Volunteer services

1. The hospice program must provide for appropriate orientation and training that is consistent with acceptable standards of hospice program practice. There must be a written orientation checklist that identifies the tasks the individual is expected to perform. The training and orientation program must include, as a minimum: a. Hospice program goals, services, and philosophy. b. Confidentiality and protection of patient and family rights. c. Family dynamics, coping mechanism, and psychological issues surrounding terminal illness, death, and bereavement. d. Procedures to be followed in an emergency and following the death of a patient. e. Guidance related specifically to individual responsibilities. 2. The hospice program must establish a mechanism to assure volunteers are effectively performing the duties and responsibilities assigned. 3. A hospice volunteer may provide direct patient care only when the following provisions are met: a. Tasks and responsibilities are specified in writing and do not exceed the individual's capability. b. Care is consistent with the hospice service plan. c. The professional volunteer must be appropriately licensed or registered, if required. d. Services rendered must be recorded in the patient's record. e. The volunteer must have a clear understanding of the volunteer's duties and responsibilities. f. Volunteers must be informed to whom they report and whom to contact if assistance is needed in carrying out their responsibilities.