Nev. Admin. Code § 449.800 - Medical orders
1. A complete
diagnosis must be included with the orders of a physician, physician assistant
or advanced practice registered nurse as well as any relevant
problems.
2. Initial orders of a
physician, physician assistant or advanced practice registered nurse, renewals
and changes of orders for skilled nursing and other therapeutic services
submitted by telephone must be recorded before they are carried out. All orders
must bear the signature of the physician, physician assistant or advanced
practice registered nurse who initiated the order within 20 working days after
the receipt of the oral order.
3.
Orders must be specific regarding the level of care and the service
given.
4. Medication orders must
include:
(a) The name of the drug.
(b) The exact dosage in units, milligrams,
grams or other measurements.
(c)
Frequency.
(d) The duration of
treatment.
(e) The method of
administration.
(f) Any special
precautions, including requests for orders of a physician, physician assistant
or advanced practice registered nurse for the use of adrenaline for possible
anaphylaxis.
5. The
agency must have an established policy regarding the administration of
injectable narcotics and other drugs subject to the drug abuse law. If the
policy allows the administration of injectable narcotics and other dangerous
drugs subject to drug abuse law, they must be prescribed according to state
regulations.
6. Specific orders
must be given for:
(a) Rehabilitative and
restorative care such as physiotherapy;
(b) Skilled nursing and home health aide
care;
(c) Nutritional
needs;
(d) The degree of activity
permitted;
(e) Dressings and the
frequency of change;
(f) The
instruction of a member of the family in technical nursing procedures;
and
(g) Any other items necessary
to complete a specific plan of treatment for the patient.
7. An order must be renewed in writing by the
physician, physician assistant or advanced practice registered nurse who issued
the order at least every 62 days.
8. New orders are required when there is a
change in diagnosis, a change in orders, a change of physician, physician
assistant or advanced practice registered nurse or following
hospitalization.
Notes
NRS 439.200, 449.0302
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