DHS 152.07(6)(a) (a) Unit policies and procedures which shall be in writing and updated at least annually. These policies and procedures shall relate to the operation of the unit and shall include infection control and emergency evacuation policies and procedures; and

DHS 152.07(6)(b) (b) Patient care policies and procedures which shall be in writing and updated at least annually. These policies and procedures shall include the development of an individualized care plan for every patient, a list of patient rights and responsibilities and a grievance mechanism which is made available to all patients.

DHS 152.07 History History: Cr. Register, June, 1988, No. 390, eff. 7-1-88; am. (3) (c) 13., Register, December, 1994, No. 468, eff. 1-1-95; correction in (3) (a) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637.

DHS 152.08 DHS 152.08 Standards for renal dialysis centers and facilities.

DHS 152.08(1) (1) General. To be reimbursed by the CRD program, renal dialysis centers and free-standing and hospital-based renal dialysis facilities shall comply with the standards in this section.

DHS 152.08(2) (2) Staffing. A renal dialysis center shall have the following staff and a hospital-based renal dialysis facility or a free-standing renal dialysis facility shall make available the following staff directly, under arrangement or under agreement:

DHS 152.08(2)(a) (a) A nephrologist;

DHS 152.08(2)(b) (b) A vascular surgeon;

DHS 152.08(2)(c) (c) Other physicians licensed in Wisconsin or, if employed by an ESRD unit approved under this chapter in a border state, in that state, with experience in the following specialties: cardiology, endocrinology, hematology, neurology, psychiatry, urology, orthopedics, pathology, pediatrics if children are under care, and radiology;

DHS 152.08(2)(d) (d) A nurse;

DHS 152.08(2)(e) (e) A dietitian; and

DHS 152.08(2)(f) (f) A social worker.

DHS 152.08(3) (3) Services. A renal dialysis center or facility shall:

DHS 152.08(3)(a) (a) Be approved under 42 USC 1395rr (b);

DHS 152.08(3)(b) (b) Comply with all local ordinances, state rules and federal regulations relating to ambulatory medical care facilities, including but not limited to those for building, zoning, fire and safety, health and civil rights;

DHS 152.08(3)(c) (c) Provide self-care dialysis training and kidney transplantation to all suitable patients either directly or under arrangement or agreement;

DHS 152.08(3)(d) (d) Have laboratory services approved for participation in medicare and under 42 CFR 493 (CLIA) and available on a 24-hour emergency basis for dialysis-related tests. Laboratory services shall include:

DHS 152.08(3)(d)1. 1. Urine glucose and microscopy;

DHS 152.08(3)(d)2. 2. Complete blood count (CBC) and platelet count;

DHS 152.08(3)(d)3. 3. Prothrombin time;

DHS 152.08(3)(d)4. 4. ABO blood grouping, Rh typing and cross-matching;

DHS 152.08(3)(d)5. 5. Serum glucose, calcium, potassium, phosphorous and magnesium;

DHS 152.08(3)(d)6. 6. Blood urea nitrogen (BUN), creatinine, uric acid, serum glutamic-oxaloacetic transaminase (SGOT), lactic dehydrogenase (LDH) and alkaline phosphatase;

DHS 152.08(3)(d)7. 7. Blood pH and gases;

DHS 152.08(3)(d)8. 8. Pathogen cultures;

DHS 152.08(3)(d)9. 9. Tissue typing and spinal fluid analysis; and

DHS 152.08(3)(d)10. 10. Serum hepatitis screening;

DHS 152.08(3)(e) (e) Maintain clinical records for each patient in accordance with professional principles; and

DHS 152.08(3)(f) (f) Have available other support services, including physical therapy, pharmacy, inhalation therapy, blood banking, medical records and nuclear medicine.