Section R432-750-5 - Personnel(1) The hospice administrator shall maintain qualified personnel who are competent to perform their respective duties, services, and functions.(2) The licensee shall develop and implement written policies and procedures that address the following: (a) job descriptions, qualifications, and validation of licensure or certificates of completion as appropriate for each position;(b) orientation for direct and contract employees, and volunteers;(c) criteria for, and frequency of, performance evaluations;(e) method and period of staff payment;(f) staff benefits including sick leave, vacation, and insurance;(g) frequency and documentation of in-service training; and(h) contents of personnel files of employed and volunteer staff.(3) The licensee shall require that each employee provide proof of registration, certification, or licensure as required by the Utah Department of Commerce within 45 days of hire.(4) The licensee shall establish and implement a policy and procedure for health screening of any agency personnel. (a) The licensee shall ensure that an employee placement health evaluation is completed when an employee is hired. The evaluation shall include at least a health inventory that outlines the employee's history of:(i) conditions that predispose the employee to acquiring or transmitting infectious diseases; and(ii) conditions that may prevent the employee from performing certain assigned duties satisfactorily.(b) Employee health screening and immunizations components of personnel health programs shall be developed in accordance with Rule R386-702 Communicable Disease.(c) Employee skin testing by the Mantoux Method or other FDA approved in-vitro serologic test and follow up for tuberculosis shall be done in accordance with Rule R388-804, Special Measures for the Control of Tuberculosis.(d) The licensee shall ensure that any employees are skin-tested for tuberculosis within two weeks of: (ii) suspected exposure to a person with active tuberculosis; or(iii) development of symptoms of tuberculosis.(e) Skin testing shall be exempted for any employees with known positive reaction to skin tests.(f) The facility shall report any infections and communicable diseases reportable by law to the local health department in accordance with Section R386-702-3.(5) The licensee shall document that any employees, volunteers, and contract personnel are oriented to the agency and the job that they are hired. Orientation shall include: (a) the hospice concept and philosophy of care;(b) the functions of agency employees and the relationships between various positions or services;(d) duties that persons are trained, hold certificates, or are licensed;(e) ethics, confidentiality, and patient rights;(f) information about other community agencies including emergency medical services;(g) opportunities for continuing education appropriate to the patient population served;(h) policies related to volunteer documentation, charting, hours, and emergencies; and(i) reporting requirements when observing or suspecting abuse, neglect, and exploitation pursuant to Section 62A-3-305.(6) The licensee shall provide and document in-service training and continuing education for staff at least annually. (a) Members of the hospice interdisciplinary team shall have access to in-service training and continuing education appropriate to their responsibilities and to the maintenance of skills necessary for the care of the patient and family.(b) The training programs shall include the introduction and review of effective physical and psychosocial assessment and symptom management.(c) The licensee shall train personnel in appropriate Centers for Disease Control (CDC) infectious disease protocols.(7) The hospice administrator shall appoint a person to coordinate the activities of the interdisciplinary team. This individual shall: (a) annually review and make recommendations where appropriate of agency policies covering admissions and discharge, medical supervision, care plans, clinical records, and personnel qualifications;(b) assure that ongoing assessments of the patient and family needs and implementation of the interdisciplinary team care plans are accomplished;(c) schedule adequate quality and quantity of any levels of hospice care; and(d) assure that the team meets regularly to develop and maintain appropriate plans of care and to determine that staff will be assigned to each case.(8) The licensee shall provide access to individual or group support for interdisciplinary team members to assist with stress or grief management related to providing hospice care.Utah Admin. Code R432-750-5
Amended by Utah State Bulletin Number 2023-10, effective 5/5/2023