3701-83-23.1 Services standards.

 

3701-83-23.1               Services standards.

 

 

 

(A)Each dialysis center shall:

 

(1)Develop and follow policies and procedures for the provision of care consistent with national standards of care or guidelines;

 

(2)Develop  and  follow  protocols  for  the  prevention  of  disease  transmission utilizing standards of care or guidelines for dialysis patients;

 

(3) Provide services in accordance with the clinical capabilities of the facility;

 

(4)Develop  and  follow  policies  and  procedures  for  the  administration  of medication;

 

(5)Develop and follow policies and procedures for the provision of water that are consistent with the association for advancement of medical instrumentation (AAMI) standards, including criteria for the biological and chemical composition of the water ;

 

(6)Develop and follow policies and procedures for the re-use of hemodialyzers consistent with the association for advancement of medical instrumentation (AAMI) standards;

 

(7)Develop and follow policies and procedures for direct care staff to notify appropriate health care professionals of problems related to the provision of dialysis care;

 

(8) Develop and follow emergency plans to include patient self disconnect; and

 

(9)Provide each patient with both verbal and written instructions for post treatment care and procedures for obtaining emergency care.

 

(B)Each dialysis center shall utilize a coordinated and integrated interdisciplinary team, and the patient, to develop a long term program and patient care plan. The care plan shall be based on an evaluation of the nature of the patient's illness, the treatment modality prescribed, and an assessment of the patient's needs. The care plan shall address the patient's physical, medical, dietary, psychosocial, functional, and rehabilitation needs. The care plan shall be reviewed at least semi-annually and the long-term program shall be revised at least annually.

 

(C)Each dialysis center shall provide the necessary ancillary and support services to meet the dialysis needs of patients and in accordance with the patients' care plan.

 

 

(D) No dialysis center may set up dialysis stations for patient use which exceed the authorized maximum number of licensed dialysis stations.

(E)Each dialysis center shall maintain an isolation station.

(F) Each dialysis center shall provide the patient or the patient's representative in writing the following:

(1) Information regarding the policies, procedures, and mission statement of the dialysis center and the services provided at the facility;

(2) Information concerning the services to be performed;

(3) Information   about   the   complaint   policies   and   procedures   required   by Administrative Code rule 3701-83-13; and

(4) Information regarding the center's policy on advanced directives.

(G) Each dialysis center shall maintain operational logs. These logs shall include records for:

(1) The dialysate solution delivery system;

(2) The blood circuit system;

(3) The reprocessing system;

(4) The water treatment system; and

(5) The water treatment quality.

(H) Each  dialysis  center  shall  maintain  records  of  water  test  results  and  necessary treatment for two years.

(I) Each dialysis center shall maintain an appropriately stocked emergency tray or cart consistent with the types of services being provided.

(J) Each dialysis center shall ensure that all drugs and supplies have not exceeded the expiration date.

(K) Each dialysis center shall develop and follow procedures to respond to medical emergencies that may arise in the provision of services to patients, including emergency cardiac care.

Effective:                                9/5/2002

R.C. 119.032 review dates:    02/28/2006

CERTIFIED ELECTRONICALLY

Certification

08/26/2002 03:50 PM

Date

Promulgated Under:   119.03

Statutory Authority:   3702.13, 3702.30

Rule Amplifies:           3702.12, 3702.13, 3702.30

Prior Effective Dates: None