S.C. Code Regs. § ch. 61, 61-78, 61-78.1000

Current through Register Vol. 48, No. 10, October 25, 2024

Section 61-78.1000 - PATIENT CARE, TREATMENT, AND SERVICES (I)

A. Services relative to the needs of the patient and family are provided as identified in the POC, to include emergency treatment as appropriate. These services shall be coordinated across the continuum of care and modified as warranted based on any changing needs of the patient and family with changes reflected in the POC. In instances of emergency due to disaster, shall have a disaster plan to address the needs of the patients, which includes the continued care, treatment, and services provided by the Hospice to the patients in accordance with Section 1800.

B. Inpatient Services Disaster Plan. In instances of emergency due to disaster, a Hospice Facility shall have a disaster plan to address the needs of the patients, which includes the continued care, treatment, and services provided by the Hospice to the patients in accordance with Section 1800.

C. Outpatient Services Disaster Plan. In instances of emergency due to disaster, a Hospice licensed to provide Outpatient Services shall assist its patients in the planning and development of an appropriate individual emergency and disaster evacuation plan that addresses the needs of the patient, including coordination of transportation assistance and in the continuation of care, treatment, and services in the event of emergency evacuation from their place of residence or when the nature of the disaster precludes the Hospice from continuing such care, treatment, and services.

D. Nursing and other interdisciplinary services, including medications administered, shall be provided in a safe, effective manner and in accordance with local, state, and federal laws and regulation and with established professional practices. Services provided shall be supervised by appropriate qualified professionals and be available twenty-four (24) hours a day, seven (7) days a week.

E. A Hospice Facility shall provide or furnish the following:

1. All required care, treatment, and services in a manner that does not require patients to ambulate nor does it impede patients from ambulating from one site to another due to the presence of physical barriers;

2. Methods for ensuring visual and auditory privacy between patient and staff, volunteers, and/or visitors; and

3. Equipment such as bedpans, urinals, and hot water bottles as necessary to meet patient needs. Permanent positioning of a portable commode at bedside shall only be permitted if the room is private, the commode is maintained in a sanitary condition, and the room is of sufficient size to accommodate the commode. (II)

F. A Hospice shall directly and routinely provide the following:

1. Medical Director;

2. Nursing care by or under the supervision of an RN;

3. Social work;

4. Counseling Services, to include dietary, bereavement, and spiritual counseling;

5. Volunteer Services; and

6. Supervision of hospice aides.

G. The following shall be provided as specified in the patient's POC, either directly by the Hospice or arranged for through legally-binding arrangements made by the Hospice:

1. Spiritual care;

2. Hospice aide;

3. Physical therapy, occupational therapy, speech therapy;

4. Medical supplies;

5. Prescription medications;

6. Durable medical equipment;

7. Short-term respite care;

8. Short-term inpatient care for pain control and/or symptom management; and

9. Continuous care.

H. Additional services shall be provided, either directly or by contractual arrangement, when specified in the POC.

I. When appropriate to meet the needs of the patient and as ordered by the attending physician, the Hospice shall initiate the referral to an appropriate facility.

S.C. Code Regs. ch. 61, 61-78, 61-78.1000

Replaced and amended by State Register Volume 40, Issue No. 04, eff. 4/22/2016.