Regulation .07 Policies and Procedures.

The hospice care program shall adopt and implement written policies and procedures for:

The use of advance directives;

Identifying, reviewing, and discussing ethical dilemmas which arise in the care of patients and family;

The use of specific treatment modalities in different hospice care settings, that is, palliative chemotherapy or radiation;

The administration of medications, including who is qualified to administer medications;

The management of treatment-related complications;

The use of investigational drugs and implementation of research protocols;

The initiation of resuscitation;

Attending to remains at the time of death;

The disposal of controlled drugs after death;

The provision of inpatient hospice care including:

(1)

Privacy needs, including space for families to gather;

(2)

24-hour visitation and overnight stays; and

(3)

Religious and spiritual worship;

Admission, transfer, and discharge, including criteria to be used for each; and

Obtaining informed consent.