Section 325.13304. Nursing services.

(1) Nursing services in a hospice and its hospice residence, if applicable, shall be available directly or by written agreement 7 days a week, 24 hours per day and shall be under the supervision of a director of nursing who is registered and licensed in the state of Michigan.

(2)   Written policies and procedures for nursing services shall be developed by the director of nursing and implemented incorporating objectives and maintaining standards of nursing practice.

(3)   The development of a comprehensive patient care plan for each hospice and its hospice residence, if applicable, patient?family unit shall commence within 24 hours of admission.

(4)    The patient care plan shall be established by the hospice and its hospice residence, if applicable, designated interdisciplinary care team composed of, at a minimum, all of the following:

(a)   Physician.

(b)   Registered nurse.

(c)   Social worker.

(d)  A spiritual advisor, if selected by the patient?family unit.

(5)   A staff member, as designated in the patient  care  plan,  shall  be responsible for the coordination, implementation, and ongoing review of each plan. The plan shall be recorded in ink and shall be maintained as part of the patient?family unit record.

(6)     The patient care plan shall give direction to the care given in meeting the physiological, psychological, sociological, and spiritual needs of the patient?family unit. The plan shall specifically address maintenance of patient independence and pain control.

(7)     Resource materials relating to the administration and untoward effects of medications and treatments used in pain and symptom control shall be readily available to hospice and hospice residence personnel.

History: 1984 AACS; 2003 AACS.