Cal. Code Regs. Tit. 22, § 70215 - Planning and Implementing Patient Care
(a) A registered nurse shall directly
provide:
(1) Ongoing patient assessments as
defined in the Business and Professions Code, section 2725(b)(4). Such
assessments shall be performed, and the findings documented in the patient's
medical record, for each shift, and upon receipt of the patient when he/she is
transferred to another patient care area.
(2) The planning, supervision,
implementation, and evaluation of the nursing care provided to each patient.
The implementation of nursing care may be delegated by the registered nurse
responsible for the patient to other licensed nursing staff, or may be assigned
to unlicensed staff, subject to any limitations of their licensure,
certification, level of validated competency, and/or regulation.
(3) The assessment, planning, implementation,
and evaluation of patient education, including ongoing discharge teaching of
each patient. Any assignment of specific patient education tasks to patient
care personnel shall be made by the registered nurse responsible for the
patient.
(b) The planning
and delivery of patient care shall reflect all elements of the nursing process:
assessment, nursing diagnosis, planning, intervention, evaluation and, as
circumstances require, patient advocacy, and shall be initiated by a registered
nurse at the time of admission.
(c)
The nursing plan for the patient's care shall be discussed with and developed
as a result of coordination with the patient, the patient's family, or other
representatives, when appropriate, and staff of other disciplines involved in
the care of the patient.
(d)
Information related to the patient's initial assessment and reassessments,
nursing diagnosis, plan, intervention, evaluation, and patient advocacy shall
be permanently recorded in the patient's medical record.
Notes
2. Change without regulatory effect amending subsection (a)(1) and NOTE filed 1-9-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 2).
Note: Authority cited: Sections 1275 and 131200, Health and Safety Code. Reference: Section 2725(b)(4), Business and Professions Code; and Sections 1276, 131050, 131051 and 131052, Health and Safety Code.
2. Change without regulatory effect amending subsection (a)(1) and Note filed 1-9-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 2).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.