Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Policies › Section 388-107-1580 - Policies and procedures

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced
				  services facility must develop and implement written policies and procedures
				  for all treatment, care and services provided in the facility.
(2) The enhanced services facility must train
				  staff persons on implementation of all the policies and procedures.
(3) The facility must ensure that the
				  policies and procedures include, at a minimum the following:
(a) Transitioning new residents;
(b) Security precautions to meet the safety
				  needs of the residents and the surrounding community;
(c) Delayed egress, when used by the
				  facility;
(d) Crisis prevention and
				  response protocol;
(e) Discharge
				  planning;
(f) Compliance with
				  resident rights, consistent with WAC
				  388-107-0190;
(g) Suspected abandonment, abuse, neglect,
				  exploitation, or financial exploitation of any resident;
(h) Situations in which there is reason to
				  believe a resident is not capable of making necessary decisions and no
				  substitute decision maker is available;
(i) Situations in which a substitute decision
				  maker is no longer appropriate;
(j)
				  Situations in which a resident stops breathing or a resident's heart appears to
				  stop beating, including, but not limited to, any action staff persons must take
				  related to advance directives and emergency care;
(k) Response to medical
				  emergencies;
(l) Urgent situations
				  in the enhanced services facility requiring additional staff support;
(m) Appropriate responses to residents
				  engaging in aggressive or assaultive behavior, including, but not limited to:
(i) Preventive actions for a behavioral
				  crisis or violent behavior to ensure the safety of residents and the
				  community;
(ii) Actions to take to
				  protect other residents;
(iii) When
				  and how to seek outside intervention;
(iv) Training on de-escalation techniques for
				  managing resident's challenging behavior before it reaches the stage of
				  physical aggression or assault;
(v)
				  Techniques for staff to use in response to aggressive behaviors when
				  de-escalation techniques have not succeeded;
(vi) Evaluation of the safety of the physical
				  environment;
(vii) Issues of
				  respect and dignity of the client; and
(viii) Use of the least restrictive physical
				  and behavioral interventions depending upon the situation, including use of
				  holding techniques to physically restrain residents.
(n) Preventing and limiting the spread of
				  infections, including tuberculosis, consistent with WACs
				  388-107-0440;
(o) Providing
				  sub-acute detoxification services approved by an authorized health care
				  provider and ensuring resident health and safety;
(p) Prohibition of restraints, except when
				  medically necessary;
(q) Use of
				  medications, including marijuana, for staff or residents;
(r) Presence of firearms in the facility,
				  including provisions for keeping firearms locked and accessible only to
				  authorized persons;
(s) Safe
				  transportation of residents and the qualifications of the drivers;
(t) Management of pets in the enhanced
				  services facility;
(u) Medication
				  process for resident outings; and
(v) Medications to include:
(i) Medication services;
(ii) Pharmacy services;
(iii) Storing, securing and accounting for
				  medications;
(iv) Resident
				  controlled medications; and
(v)
				  Medication refusals, including refusals of court ordered medication.
(w) Are reviewed and updated
				  annually.