LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge)

What this rule requires your agency to do

• 1The plan of care shall be individualized, and the POC and telephone/verbal orders shall be signed by the authorized healthcare provider within a timely manner not to exceed 60 days; staff shall administer services and treatments only as ordered (§I-9123.C.1-2).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 2An initial visit and assessment by an RN or appropriate therapist shall be made available within 24 hours of referral (unless otherwise ordered), and an initial plan of care shall be completed and incorporated into the clinical record within seven days from the start of care (§I-9123.B.1-2).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 3The total plan of care shall be reviewed by the attending authorized healthcare provider with agency professional personnel at intervals required by the patient's illness, but at least once every two months (§I-9123.D).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 4The agency shall provide nursing services at least eight hours a day, five days a week, be available 24/7 on an emergency basis with an RN on-call schedule, and shall follow written discharge procedures including provider notification, documented discharge planning/summary, and (on patient death) notification and detailed progress notes (§I-9123.F.1, G.2-3).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 5The agency shall institute medication-error-protection procedures; staff shall administer only provider-ordered drugs, dispensed and properly labeled by a licensed pharmacist, and provide verbal and written instructions to patient and family (§I-9123.E.1-3).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 6The HHA shall obtain and retain at admission the referral/provider order, history, physical and functional assessment (all ADLs), current medications, orientation (advance directives, patient rights with the home health hotline number, conflict resolution), and a signed freedom-of-choice statement (§I-9123.B.3).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 7The HHA shall follow written admission policies, accept patients without regard to protected characteristics, and admit only where agency resources can meet needs on a timely basis (available within 24 hours unless otherwise ordered) (§I-9123.A.1-4).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))
• 8Patients shall be admitted only upon the order of the patient's authorized healthcare provider, and the patient has the right to choose the provider and HHA without interference (§I-9123.B).(LAC 48:I.9123 — Patient Care Standards (Admission, Plan of Care, Medication, Discharge))