The hospice care program shall adopt and implement written policies and procedures for:

1. A. The use of advance directives;
2. B. Identifying, reviewing, and discussing ethical dilemmas which arise in the care of patients and family;
3. C. The use of specific treatment modalities in different hospice care settings, that is, palliative chemotherapy or radiation;
4. D. The administration of medications, including who is qualified to administer medications;
5. E. The management of treatment-related complications;
6. F. The use of investigational drugs and implementation of research protocols;
7. G. The initiation of resuscitation;
8. H. Attending to remains at the time of death;
9. I. The disposal of controlled drugs after death;

10. J. The provision of inpatient hospice care including:

    1. (1) Privacy needs, including space for families to gather;
    2. (2) 24-hour visitation and overnight stays; and
    3. (3) Religious and spiritual worship;
11. K. Admission, transfer, and discharge, including criteria to be used for each; and
12. L. Obtaining informed consent.

Authority: Health-General Article, §§19-903 and 19-907, Annotated Code of Maryland

Effective date: October 2, 1989 (16:19 Md. R. 2104)

Regulations .01—.16 repealed and new Regulations .01—.28 adopted effective August 10, 1998 (25:16 Md. R. 1274)

Regulation .04B amended effective August 29, 2016 (43:17 Md. R. 953); March 13, 2017 (44:5 Md. R. 292)