Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-9-10 - ADMISSION, DISCHARGE AND TRANSITION10.1. Admission. 10.1.a. A center may accept an admission under the following criteria: 10.1.a.1. The patient is recommended or referred by physician; 10.1.a.2. The patient is in stable condition;10.1.a.3. The patient has a diagnosis of neonatal abstinence syndrome without other unrelated health conditions; and10.1.a.4. The patient has an adjusted age of 36 weeks of gestation if bom prematurely, and is under the age of four months old. 10.1.b. The center shall have policies and procedures detailing the admission process. 10.1.c. The center shall have policies and procedures detailing the eligibility criteria for admission to the facility.10.1.d. Each parent must sign a discharge preparation agreement upon admission acknowledging the understanding their responsibilities for working towards discharge of their baby. Parents must agree to, including but not limited to, the following: 10.1.d.1. Visit their patient at a frequency determined by the physician and the parents; 10.1.d.2. Participate in the care of the patient while present;10.1.d.3. Learn the patienfs stress cues and how to address them;10.1.d.4. Learn and practice the minimal stress protocol for the patient experiencing withdrawal;10.1.d.5. Attends parenting classes provided or arranged for by the center;10.1.d.6. Attends weekly or biweekly meetings with the social worker, nursing staff and when necessary, the physician.10.1.d.7. Participate in education provided regarding discharge; and10.1.d.8. Provide contact information where they can be reached at any time.10.2. Discharge. 10.2.a. The social worker will oversee the discharge process with protective services or the legal representative with the appropriate legal documentation.10.2.b. Discharge planning shall begin upon admission.10.2.c. The family and/or legal representative shall be actively involved in the discharge planning.10.2.d. Discharges must have a physician's order.10.2.e. Situations for Appropriate Discharge. 10.2.e.1. The patient achieves the goals of his or her plan of care and no longer needs care and treatment outside of the home;10.2.e.2. The patient reaches the maximum benefit from the services of the center;10.2.e.3. The patient no longer meets the eligibility criteria; or10.2.e.4. The patient has needs exceeding the resources of the center. 10.2.f Discharge Criteria: 10.2.f.1. The patient must meet the following criteria prior to discharge from the center: 10.2.f.1.A. The patient shall be weaned off pharmacological interventions for at least 72 hours;10.2.f.1.B. The patient shall have aNAS score average of less than 8 or may be discharged with a higher average score at the discretion of the physician; and10.2.f.1.C. Clearance by child protective services, if applicable.10.2.f.2. Parents and/or legal representatives will meet criteria on the Parental Discharge Agreement and received clearance from protective services for discharge.10.2.f.3. Parents and/or legal representatives will receive instruction for therapeutic handling.10.2.f.4. Parental education will be an ongoing process throughout the patient's hospitalization treatment. 10.2.f.5. All caregivers are required to receive training on the: 10.2.f.5.A. Period of excessive crying;10.2.f.5.B. Caring for drug exposed patients; 10.2.f.5.C. Therapeutic handling; and10.2.f.5.D. Discharge and aftercare.10.2.g. Discharge Needs and Aftercare. 10.2.g.1. An assessment shall be completed by the center to determine whether the patient has access to appropriate baby items for daily care in the home.10.2.g.2. An assessment shall be completed by the center to determine whether the patient has access to health, medical, nutritional, social, crisis, and emergency support in the home.10.2.g.3. Referrals shall be made to connect the patient and their caregiver with the needed in home care and support to meet their needs.10.2.g.4. Patients shall be referred to all appropriate community-based supports by the date of discharge as part of the after-care plan.10.2.h. Discharge for Going Home with a Person other than a Biological Parent. 10.2.h.1. The legal representative must sign a Discharge Authorization form. The form must state the name of the person the patient is to be released to (including the father or other relative), date, and a form of identification (copied). The completion of the form must be witnessed. 10.2.h.2. Check the identification of the person picking up the patient. Identification must correspond with the name given on the Discharge Authorization form. If the patient is being held in the custody of protective services, there must be an additional release form in the chart and the protective services representative must be present.10.2.h.3. No patient is to be discharged to any person, other than the biological parent or legal representative, without signed consent unless the patient is in the custody of the Department.10.2.h.4. The person picking up the patient must have all the appropriate legal documents and deemed appropriate by the social worker of the facility.10.2.h.5. Removal of the patient from the center shall only take place after all legal documents are signed and approved by the social worker of the facility.10.2.h.6. The center's registered professional nurse will accompany patient to the motor vehicle of the person picking up the patient and document patient was secure in an approved rear-facing car seat.10.2.h.7. Document to whom the patient was discharged and complete any state required minor release reports.10.3. Transfer. 10.3.a. The center shall have in effect a transfer agreement with one or more hospitals to reasonably assure timely admission of a patient to the hospital when transfer is medically appropriate as determined by a physician; and10.3.b. The center shall have in effect a transfer agreement with one or more hospitals to reasonably assure medical and other information needed for care and treatment of patient is exchanged between the institutions.