Utah Admin. Code R432-700-20 - Nursing Services
(1) Nursing
services provided through a home health agency shall be conducted under the
supervision of a director of nursing services.
(2) Nursing services shall be provided by or
under the supervision of a registered nurse and according to the plan of
care.
(3) When a licensee provides
or contracts for services, the service shall be provided according to the plan
of care and supervised by designated, qualified personnel.
(4) The nursing staff of the home health
agency shall observe, report and record written clinical notes.
(5) The licensee shall recognize and use
opportunities to teach health concepts to the client and family.
(6) A registered nurse or licensed practical
nurse employed by or contracted with the licensee shall have a valid license
from the Utah Department of Commerce.
(7) Responsibilities of a licensed nurse
employed or contracted by the home health agency shall include the following:
(a) administer prescribed medications and
treatments lawfully and as permitted within the scope of the individual's
license;
(b) perform nursing care
according to the needs of the client and as indicated in the written plan of
care;
(c) inform the primary care
provider and other personnel of changes in the client's condition and
needs;
(d) document clinical notes
in the individual client record for each visit or contact;
(e) teach self-care techniques to the client
or family;
(f) develop plans of
care; and
(g) participate in
in-service programs.
(8)
The director of nursing services shall:
(a)
designate a registered nurse to act as director of nursing services during
their absence;
(b) assume
responsibility for the quality of nursing services provided;
(c) develop nursing service policies and
procedures that shall be reviewed annually and revised as necessary;
(d) establish work schedules for nursing
personnel according to client needs;
(e) assist in development of job descriptions
for nursing personnel;
(f) complete
performance evaluations for nursing personnel according to policy;
and
(g) direct in-service programs
for nursing personnel.
(9) The registered nurse shall:
(a) make the initial nursing evaluation
visit;
(b) re-evaluate nursing
needs based on the client's status and condition;
(c) initiate the plan of care and make
necessary revisions;
(d) provide
services that require specialized nursing skills;
(e) initiate appropriate preventive and
rehabilitative nursing procedures;
(f) supervise staff assignments based on
specific client needs, family capabilities, staff training and experience, and
degree of supervision needed;
(g)
assist in coordinating services provided;
(h) prepare termination of services
statements;
(i) supervise and
consult with licensed practical nurses as necessary;
(j) provide written instructions for a
certified nursing aide to ensure provision of required services written in the
plan of care;
(k) supervise any
certified nursing aide in the client's home as necessary, and be readily
available for consultation by telephone; and
(l) make supervisory visits with or without
certified nursing aide's presence as follows:
(i) for initial assessment;
(ii) every two weeks to clients who receive
skilled services;
(iii) every three
months to clients who require long-term maintenance services; and
(iv) any time there is a question of change
in the client's condition.
(10) The licensed practical nurse shall:
(a) work under the supervision of a
registered nurse;
(b) observe,
record, and report to the immediate supervisor the general physical or mental
condition of the client;
(c) assist
the registered nurse in performing specialized procedures; and
(d) assist in development of the plan of
care.
Notes
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