Section 246-324-170 - Patient care services(1) The licensee shall: (a) Provide an initial physical and dependency assessment by a physician, advanced registered nurse practitioner, or physician assistant;(b) Admit only those patients for whom the hospital is qualified by staff, services and equipment to give adequate care; and(c) Provide appropriate transfer and acceptance of a patient needing medical care services not provided by the hospital, by: (i) Transferring relevant data with the patient;(ii) Obtaining written or verbal approval by the receiving facility prior to transfer; and(iii) Immediately notifying the patient's family.(2) The licensee shall provide medical supervision and treatment, transfer, and discharge planning for each patient admitted or retained, including but not limited to: (a) Admittance by a member of the medical staff as defined by the staff bylaws;(b) An initial treatment plan upon admission incorporating any advanced directives of the patient;(c) A physical examination and medical history completed and recorded by a physician, advanced registered nurse practitioner, or physician assistant within twenty-four hours following admission, unless the patient had a physical examination and medical history completed within fourteen days prior to admission, and the information is recorded in the clinical record;(d) A comprehensive treatment plan developed within seventy-two hours following admission: (i) Developed by a multidisciplinary treatment team with input, when appropriate, by the patient, family, and other agencies;(ii) Reviewed and modified by a chemical dependency counselor as indicated by the patient's clinical condition;(iii) Interpreted to personnel, staff, patient, and, when possible and appropriate, to family; and(iv) Implemented by persons designated in the plan;(e) Physician orders for drug prescriptions, medical treatments and discharge;(f) Current written policies and orders signed by a physician to guide the action of personnel when medical emergencies or threat to life arise and a physician is not present;(g) A discharge plan including a review of the patient's hospitalization, condition upon discharge, and recommendations for follow-up and continuing care;(h) Patient education pertaining to the patient's dependency, prescribed medications, and health maintenance; and(i) Referrals to appropriate resources and community services during and after hospitalization.(3) The licensee shall provide, or arrange for, diagnostic and therapeutic services prescribed by the attending professional staff, including: (a) Medical services, including: (i) A physician on call at all times;(ii) Provisions for emergency medical services when needed; and(iii) Participation of a multidisciplinary treatment team;(b) Nursing services, including: (i) A registered nurse, employed full time, responsible for nursing services twenty-four hours per day;(ii) One or more registered nurses on duty at all times to supervise nursing care;(c) Chemical dependency counseling services, directed and supervised by a chemical dependency counselor, responsible for: (i) A twenty-four-hour per day chemical dependency program; and(ii) Patient education on chemical dependency; and(d) Special services, within the hospital or contracted outside the hospital, as specified in the comprehensive treatment plan.Wash. Admin. Code § 246-324-170
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040. 95-22-013, § 246-324-170, filed 10/20/95, effective 11/20/95.