If a participant does not receive personal or health-related
care, but an observed significant change in the participant's condition occurs,
a nurse review shall be conducted. If a participant receives personal or
health-related care, the program shall provide for a registered nurse or a
licensed practical nurse via nurse delegation:
(1) To monitor, at least every 90 days, or
after a significant change in the participant's condition, any participant who
receives program-administered prescription medications for adverse reactions to
the medications and to make appropriate interventions or referrals, and to
ensure that the prescription medication orders are current and that the
prescription medications are administered consistent with such orders;
and
(2) To ensure that health care
professionals' orders are current for participants who receive health care
professional-directed care from the program; and
(3) To assess and document the health status
of each participant, to make recommendations and referrals as appropriate, and
to monitor progress relating to previous recommendations at least every 90 days
and whenever there are changes in the participant's health status;
and
(4) To provide the program with
written documentation of the activities under the service plan, as set forth in
rule
481-70.26 (231D), showing the
time, date and signature.
Note: Refer to Table A at the end of this chapter. If the
program does not provide personal or health-related care to a participant,
nurse review is not required.
Notes
Iowa Code r.
481-70.27
ARC 8177B, IAB
9/23/09, effective 1/1/10
ARC 8177B, lAB 9/23/09,
effective 1/1/10
