6 Colo. Code Regs. § 1011-1-21-7
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-21-7 - PERSONNEL7.1 The hospice shall provide physician services, nursing services, medical social work or counseling services, spiritual counseling, and trained volunteers. These services shall be consistent with acceptable standards of practice.7.2 The hospice shall routinely provide substantially all core services directly by hospice employees.7.3 There shall be written policies that govern employment and personnel practices.7.4 The hospice shall require any prospective employee to submit to a criminal history record check that shall be conducted not more than 90 days prior to employment of the individual. The hospice shall develop and implement policies and procedures regarding the potential employment of any individual who is convicted of a felony or misdemeanor in order to ensure that the individual does not pose a risk to the health, safety and welfare of the patient.7.5 Before employing any individual to provide direct patient care or services, the hospice shall verify with the Colorado Department of Regulatory Agencies (DORA) whether a license, registration or certification exists and is in good standing. A copy of the verification shall be placed in the individual's personnel file.7.6 There shall be an initial orientation for each employee that includes: (A) History, philosophy and structure of the hospice concept;(B) The interdisciplinary approach;(C) Communication skills;(D) Hospice services offered;(E) Agency organizational structure;(F) Access to agency policies and procedures;(H) Continuing educational requirements; and (I) Infection control.7.7 The hospice shall assess and document the competence and skills of each employee prior to providing direct patient care. The hospice shall have written policies and procedures describing its methods of assessment of competency.7.8 The hospice shall ensure that each hospice aide is competent to carry out all assigned tasks in the patient's place of residence. (A) Prior to initial assignment, a registered nurse shall conduct a competency evaluation including, but not limited to, the tasks listed in this subsection:(9) Assistance with ambulation,(10) Exercise and transfers,(12) Bladder and bowel care,(13) Medication reminding, and(14) The use of adaptive equipment.7.9 The hospice shall have a program for education and training that offers a minimum of 20 hours of education annually to enhance hospice related skills for all employees who provide direct patient care. The hospice shall maintain documentation of the annual education and training offered. 7.10 There shall be documentation of each employee's application, verification of credentials, competency evaluations, staff education/training and performance appraisals.