Section R432-750-11 - Hospice Services(1) A hospice unit of care includes the patient and the patient's family. The licensee shall ensure that the patient, family, or other primary care person participates in the development and implementation of the interdisciplinary care plan according to their ability.(2) Hospice care includes responding to the scheduled and unscheduled needs of the patient and family 24 hours per day. The licensee shall ensure that written policies and procedures include:(a) a procedure for accepting referrals;(b) a procedure for completing an initial assessment and developing the interdisciplinary care plan;(c) a procedure for providing for and documenting that the interdisciplinary team meets regularly to evaluate care and includes inpatient and in-home care staff;(d) a requirement that the care plan to be available to team members for in-home and inpatient services;(e) a process for the appropriate transfer of care from hospice in-home care to hospice inpatient care and vice-versa where available;(f) a clearly defined and integrated administrative structure between in-home care and inpatient services; and(g) coordination of the care plan between in-home hospice and inpatient hospice care.(3) Hospice care shall be provided by the interdisciplinary team.(a) The interdisciplinary team may include ancillary staff when appropriate.(b) The interdisciplinary team shall meet at least twice a month to develop and maintain an appropriate plan of care.(4) A care plan for each patient shall be signed by the attending physician and include the following:(b) any pertinent diagnoses;(c) objectives, interventions, and goals of treatment, based upon needs identified in a comprehensive patient assessment;(d) services to be provided, at what intervals and by whom; and(e) the date the plan was initiated and dates of subsequent reviews.(5) A hospice nurse may not give any medication or treatment requiring an order except on order of a person lawfully authorized to give such an order.(a) Initial orders and subsequent changes in orders for the administration of medications shall be signed by the person lawfully authorized to give such orders and incorporated in the patient's record maintained by the licensee.(b) Telephone orders shall only be received by licensed personnel, who shall record them immediately in the patient's medical record. Telephone orders shall be countersigned by the initiator within 15 days of the date of issue.(c) Orders for therapy services shall include the specific procedures to be used and the frequency and duration of the services.(d) The attending physician shall review, sign, and date orders at least every 90 days.(e) Only those hospice employees licensed to do so may administer medications to patients.(f) Medications and treatments that are administered by hospice employees, shall be administered as prescribed and recorded in the patients record.Utah Admin. Code R432-750-11
Amended by Utah State Bulletin Number 2023-10, effective 5/5/2023