Fla. Admin. Code Ann. R. 59A-18.011 - Medical Plan of Treatment
(1) When
the delivery of skilled care to a patient in the home is under the direction or
supervision of a physician or when a physician, physician's assistant or
advanced practice registered nurse is responsible for the medical care of the
patient, a medical plan of treatment must be established for each patient
receiving care or treatment provided by the licensed nurse in the home or
residence.
(2) The licensed nurse
providing care to the patient is responsible for having the medical plan of
treatment signed by the physician, physician assistant, or advanced practice
registered nurse, acting within his or her respective scope of practice, within
30 days from the initiation of services and reviewed by the physician,
physician assistant, or advanced practice registered nurse in consultation with
the licensed nurse at least every 2 months.
(3) The licensed nurse responsible for
delivering care to the patient is responsible for the medical plan of treatment
which shall include, at a minimum, the following:
(a) Diagnoses;
(b) Activities permitted when
indicated;
(c) Diet when
indicated;
(d) Medication,
treatments, and equipment required; and,
(e) Dated signature of physician, physician
assistant, or advanced practice registered nurse.
(4) The delivery of care pursuant to a
medical plan of treatment must be substantiated by the nursing notes or
documentation made by the nurse in compliance with nursing practices
established under chapter 464, F.S.
(5) The initial medical plan of treatment,
any amendment to the plan, additional orders or change in orders, and copy of
clinical notes must be filed in the office of the nurse registry, pursuant to
section 400.506(13)(b),
F.S., within 30 days, pursuant to Section
400.497(8),
F.S.
(6) The nurse registry shall
inform nurse registrants that the shift nurse that communicates with the
physician's office, the physician assistant or the advanced practice registered
nurse about any changes in the orders should update the plan of
treatment.
(7) The patient,
caregiver or guardian must be informed by independent contractors of the nurse
registry that:
(a) They have the right to be
informed of the medical plan of treatment;
(b) They have the right to participate in the
development of the medical plan of treatment;
(c) They may have a copy of the medical plan
of treatment if requested; and,
(d)
The caregiver being referred is an independent contractor of the
registry.
Notes
Rulemaking Authority 400.497, 400.506 FS. Law Implemented 400.497, 400.506 FS.
New 2-9-93, Amended 1-27-94, 12-24-00, 8-10-06, 5-4-15.
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