Section R9-10-606. Personnel

A.      An administrator shall ensure that:

1.        The qualifications, skills, and knowledge required for each type of personnel member:

a.         Are based on:

i.         The type of physical health services expected to be provided by the personnel member accord- ing to the established job description, and

ii.        The acuity of the patients receiving physical health services from the personnel member according to the  established job description; and

b.        Include:

i.         The specific skills and knowledge necessary for the personnel member to provide the expected physical health services listed in the established job description,

ii.        The type and duration of education that may allow the personnel member to have acquired the specific skills and knowledge for the per- sonnel member to provide the expected physi- cal health services listed in the established job description, and

iii.      The type and duration of experience that may allow the personnel member to have acquired the specific skills and knowledge for the per- sonnel member to provide the expected physi- cal health services listed in the established job description;

2.        A personnel member’s skills and knowledge are verified and documented:

a.         Before  the  personnel  member  provides  physical health services, and

b.        According to policies and procedures;

3.        Sufficient personnel members are available and, for a hospice inpatient facility, present on the hospice inpatient facility’s premises, with the qualifications, skills, and knowledge necessary to:

a.         Provide the services in the hospice’s scope of ser- vices,

b.        Meet the needs of a patient, and

c.         Ensure the health and safety of a patient;

4.        Orientation occurs within the first week of providing hos- pice services and includes:

a.         Informing personnel about Department rules for licensing and regulating hospices and where the rules may be obtained,

b.        Reviewing the process by which a personnel mem- ber may submit a complaint about patient care to a hospice, and

c.         Providing the information required by hospice poli- cies and procedures;

5.        Personnel receive in-service education according to crite- ria established in hospice policies and procedures;

6.        In-service education documentation for a personnel mem- ber includes:

a.         The subject matter,

b.        The date of the in-service education, and

c.         The signature of each individual who participated in the in-service education; and

7.        A personnel member, or an employee or a volunteer who has or is expected to have direct interaction with a patient, provides evidence of freedom from infectious tuberculosis:

a.         On or before the date the individual begins provid- ing services at or on behalf of the hospice service facility or hospice inpatient facility, and

b.        As specified in R9-10-113.

B.       An administrator shall ensure that record is maintained for each personnel member, employee, volunteer, or student that includes:

1.        The individual’s name, date of birth, and contact tele- phone number;

2.        The individual’s starting date of employment or volunteer service and, if applicable, the ending date; and

3.        Documentation of:

a.         The individual’s qualifications, including skills and knowledge applicable to the individual's job duties;

b.        The individual’s education and experience applica- ble to the individual's job duties;

c.         The individual’s completed orientation and in-ser- vice education as required by policies and proce- dures;

d.        The individual’s license or certification, if the indi- vidual is required to be licensed or certified in this Article or policies and procedures; and

e.         Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (A)(7).

C.      An administrator shall ensure that personnel records are:

1.        Maintained:

a.         Throughout the individual's period of providing ser- vices in or for the hospice, and

b.        For at least 24 months after the last date the individ- ual provided services in or for the hospice; and

2.        For a personnel member who has not provided physical health services at or for the hospice during the previous 12 months, provided to the Department within 72 hours after the Department's request.

Historical Note

New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp.

14-2).