3701-19-25 Twenty-four hour nursing services in inpatient facilities.

(A) A hospice care program shall ensure that nursing services are available twenty-four hours per day and seven days a week in each inpatient facility used to provide inpatient care to its patients.

(1) Each inpatient facility used by a hospice care program to provide inpatient care to its patients for pain control and symptom management shall provide nursing services twenty-four hours a day. These services shall be sufficient to meet the total nursing needs of the hospice patients residing in the facility. Each shift shall be staffed by a registered nurse who provides direct patient care.

Interpretive guideline: a registered nurse shall be available at all times to render direct "hands-on" care to hospice patients.

(2) Each inpatient facility used by a hospice care program to provide inpatient care to its patients for respite purposes shall provide nursing services twenty-four hours a day or the hospice care program shall provide or arrange for nursing services twenty-four hours a day. These services shall be sufficient to meet the total nursing needs of the hospice patients residing in the facility.

(B) An inpatient facility shall provide each patient's treatments, medications, and diets as prescribed. The facility shall keep each patient comfortable, clean, well-groomed, and protected from accident, injury, and infection.

Interpretive guideline: the number and type of personnel shall be sufficient to meet the total needs of the hospice patients in terms of:

(1) Protecting them from accident and injury by appropriate safety measures;

(2) Assuring that their routine, special, and emergency needs are met at all times; and

(3) Promptly responding to patient calls.

R.C. 119.032 review dates: 05/27/2009 and 05/27/2014

Promulgated Under: 119.03

Statutory Authority: 3712.03

Rule Amplifies: 3712.01 , 3701.04 , 3712.05 , 3712.06

Prior Effective Dates: 12/31/1990, 12/17/99