<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.07.21.07" title_num="10" subtitle_num="07" chapter_num="21" heading="Policies and Procedures.">
  <text>The hospice care program shall adopt and implement written policies and procedures for:</text>
  <paragraph num="A.">
    <text>The use of advance directives;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Identifying, reviewing, and discussing ethical dilemmas which arise in the care of patients and family;</text>
  </paragraph>
  <paragraph num="C.">
    <text>The use of specific treatment modalities in different hospice care settings, that is, palliative chemotherapy or radiation;</text>
  </paragraph>
  <paragraph num="D.">
    <text>The administration of medications, including who is qualified to administer medications;</text>
  </paragraph>
  <paragraph num="E.">
    <text>The management of treatment-related complications;</text>
  </paragraph>
  <paragraph num="F.">
    <text>The use of investigational drugs and implementation of research protocols;</text>
  </paragraph>
  <paragraph num="G.">
    <text>The initiation of resuscitation;</text>
  </paragraph>
  <paragraph num="H.">
    <text>Attending to remains at the time of death;</text>
  </paragraph>
  <paragraph num="I.">
    <text>The disposal of controlled drugs after death;</text>
  </paragraph>
  <paragraph num="J.">
    <text>The provision of inpatient hospice care including:</text>
    <paragraph num="(1)">
      <text>Privacy needs, including space for families to gather;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>24-hour visitation and overnight stays; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Religious and spiritual worship;</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>Admission, transfer, and discharge, including criteria to be used for each; and</text>
  </paragraph>
  <paragraph num="L.">
    <text>Obtaining informed consent.</text>
  </paragraph>
</regulation>