Section R. 325.45353 - Nursing servicesRule 353.
(1) A hospice shall assure that a registered professional nurse completes an initial assessment of the patients condition within 48 hours after the election of hospice care, unless sooner as requested by the physician, patient, or patient representative.(2) A comprehensive assessment of the patient must be completed by the hospice interdisciplinary care team no later than 5 calendar days after the election of hospice care. The comprehensive assessment must identify the patients immediate physical, psychosocial, emotional, and spiritual needs related to the terminal illness.(3) The patient care plan must be established by the hospice interdisciplinary care team. The patient care plan must include problems, interventions, and goals specific to the patient and family unit and all medications, medical equipment, and other pertinent items used by the patient. The patient care plan must be revised or updated every 15 days or as the needs of the patient/family unit change.(4) A staff member, as designated in the patients record, is responsible for the coordination, implementation, and ongoing review of each plan. The plan must be recorded and maintained as part of the patient and family unit record.(5) The patient care plan must give direction to the care given in meeting the physical, psycho-social, and spiritual needs of the patient and family unit. The plan must be personalized to meet the individuals needs and treatment decisions.(6) Resource materials relating to the administration and untoward effects of medications and treatments used in pain and symptom control must be readily available to hospice personnel.(7) The hospice shall arrange for the availability of nursing services 24 hours a day, 7 days a week.Mich. Admin. Code R. 325.45353
2020 MR 4, Eff. 2/21/2020