| (2) In conjunction with the client's attending physician,
the agency must ensure that there are sufficient supplies maintained
in the client's home to perform the scheduled dialysis treatments
and to provide a reasonable number of backup items for replacements,
if needed, due to breakage, contamination, or defective products.
All dialysis supplies, including medications, must be delivered directly
to the client's home by a vendor of such products. However, agency
personnel may transport prescription items from a vendor's place of
business to the client's home for the client's convenience, so long
as the item is properly labeled with the client's name and direction
for use. Agency personnel may transport medical devices for reuse.
(z) Emergency procedures. The agency must adopt and
enforce policies and procedures for medical emergencies and emergencies
resulting from a disaster.
(1) Procedures must be individualized for each client
to include the appropriate evacuation from the home and emergency
telephone numbers. Emergency telephone numbers must be posted at each
client's home and must include 911, if available, the number of the
physician, the ambulance, the qualified RN on call for home dialysis,
and any other phone number deemed as an emergency number.
(2) The agency must ensure that the client and the
client's family know the agency's procedures for medical emergencies
and emergencies resulting from a disaster.
(3) The agency must ensure that the client and the
client's family know the procedure for disconnecting the dialysis
equipment.
(4) The agency must ensure that the client and the
client's family know emergency call procedures.
(5) A working telephone must be available during the
dialysis procedure.
(6) Depending on the kinds of medications administered,
an agency must have available emergency drugs as specified by the
medical director.
(7) In the event of a medical emergency or an emergency
resulting from a disaster requiring transport to a hospital for care,
the agency must assure the following:
(A) the receiving hospital is given advance notice
of the client's arrival;
(B) the receiving hospital is given a description of
the client's health status; and
(C) the selection of personnel, vehicle, and equipment
are appropriate to effect a safe transfer.
|
| Source Note: The provisions of this §558.405 adopted to be effective February 1, 2002, 26 TexReg 9159; amended to be effective May 1, 2008, 33 TexReg 1136; transferred effective May 1, 2019, as published in the April 12, 2019 issue of the Texas Register, 44 TexReg 1893; amended to be effective April 25, 2021, 46 TexReg 2427 |
