WAC 246-335-060   Delivery of services.  The applicant or licensee must establish and implement policies and procedures that describe:

     (1) Admission, transfer, discharge and referral processes;

     (2) Specific services, including nonmedical tasks, available to meet patient or client, or family needs as identified in plans of care;

     (3) Agency personnel, contractor, and volunteer roles and responsibilities related to medication assistance level 1 and level 2;

     (4) Coordination of care, including:

     (a) Coordination among services being provided by the in-home services agency; and

     (b) Coordination with other agencies when care being provided impacts patient or client health;

     (5) Actions to address patient or client, or family communication needs;

     (6) Infection control practices for direct care personnel, contractors, and volunteers consistent with local health authorities;

     (7) Actions to take when personnel, volunteers, contractors, or patients or clients exhibit or report symptoms of a communicable disease in an infectious stage in accordance with chapter 246-100 WAC, Communicable and certain other diseases and chapter 246-101 WAC, Notifiable conditions;

     (8) Management of patient or client medications and treatments in accordance with appropriate practice acts;

     (9) Food storage, preparation and handling;

     (10) Reporting of patient/client abuse and neglect according to chapter 74.34 RCW;

     (11) Emergency care of patient or client;

     (12) Actions to be taken upon death of a patient or client;

     (13) Implementation of advanced directives in accordance with the Natural Death Act; and

     (14) Plans for service delivery when natural or man-made emergencies occur that prevent normal agency operation.

     (15) Nurse delegation as defined in RCW 18.79.260 (3)(e) and rules adopted thereunder, if applicable.



[Statutory Authority: Chapter 70.127 RCW. 04-01-197, § 246-335-060, filed 12/24/03, effective 1/24/04; 02-18-026, § 246-335-060, filed 8/23/02, effective 10/1/02.]