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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 558LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES
SUBCHAPTER CMINIMUM STANDARDS FOR ALL HOME AND COMMUNITY SUPPORT SERVICES AGENCIES
DIVISION 4PROVISION AND COORDINATION OF TREATMENT SERVICES
RULE §558.281Client Care Policies

An agency must adopt and enforce a written policy that specifies the agency's client care practices. The written policy must include the following elements if covered under the scope of services provided by the agency:

  (1) initial assessment, reassessment;

  (2) start of care, placing services on hold, transfer, and discharge;

  (3) intravenous services;

  (4) care of the pediatric client;

  (5) triaging clients in the event of disaster;

  (6) how to handle emergencies in the home;

  (7) safety of staff;

  (8) procedures the staff will perform for clients, such as dressing changes, Foley catheter changes, wound irrigation, administration of medication;

  (9) psychiatric nursing procedures;

  (10) patient and caregiver teaching relating to disease process/procedures;

  (11) care planning;

  (12) care of a client who has a terminal illness or a terminal prognosis;

  (13) receiving physician orders;

  (14) performing waived testing;

  (15) medication monitoring; and

  (16) anything else pertaining to client care.


Source Note: The provisions of this §558.281 adopted to be effective February 1, 2002, 26 TexReg 9159; amended to be effective June 1, 2006, 31 TexReg 1455; amended to be effective October 1, 2013, 38 TexReg 6645; 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

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