physician, with a copy maintained at the Hospice.
O. Hospice Aide. An individual supervised by a
			 registered nurse who renders assistance with personal care to patients needing
			 assistance with activities of daily living, and who meets minimum qualifications and
			 training as set by the Hospice.
P.
			 Hospice. A centrally administered, interdisciplinary healthcare program, which
			 provides a continuum of medically supervised palliative and supportive care for the
			 terminally ill patient and the family or responsible party, including but not
			 limited to home, Outpatient Services and Inpatient Services provided directly or
			 through written agreement.
Q. Hospice
			 Facility. An institution, place, or building in which a licensed Hospice provides
			 room, board, and Inpatient Services on a twenty-four (24) hour basis to individuals
			 requiring Hospice care pursuant to the orders of a physician. Prior to construction
			 or establishment of a new Hospice Facility, or increasing the number of beds in an
			 existing facility, a Hospice Facility shall obtain a Certificate of Need from the
			 Department.
R. Inpatient Services. A
			 continuum of medically supervised palliative and supportive care for the terminally
			 ill patient and the family or responsible party provided by a Hospice for
			 individuals intended to stay one (1) or more nights in an institution, place, or
			 building licensed by the Department to provide room, board, and applicable care on a
			 twenty-four (24) hour basis, such as a Hospice Facility, community residential care
			 facility, nursing home, hospital, or general infirmary.
S. Inspection. A visit by Department
			 representative(s) for the purpose of determining compliance with this
			 regulation.
T. Interdisciplinary Team or
			 Group. A group designated by the Hospice to provide or supervise care, treatment,
			 and services provided by the Hospice. The group must include at least the following
			 individuals: a physician, a registered nurse, a social worker, and a pastoral or
			 other counselor.
U. Investigation. A
			 visit by Department representative(s) to an unlicensed or licensed Hospice or
			 Hospice Facility for the purpose of determining the validity of allegations received
			 by the Department.
V. Legend Drug.
1. Medication required by federal law to be
			 labeled with any of the following statements prior to being dispensed or delivered:
a. "Caution: Federal law prohibits dispensing
			 without prescription";
b. "Rx only"
			 or;