44:79:05:01.  Admissions. Each patient may be admitted only on the order of a physician. Prior to or upon admission of a patient, the attending physician shall provide the staff of the facility with documented information regarding current medical findings and with written orders for the immediate care of the individual.

          A physician may not delegate a task when the regulations specify the physician shall perform it personally, or when the delegation is prohibited under state law or by the facility's own policies.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(6).

          Law Implemented: SDCL 34-12-13(6).

          44:79:05:02.  Medical orders. All medical orders shall be in writing or electronic format and signed by the physician. Verbal orders are for medications, treatment, interventions, or other patient care that are transmitted as oral, spoken communications between senders and receivers, delivered either face-to-face or via telephone. Verbal orders may be taken only when there is an urgent need to initiate or change a medical order.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(6).

          Law Implemented: SDCL 34-12-13(6).

          44:79:05:03.  Physician services for hospice patients. A facility shall provide or arrange for physician services, including emergencies once a patient elects hospice care.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(6).

          Law Implemented: SDCL 34-12-13(6).

          44:79:05:04.  Nursing policies and procedures. The hospice shall establish and maintain policies and procedures that provide the nursing staff with methods of meeting its administrative and technical responsibilities in providing care to patients. The policies shall include at least the following:

          (1)  The noting of diagnostic and therapeutic orders;

          (2)  Assigning the nursing care of patients;

          (3)  Administration and control of medications;

          (4)  Documentation by nursing personnel;

          (5)  Infection control; and

          (6)  Patient safety.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(7).

          Law Implemented: SDCL 34-12-13(7).