Nev. Admin. Code § 449.74433 - Comprehensive assessment of needs of patient
1. A
facility for skilled nursing shall conduct a comprehensive assessment of the
needs of each patient in the facility using the assessment instrument specified
by the Bureau.
2. A comprehensive
assessment must include, without limitation:
(a) Demographic and other pertinent
information required to identify the patient;
(b) The customary routine of the
patient;
(c) The cognitive patterns
of the patient;
(d) An analysis of
the communication skills of the patient;
(e) An analysis of the vision of the
patient;
(f) The mood and behavior
patterns of the patient;
(g) An
analysis of the psychosocial well-being of the patient;
(h) Any problems related to the functional or
structural physical condition of the patient;
(i) The patient's pattern of
continence;
(j) The physical
condition of the patient, including the diagnosis of any diseases which the
patient may have;
(k) An analysis
of the nutritional needs of the patient;
(l) The dental condition of the
patient;
(m) The condition of the
patient's skin;
(n) Activities in
which the patient is interested;
(o) Medications required to be taken by the
patient;
(p) Any special treatments
and procedures required by the patient;
(q) The probability of discharging the
patient from the facility and any other information related to the discharge of
the patient from the facility;
(r)
Documentation of summary information relating to any additional assessment
performed in accordance with the patient's assessment protocols; and
(s) Documentation of the patient's
participation in the assessment.
3. The information to be included in a
comprehensive assessment must be obtained from the direct observation of and
communication with the patient and from communications with the members of the
staff who care for the patient.
4.
A comprehensive assessment must be conducted:
(a) Within 14 days after the patient's
admission to the facility. The provisions of this paragraph do not require a
comprehensive assessment of a patient who is readmitted to the facility
following a temporary absence from the facility for hospitalization or
therapeutic leave if there is not a significant change in the physical or
mental condition of the patient.
(b) Within 14 days after there has been a
significant decline or improvement in the physical or mental condition of the
patient that:
(1) Requires intervention by a
member of the facility's staff or further medical treatment;
(2) Has affected more than one aspect of the
patient's health; and
(3) Requires
review by an interdisciplinary team or a revision of the patient's plan of
care, or both.
(c) At
least once every 12 months, but in no event later than 365 days after the
completion of the most recent comprehensive assessment.
5. A comprehensive assessment must accurately
reflect the physical, mental and psychosocial health of the patient.
Notes
NRS 449.0302
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