ARM 37.106.3306

NEW RULE 6 POLICIES AND PROCEDURES (1) An experimental treatment center must maintain a policies and procedures manual that is available to all patients, visitors, and members of the public. (2) The manual must contain policies and procedures for: (a) preadmission screening and admitting patients; (b) obtaining informed consent pursuant to 50-12-105, MCA; (c) obtaining documentation of the patient requirements in 50-12-104, MCA; (d) staff screening and hiring; (e) maintaining and securing medical records, including: (i) retention of active records; (ii) retirement of inactive records; (iii) timely entry of data in records; and (iv) release of information contained in records; (f) patient files; (g) patient progress notes, including frequency and responsible party; (h) observation and recovery; (i) discharging patients; (j) follow-up care; (k) patient grievances; (l) patient education; (m) emergency procedures; (n) medically necessary transfers; (o) infection control; (p) investigational medical device procedures, if applicable; (q) the types of anesthesia to be used, the conduct of anesthesia assessments, and the criteria to be used in conducting anesthesia assessments, if applicable; (r) disaster planning and training; (s) staff training on emergency and disaster protocols; and (t) fulfilling the health freedom and access requirement, pursuant to 50-5-251, MCA. (3) The policies and procedures manual must include a current organizational chart. (4) The policies and procedures manual must have a documented review at least biennially. The manual should be kept current and updated as needed, with documentation of amendments or updates.