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Control Number: 401.06.03.053 Version: 2.0 Title: Care for the Terminally Ill Page Number: 3 of 5 Idaho Department of Correction • Attending and participating in the Interdisciplinary Care Team hospice meetings regarding all of the offender’s hospice care. In addition to the above responsibilities, the facility medical director (or designee) and the facility health authority will be jointly responsible for assigning and monitoring hospice admissions to the infirmary for clinical appropriateness, quality of care, and pain management. Facility Health Authority The facility health authority will be responsible for: • Ensuring the presence of an adequate number of appropriately trained staff and materials are available to meet the requirements of this SOP; • Establishing and monitoring applicable contract medical provider policy and procedure to ensure that all elements of this SOP and NCCHC standard P-G-11 are accomplished as required; • Scheduling hospice Interdisciplinary Care Team meetings; • Coordinating with security staff special visits for those offenders receiving hospice care and their families (when appropriate); • Ensuring that all aspects of the offender’s care is carried out and that the goals of the interdisciplinary care treatment plan are met; • Facilitating the early and timely release of the offender in accordance with SOP 324.02.01.002, Parole of Offenders with a Terminal Disease or Permanent Incapacitation; and • Tabulating hospice admissions, average daily census, and average length of stay and for including these data in the Monthly Statistical Report for submission to the health authority. After the offender’s death, the facility health authority will be responsible for arranging for (a) healthcare services staff members involved in the offender’s care to access Critical Incident Stress Management (CISM) and (b) the offender’s hospice care volunteers to access counseling and other bereavement services as necessary. In addition to the above responsibilities, the facility health authority and the facility medical director (or designee) will be jointly responsible for assigning and monitoring hospice admissions to the infirmary for clinical appropriateness, quality of care, and pain management. Infirmary Nurse The infirmary nurse will be responsible for: • Ensuring the attending physician’s orders are processed and carried through; • Ensuring treatment orders, medications, etc. are administered as prescribed and documented and that all activities of daily living are met; • Completing a daily nursing assessment, taking vital signs every shift, and recording an entry on the progress notes at least once each shift (or as ordered by the attending physician);