PURPOSE: This rule specifies the requirements for respiratory care services in a hospital.
- (1) Respiratory care services, if provided, shall be under the medical direction of a qualified physician member of the medical staff and appointed by the governing body. The director shall be responsible for implementing rules of the medical staff governing the quality and scope of respiratory care services.
- (2) Respiratory care services shall be integrated within the total hospital organizational plan.
- (3) Respiratory care services shall be administered under the direction of a qualified registered or certified respiratory therapist or a registered professional nurse with relevant education and experience.
- (4) Therapy shall be administered in accordance with a physician’s written orders and shall be documented in the patient’s medical record.
- (5) Respiratory care services shall be provided by qualified personnel. In-service shall be ongoing and documented.
- (6) Approved written policies and procedures which define and describe the scope and conduct of respiratory care shall be reviewed annually and revised as necessary.
- (7) A qualified registered or certified respiratory therapist or a registered professional nurse shall evaluate and reevaluate the therapy administered and this shall be documented in the patient’s medical record.
- (8) Space and equipment shall be provided to meet the needs of respiratory care services. Space, supplies and equipment shall be maintained to ensure patient safety.
- (9) There shall be a mechanism for the review and evaluation on a regular basis of the quality and appropriateness of respiratory care services provided.
AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 197.154, RSMo Supp. 2007.* This rule previously filed as 19 CSR 30-20.021(4)(J). Original rule filed June 27, 2007, effective Feb. 29, 2008.
*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.