Section 406.3 - Admission, patient assessment, planning and services

406.3 Admission, patient assessment, planning and services. (a) The hospital administration shall develop and implement policies and procedures governing admission from the hospital's acute care unit(s), other hospital acute care unit(s), and the community, patient assessment, patient length of stay, patient care planning, and the provision of 24-hour nursing services and other services for the swing bed program which include as a minimum but are not limited to the following:

(1) the completion of the Hospital and Community Patient Review Instrument (H/C-PRI) and SCREEN prior to admission, and the PRI and SCREEN for admission review and continued stay review purposes for patients otherwise eligible for nursing home admission and whose expected length of stay does not exceed 60 days in coordination with procedures for discharge planning;

(2) patient's rights including admission, transfer, and discharge rights as set forth in Part 415 of this Title;

(3) patient care services and management in accord with the requirements governing patient behavior and facility practices as set forth in Part 415 of this Title; and

(4) patient care and services in accord with a multidisciplinary assessment of needs.

(b) A written, individualized, comprehensive care plan based upon the patient's assessed needs shall be developed and implemented which includes but is not limited to:

(1) assistance and/or supervision, when required, with activities of daily living, such as toileting, feeding, ambulation, bathing including routine skin care, care of hair and nails, and oral hygiene;

(2) rehabilitation therapy services as the patient's needs indicate;

(3) dental services as the patient's needs indicate;

(4) social services as the patient's medically related social and emotional needs indicate; and,

(5) an activities program involving community, interpersonal and self-care functions appropriate and sufficient in scope to the needs and interests of each patient to sustain physical and psychosocial functioning.
 

Effective Date: 
Wednesday, July 22, 1992
Doc Status: 
Complete