Admissions, Discharges, And Transfers

(1) Every person admitted for treatment shall be under the supervision of a physician who holds a license in good standing to practice in Tennessee. The name of the patient’s treating physician shall be recorded in the patient’s medical record. The renal dialysis clinic shall not admit or continue to treat the following types of patients: (a) Persons who pose a clearly documented danger to themselves or to other patients or staff in the renal dialysis clinic; STANDARDS FOR END STAGE RENAL DIALYSIS CLINICS CHAPTER 0720-33 (b) Persons for whom the renal dialysis clinic is not capable of providing the care ordered by the treating physician. Documentation of the reason(s) for refusal of treatment shall be maintained. (2) The facility shall ensure that no person on the grounds of race, color, national origin, or handicap, will be excluded from participation in, be denied benefits of, or otherwise subjected to discrimination in the provision of any care or service of the facility. The facility shall protect the civil rights of patients under the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973. (3) Patients shall be transferred or discharged only for medical reasons, for the welfare of the patient or staff, or for non-payment of fees. (4) Patients shall be given at least thirty (30) days advance notice of the transfer or discharge unless such delay presents significant risk to the patient or others. When the transfer or discharge is against the patient’s wishes, there shall be documentation of efforts to resolve issues leading to the transfer or discharge. (5) The facility’s discharge planning process, including discharge policies and procedures, must be specified in writing and must be developed and/or supervised by a registered nurse, social worker or other appropriately qualified personnel.