Ariz. Admin. Code § R9-10-508 - Transfer; Discharge
A. An
administrator, in coordination with the Arizona Department of Economic
Security, Division of Developmental Disabilities, shall ensure that:
1. A resident is transferred or discharged
if:
a. The ICF/IID is not authorized or not
able to meet the needs of the resident, or
b. The resident's behavior is a threat to the
health or safety of the resident or other individuals at the ICF/IID;
and
2. Documentation of a
resident's transfer or discharge includes:
a.
The date of the transfer or discharge;
b. The reason for the transfer or
discharge;
c. A 30-day written
notice except:
i. In an emergency,
or
ii. If the resident no longer
requires rehabilitation services or habilitation services as determined by a
physician or the physician's designee;
d. A notation by a physician or the
physician's designee if the transfer or discharge is due to any of the reasons
listed in subsection (A)(1); and
e.
If applicable, actions taken by a personnel member to protect the resident or
other individuals if the resident's behavior is a threat to the health and
safety of the resident or other individuals in the ICF/IID and beyond the
ICF/IID's scope of services.
B. Except for a transfer of a resident due to
an emergency, an administrator shall ensure that:
1. A qualified intellectual disabilities
professional or, if the resident has a nursing care plan or medical care plan,
a registered nurse coordinates the transfer and the services provided to the
resident;
2. According to policies
and procedures:
a. An evaluation of the
resident is conducted before the transfer;
b. Information from the resident's medical
record, including orders that are in effect at the time of the transfer, is
provided to a receiving health care institution; and
c. A personnel member explains risks and
benefits of the transfer to the resident or the resident's representative;
and
3. Documentation in
the resident's medical record includes:
a.
Communication with an individual at a receiving health care
institution;
b. The date and time
of the transfer;
c. The mode of
transportation; and
d. If
applicable, the name of the personnel member accompanying the resident during a
transfer.
C.
Except in an emergency, a qualified intellectual disabilities professional or,
if the resident has a nursing care plan or medical care plan, a registered
nurse shall ensure that before a resident is discharged:
1. Written follow-up instructions are
developed with the resident or the resident's representative that include:
a. Information necessary to meet the
resident's need for medical services and nursing services; and
b. The state long-term care ombudsman's name,
address, and telephone number;
2. A copy of the written follow-up
instructions is provided to the resident or the resident's representative;
and
3. A discharge summary:
a. Is developed by a qualified intellectual
disabilities professional or, if the resident has a nursing care plan or
medical care plan, a registered nurse;
b. Authenticated by the resident's attending
physician or designee; and
c.
Includes:
a.
i. The resident's need for rehabilitation services or
habilitation services at the time of transfer or discharge;
b.
ii.
The resident's need for medical services or nursing services;
c.
iii.
The resident's developmental, behavioral, social, and nutritional
status;
d.
iv. The resident's medical and psychosocial
history;
e.
v. The date of the discharge; and
f.
vi.
The location of the resident after discharge.
Notes
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