(a) Accepting clients for non-hospice respite care under this subsection is voluntary.
(b) Hospice facilities that elect to provide non-hospice respite care services shall: - (i) Provide medication administration in accordance with federal and state physician's orders;
- (ii) Provide activities and care in accordance with a plan of care developed by primary caregivers and hospice staff prior to admission.
(c) The hospice providing non-hospice respite care services shall be staffed with qualified personnel including a registered nurse and any additional disciplines needed to ensure adequate care and services are provided.
(d) The services shall include, but not be limited to: - (i) assistance with activities of daily living;
- (iii) provision of nourishments;
- (iv) appropriate recreational activities; and
- (v) medication management.
(e) Non-hospice inpatient respite care services shall meet the following standards: - (i) provide a clean environment free of obstacles that could pose a hazard to client health or safety;
- (ii) provide easily accessible toilet facilities, handwashing facilities, and paper towel dispensers in common areas; and
- (iii) be accessible to patients with supporting devices for ambulation and wheelchairs.
(f) Non-hospice respite care services shall have written policies and procedures relevant to its operation. Such policies and procedures shall include, but not be limited to: - (i) Admission criteria and physician's orders that qualify patients to be appropriately served in the hospice facility that include the primary physician's name and contact information;
- (ii) Meals and refreshments, including special diets that will be provided;
- (iii) Handling of medical emergencies and subsequent transfer to acute care facility;
- (iv) Infection control procedures;
- (v) Recordkeeping of all medications administered and any adverse events occurring;
- (vi) Safety interventions regarding potential elopement or wandering;
- (vii) Assessment and interventions for patients with behaviors, including wandering;
- (viii) Medication administration and monitoring; and
- (ix) Activities program to meet the needs of the patients.
(g) The patient or responsible party and the hospice shall have a written, signed agreement outlining the respective rules of the hospice and responsibilities of each party.
048-10 Wyo. Code R. § 10-9