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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 12. Health |
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Agency 5. Department of Health |
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Chapter 410. Regulations for the Licensure of Hospitals in Virginia |
Section 230. Patient care management
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Article 2. Patient Care Services
A. All patients shall be under the care of a member of the medical staff.
B. Each hospital shall have a plan that includes effective mechanisms for the periodic review and revision of patient care policies and procedures.
C. Each hospital shall establish a protocol relating to the rights and responsibilities of patients based on Joint Commission on Accreditation of Healthcare Organizations' 2000 Hospital Accreditation Standards, January 2000. The protocol shall include a process reasonably designed to inform patients of their rights and responsibilities. Patients shall be given a copy of their rights and responsibilities upon admission.
D. No medication or treatment shall be given except on the signed order of a person lawfully authorized by state statutes.
1. Hospital personnel, as designated in medical staff bylaws, rules and regulations, or hospital policies and procedures, may accept emergency telephone and other verbal orders for medication or treatment for hospital patients from physicians and other persons lawfully authorized by state statute to give patient orders.
2. As specified in the hospital's medical staff bylaws, rules and regulations, or hospital policies and procedures, emergency telephone and other verbal orders shall be signed within a reasonable period of time not to exceed 72 hours, by the person giving the order, or, when such person is not available, cosigned by another physician or other person authorized to give the order.
E. Each hospital shall have a reliable method for identification of each patient, including newborn infants.
F. Each hospital shall include in its visitation policy a provision allowing each adult patient to receive visits from any individual from whom the patient desires to receive visits, subject to other restrictions contained in the visitation policy including, but not limited to, the patient's medical condition and the number of visitors permitted in the patient's room simultaneously.
Historical Notes
Derived from VR355-33-500 § 2.7, eff. July 28, 1993; amended, Volume 11, Issue 08, eff. April 1, 1995; Volume 19, Issue 01, eff. November 1, 2002; Errata, 19:3 VA.R. 549 October 21, 2002; amended, Virginia Register Volume 24, Issue 11, eff. March 5, 2008.