Regulation .06 Minimum Requirements for Policies and Procedures.
Regulation .06 Minimum Requirements for Policies and Procedures.LinkCopy Citation
The policies and procedures shall:
A.
Be congruent with State regulations and standards of care from accrediting bodies and professional organizations; and
B.
Address:
(1)
Personnel:
(a)
Training and Orientation;
(b)
Duties; and
(c)
Qualifications;
(2)
Security of the facility;
(3)
Standards of patient care;
(4)
Infection control;
(5)
Initial and ongoing home safety assessments;
(6)
The provision of patient or caregiver education including, but not limited to:
(a)
Drug and therapy administration-specific information and precautions;
(b)
Reporting adverse drug reactions;
(c)
Reporting side effects;
(d)
Infusion pharmacy contact information;
(e)
Emergency measures related to:
(i)
Changes in patient condition requiring medical intervention; and
(ii)
Events which may delay or prevent delivery of pharmaceuticals or nursing care; and
(f)
Equipment use and safety.
(7)
Patient care operations, including but not limited to:
(a)
If applicable, pharmacist checking procedures related to order entry and compounding accuracy;
(b)
Therapy-specific monitoring parameters for:
(i)
Laboratory testing;
(ii)
Appropriate frequency of testing; and
(iii)
Patient follow-up; and
(c)
Pump, or other patient-use equipment, between-patient cleaning, testing, and preventive maintenance, which include specific:
(i)
Procedures and documentation of cleaning, testing and preventive maintenance for patient equipment according to manufacturer’s guidelines; and
(ii)
Frequencies for all equipment maintenance activities;
(8)
Delivery arrangements;
(9)
Patient confidentiality and the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164; and
(10)
Availability of a pharmacist on call after-hours to respond to:
(a)
Pharmacy related patient or caregiver inquiries; and
(b)
Medication or supply needs.