Michigan Administrative Code

R 325.45339 Food and beverage. Rule 339. If food and beverage are provided to patients, the facility shall store and serve them in a safe and sanitary manner. History: 2020 AACS. R 325.45341 Rescinded. Page 48 Courtesy of Michigan Administrative Rules History: 2020 AACS; 2024 MR …

R 325.45345 General services. Rule 345. (1) As the needs of the hospice or hospice residence and its patient and family units dictate, the services of qualified personnel, who need not be an employee, must be made available in all the following disciplines: (a) Physician services…

R 325.45347 Policies and procedures for home or inpatient care and services. Rule 347. (1) In addition to the policies and procedures required in part 3 of these rules, the hospice administrator shall ensure the development of written policies and procedures for all the following…

R 325.45349 Contractual services. Rule 349. (1) A hospice shall routinely provide all nursing, social work, and counseling services directly by hospice employees, except as provided in subrule (2) of this rule. Page 49 Courtesy of Michigan Administrative Rules (2) A hospice may c…

R 325.45351 Physician services. Rule 351. (1) A patient shall be under the care of a physician who is responsible for providing or arranging for medical care that emphasizes prevention and control of pain and other distressing symptoms. This physician may be the attending physici…

R 325.45353 Nursing services. Rule 353. (1) A hospice shall assure that a registered professional nurse completes an initial assessment of the patient's condition within 48 hours after the election of hospice care, unless sooner as requested by the physician, patient, or patient …

R 325.45355 Hospice residence; additional staffing requirements. Rule 355. (1) In addition to the human resources requirements in part 4 of these rules, R 325.45171 to R 325.45185, a hospice residence shall also comply with all of the following staffing requirements: (a) Provide …

R 325.45357 Bereavement services. Rule 357. The hospice shall offer a program to provide bereavement services to the family for no less than one year after the death of the patient. The program must be designed to meet the needs of individuals in their adjustment to experiences a…

R 325.45359 Spiritual services. Rule 359. The hospice shall offer spiritual services to the patient and family. Services will be provided, if accepted, based upon an assessment of spiritual needs in accordance with beliefs and choices, and will be delivered as directed within the…

R 325.45361 Volunteer services. Rule 361. (1) The hospice shall utilize lay or professional volunteer services to promote the availability of care, meet the broadest range of patient and family unit needs, and affect financial economy in the operation of the hospice. (2) A volunt…

R 325.45363 Social work services. Rule 363. (1) The hospice shall provide social work services to the patient and family. Page 52 Courtesy of Michigan Administrative Rules (2) Social work services must be available 7 days a week when reasonable and necessary to meet the needs of …

R 325.45365 Hospice aide services. Rule 365. (1) Hospice aide services must be available directly, or by written agreement, and must be under the supervision of a registered professional nurse. (2) The hospice shall have policies and procedures for hospice aide services, approved…

R 325.45367 Pharmaceuticals, medical supplies, and durable medical equipment. Rule 367. (1) The hospice shall have written policies and procedures for the management and disposal of drugs and biologicals in a patient's home, pursuant to section 21418 of the code, MCL 333.21418. (…

R 325.45373 Surgical hand-scrub hygiene procedures. Rule 373. The hospital shall have a written policy and procedure, adopted by the medical staff, to provide for adequate surgical hand-scrub throughout the surgical operative and postoperative procedure and in accordance with evi…

R 325.45375 Surgical equipment, instruments, supplies and reprocessing. Rule 375. (1) Surgical equipment, instruments, and supplies must be maintained in sufficient quantities, stored in a sanitary environment, and maintained in accordance with applicable manufacturers' guideline…

R 325.45377 Admission and medical examination. Rule 377. (1) A patient shall only be admitted to a nursing care facility on the order of a physician. The order for admission and immediate care may be accomplished through a hospital transfer summary signed by a physician, paperwor…

R 325.45379 Nursing care services. Rule 379. (1) Nursing care services must be based on assessment of the patient through a person-centered approach. Nursing care services must include, but are not limited to, personal care, restorative services, and patient treatments. (2) Perso…

R 325.45381 Activity program. Rule 381. A nursing care facility shall operate an activities program that meets all of the following requirements: (a) Activities are available based on patient assessments and preferences. Page 55 Courtesy of Michigan Administrative Rules (b) Indiv…

R 325.45383 Trust fund and surety bond. Rule 383. (1) A nursing care facility shall have a policy and procedures regarding how it will hold funds or property in trust for patients as a fiduciary when the facility receives money or property belonging or due a patient in accordance…

R 325.45385 Involuntary transfer or discharge. Rule 385. (1) When a nursing care facility provides a patient or the patient's legal guardian with a notice of involuntary transfer or discharge, the facility shall provide a copy of the notice to the department and the state long-te…

R 408.45502 Availability of documents. Rule 45502. (1) The OSHA regulations adopted by reference in these rules are available from the United States Department of Labor, Occupational Safety and Health Page 2 Courtesy of www.michigan.gov/orr Administration, via the internet at web…

R 325.47201 Medical services and first aid. Rule 7201. (1) An employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health. (2) An employer shall ensure that, in the absence of an infirmary, clinic, or hospital in near p…

R 325.50051 Scope, application, adoption, and availability of standards. Rule 1. (1) These rules apply to all occupational exposures to methylenedianiline (MDA), Chemical Abstracts Service Registry No. 101-77-9, except as provided in subrules (2) to (7) of this rule. (2) Except a…

R 325.50100 Scope, application, adoption, and availability of standards. Rule 100. (1) These rules apply to the control of employee exposure to coke oven emissions, except these rules do not apply to working conditions under which other federal and state agencies exercise statuto…

