Utah Admin. Code R432-100-31 - Respite Services
(1) A
remote-rural general acute licensee with a federal swing bed designation may
provide respite services to provide intermittent, time-limited care to give
primary caretakers relief from the demands of caring for an individual.
(a) The licensee may provide respite care
services and may only comply only with the requirements of this
section.
(b) If the licensee
provides respite care to an individual for longer than 14 consecutive days, the
licensee shall admit the individual as an inpatient and is subject to the
requirements of this rule applicable to non-respite inpatient
admissions.
(2) Respite
services may be provided at an hourly rate or daily rate.
(3) The licensee shall coordinate the
delivery of respite services with the recipient of services, case manager, if
one exists, and the family member or primary caretaker.
(4) The licensee shall document the
individual's response to the respite placement and coordinate with any provider
agencies to ensure an uninterrupted service delivery program.
(5) The licensee shall complete the
following:
(a) a Level 1 pre-admission
screening upon the person's admission for respite services; and
(b) a service agreement that will serve as
the plan of care and identifies:
(i)
prescribed medications;
(ii)
physician treatment orders;
(iii)
need for assistance for activities of daily living; and
(iv) diet orders.
(6) The licensee shall have
written policies and procedures that are available to staff regarding the
respite care patients to include:
(a)
medication administration;
(b)
notification of a responsible party in the event of an emergency;
(c) service agreement and admission
criteria;
(d) behavior management
interventions;
(e) philosophy of
respite services;
(f) post-service
summary;
(g) training and
in-service requirement for employees; and
(h) handling patient
funds.
(7) The licensee
shall provide a copy of the resident rights to the patient upon
admission.
(8) The licensee shall
maintain a record for each patient who receives respite services that includes:
(a) a service agreement;
(b) demographic information and patient
identification data;
(c) nursing
notes;
(d) physician treatment
orders;
(e) records made by staff
regarding daily care of the patient in -service;
(f) accident and injury reports;
and
(g) a post-service
summary.
(9) If a patient
has an advanced directive, the licensee shall file a copy of the directive in
the record and inform staff.
(10)
The licensee shall ensure that retention and storage of records complies with
this rule.
(11) The licensee shall
provide for confidentiality and release of information in accordance with this
rule.
Notes
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