R432-100-30. Respite Services

  (1) A remote-rural general acute hospital 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 hospital may provide respite care services and need comply only with the requirements of this section.

  (b) If, however, the hospital provides respite care to an individual for longer than 14 consecutive days, the hospital must admit the individual as an inpatient 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 hospital 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 hospital shall document the individual's response to the respite placement and coordinate with all provider agencies to ensure an uninterrupted service delivery program.

  (5) The hospital must complete the following:

  (a) a Level 1 Pre-admission Screening upon the person's admission for respite services; and

  (b) a service agreement which will serve as the plan of care. The service agreement shall identify the prescribed medications, physician treatment orders, need for assistance for activities of daily living and diet orders.

  (6) The hospital shall have written policies and procedures available to staff regarding the respite care patients which include:

  (a) medication administration;

  (b) notification of a responsible party in the case 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 facility shall provide a copy of the Resident Rights to the patient upon admission.

  (8) The facility shall maintain a record for each patient who receives respite services which 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 facility shall file a copy of the directive in the record and inform staff.

  (10) Retention and storage of records shall comply with R432-100-33.

  (11) The hospital shall provide for confidentiality and release of information in accordance with R432-100-34.