R 325.50141 Scope, application, adoption, and availability of standards. Rule 1. (1) As used in these rules: (a) "Assistant Secretary" means the director of the department of labor and economic opportunity or his or her designated representative. (b) "1910.134” means General Indu…

R 325.50251 Scope. Rule 1. These rules apply to all operations where an abrasive is forcibly applied to a surface by pneumatic or hydraulic pressure, or by centrifugal force. These rules do not apply to steam blasting or steam cleaning, or hydraulic-cleaning methods where work is…

R 325.50252 Adoption of standards. Rule 2. (1) The following standards are adopted by reference in these rules and are available from IHS Global, 15 Inverness Way East, Englewood, Colorado, 80112, USA, telephone number: 1-800-854-7179 or via the internet at website: http://global…

R 325.50253 Definitions. Rule 3. (1) "Abrasive" means a solid substance used in an abrasive-blasting operation. (2) "Abrasive-blasting respirator" means a respirator constructed so that it covers the wearer's head, neck, and shoulders to protect the wearer from rebounding abrasiv…

R 325.50254 Dust hazards from abrasive blasting. Rule 4. (1) Abrasives and the surface coatings on the materials blasted are shattered and pulverized during blasting operations and the dust formed will contain particles of respirable size. An employer shall consider the compositi…

R 325.50255 Blast-cleaning enclosures. Rule 5. (1) An employer shall ensure that blast-cleaning enclosures are exhaust ventilated so that a continuous inward flow of air will be maintained at all openings in the enclosure during the blasting operation. (2) An employer shall ensur…

R 325.50256 Exhaust ventilation systems. Rule 6. (1) An employer shall ensure that the construction, installation, inspection, and maintenance of exhaust systems conform to the principles and requirements set forth in ANSI Z9.3 “Spray Finishing Operations: Safety Code for Design,…

R 325.50257 Respiratory protection. Rule 7. (1) An employer shall implement a respiratory protection program in accordance with Occupational Health Standard Part 451 “Respiratory Protection,” as referenced in R 325.50252, when respirators are required by this rule. (2) Abrasive-b…

R 325.50258 Air supply and air compressors. Rule 8. An employer shall ensure that air for abrasive-blasting respirators is free of harmful quantities of dusts, mists, or noxious gases, and meets the requirements for supplied-air quality and use specified in Occupational Health St…

R 325.50301 Scope. Rule 301. This part pertains to the safe use and maintenance of equipment and procedures of the occupation of diving and the related support operations as used in general industry and construction operations. This part does not apply to a diving operation perfo…

R 325.50303 Adoption by reference of federal standard. Rule 303. (1) The provisions of federal occupational safety and health administration regulations on Commercial Diving Operations 1910 Subpart T promulgated by the United States department of labor and codified at 29 C.F.R. §…

R 325.50304 Availability of documents. Rule 304. (1) The federal regulation adopted by reference in these rules is available without cost as of the time of adoption of these rules from the United States Department of Labor, OSHA, 315 West Allegan, Room 315, Lansing, Michigan 4893…

R 299.51001 Definitions. Rule 1001. As used in this part: (a) "All appropriate inquiry" means the inquiry necessary to determine what response activity is needed to comply with section 20107a of the act. (b) "Belowground" means buried under soil or debris. "Belowground," when use…

R 299.51003 Applicability; compliance with section 20107a of act generally; documentation of compliance. Rule 1003. (1) The requirements of this part apply to a person who is subject to section 20107a of the act and to conditions about which he or she has knowledge, based upon al…

R 299.51005 Compliance with other laws and regulations. Rule 1005. (1) The obligation of a property owner or operator to comply with all laws and regulations applicable to hazardous substances is unaffected by part 201 of the act and these rules, except as provided in sections 20…

R 299.51007 Compliance with section 20107a(1)(a) of act. Rule 1007. (1) The result of an activity undertaken by the owner or operator of a property is not exacerbation through an increase in response activity costs if the activity satisfies both of the following conditions: (a) A…

R 299.51013 Unacceptable exposure; mitigation. Rule 1013. (1) Except as provided in subrule (6) of this rule, the requirements of section 20107a(1)(b) of the act and these rules to mitigate unacceptable exposure shall be satisfied if a person does all of the following: (a) Elimin…

R 299.51015 Notice to department of discarded or abandoned containers. Rule 1015. (1) Except as provided in subrules (2), (3), and (4) of this rule and in R 299.51021, an owner or operator who is subject to section 20107a of the act shall notify the department, in writing, of the…

R 299.51019 Mitigating fire and explosion hazards; action and notice required. Rule 1019. (1) An owner or operator who is obligated to mitigate a fire or explosion hazard under section 20107a(1)(b) of the act shall provide immediately notify the local fire department of the hazar…

R 325.51101 Scope, application, and availability of standards. Rule 1. (1) These rules do not apply to the following types of employment: (a) Agriculture. (b) Domestic. (c) Mining. (d) Construction. (2) Exposure to air contaminants in construction work is covered by Construction …

R 325.51102 Definitions. Rule 2. (1) "Ceiling" means the employee's exposure that shall not be exceeded during any part of the workday. If instantaneous monitoring is not feasible, then the ceiling shall be assessed as a 15-minute, time-weighted average exposure that shall not be…

R 325.51103 Exposure limits. Rule 3. An employer shall ensure that an employee exposure to any substance listed in tables G-1-A or G-2 in R 325.51108 is limited in accordance with the requirements of all of the following provisions: (a) With respect to table G-1-A, all of the fol…

R 325.51105 Methods of compliance. Rule 5. To achieve compliance with the provisions of R 325.51103 and R 325.51104, administrative or engineering controls must first be determined and implemented if feasible. If such controls are not feasible to achieve full compliance, then per…