The program director shall assure that written policies and procedures are adopted by the program, approved by the medical director, and available to and implemented by staff.  At a minimum, these policies and procedures shall include the following areas:

(1)           admission of patients and orientation to the program;

(2)           patient assessment, care planning, and implementation of therapies;

(3)           patient follow-up evaluations, including progress toward cardiac rehabilitation goals;

(4)           patient discharge;

(5)           medical records, in accordance with Rule .2002 of this Subchapter;

(6)           orientation of all program personnel;

(7)           maintenance of personnel records which include job descriptions, verification of credentials, continuing education and current competencies;

(8)           use and orientation of volunteers;

(9)           communication with patient's referral and personal physicians;

(10)         provisions for reporting and investigating complaints and accidental events regarding patients, visitors and personnel (incidents) and corrective action taken;

(11)         emergency procedures;

(12)         a preventative maintenance program to assure all equipment is maintained in safe and proper working order and in accordance with the manufacturer's recommendations; and

(13)         quality improvement program.


History Note:        Authority G.S. 131E-169;

Eff. July 1, 2000;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 6, 2016.