W. Va. Code R. § 64-12-13

Current through Register Vol. XLI, No. 45, November 8, 2024

Section 64-12-13 - Patient Care Services

13.1. Patient Care.

13.1.1. Every patient shall be under the care of a practitioner who is:

13.1.1.a. A Doctor of Medicine or Osteopathy who possesses a valid license issued by the West Virginia Board of Medicine or the West Virginia Board of Osteopathy, respectively, or who is otherwise lawfully practicing in the state: Provided, that this paragraph is not to be construed to limit the authority of a Doctor of Medicine or Osteopathy to delegate tasks to other qualified health care personnel to the extent recognized under state law or rules;

13.1.1.b. A Doctor of Podiatric Medicine who possesses a valid license issued by the West Virginia Board of Medicine or who is otherwise lawfully practicing in the state, but only with respect to functions that he or she is legally authorized under state law or rules;

13.1.1.c. A Doctor of Dental Surgery or Dental Medicine who possesses a valid license issued by the West Virginia Board of Dental Examiners or who is otherwise lawfully practicing in the state, but only with respect to functions that he or she is legally authorized by the state to perform;

13.1.1.d. A Doctor of Optometry who possesses a valid license issued by the West Virginia Board of Optometry or who is otherwise lawfully practicing in the state, but only with respect to services related to the condition of aphakia;

13.1.1.e. A chiropractor who possesses a valid license issued by the West Virginia Board of Chiropractic Examiners or who is otherwise lawfully practicing in the state, but only with respect to treatment by means of manipulation of the spine to correct a subluxation demonstrated to exist by x-ray or other medically accepted imaging media;

13.1.1.f. A psychologist who possesses a valid license issued by the West Virginia Board of Examiners of Psychologists or who is otherwise lawfully practicing in the state, but only with respect to functions that he or she is legally authorized by the state to perform; or

13.1.1.g. A midlevel practitioner who possesses a valid license issued by the appropriate licensing board who is lawfully practicing in the state.

13.1.2. A Doctor of Medicine or Osteopathy shall be on duty or on call at all times.

13.1.3. A Doctor of Medicine or Osteopathy shall be responsible for the care of each patient with respect to any medical or psychiatric problem that is present on admission or develops during hospitalization.

13.2. Patient Care Delivery.

13.2.1. Delivery of patient care and treatment interventions shall be based on the needs identified in the plan of care.

13.2.2. The hospital shall ensure completion of a nursing assessment within 24 hours of admission as an inpatient. This assessment shall include information necessary to develop an effective plan of care.

13.2.3. Each patient's clinical response to the plan of care shall be evaluated by the physician and registered nurse with other responsible practitioners, as appropriate, to determine that the patient care goals are being met.

13.2.4. The hospital shall ensure completion of a reassessment of each patient and implementation of a revised plan of care, as often as necessary, to meet the patient's needs.

13.2.5. The hospital shall ensure that documentation of each patient's plan of care shall be written legibly or entered electronically to convey in an understandable manner the diagnostic, therapeutic or rehabilitative service, sentinel events, reassessments and revisions, physician's orders whether written or verbal, implementation of the orders, and patient compliance and responses.

13.3. Patient Admission, Assessment, and Plans of Care.

13.3.1. Patients shall be admitted to the hospital only upon orders of a practitioner licensed in West Virginia with admitting privileges at the hospital.

13.3.2. The hospital shall ensure completion of a comprehensive assessment, including any information necessary to develop an effective, interdisciplinary plan of care, in the time frame identified by hospital policy and placed in the medical record.

13.3.3. The comprehensive assessment shall include, at minimum, the patient's health history including any pertinent psycho-social factors and the results of the physical examination performed upon admission.

13.3.4. Patient assessment activities shall encompass the full scope of the patient's care needs, which may include services provided by other licensed or registered health care professionals as authorized by medical staff policies.

13.3.5. Each patient shall have an effective plan of care based upon the specific needs identified by all assessment activities.

13.3.6. Identified, accepted clinical outcomes should be attained as a result of implementation of a patient specific plan of care.

13.3.7. The hospital shall ensure that each patient be reassessed as determined by patient diagnosis, expected clinical outcomes, changes in the patient's condition and evaluation of the patient's response to treatment and therapies.

13.3.8. Each licensed or registered health care professional involved in a patient's care may perform reassessments of the patient within his or her area of training and professional expertise as determined by hospital policy and the scope of practice of the practitioner.

W. Va. Code R. § 64-12-13