{"ref":"DC-HSP-NUR-01","title":"Nursing Services and Nursing Practice","category":"Clinical tasks","summary":"Sets how the Agency provides nursing care by or under the supervision of a registered nurse: who directs nursing, the RN who coordinates each patient’s care, what registered nurses, licensed practical nurses and nurse practitioners may do under District law, how nursing visits, teaching and procedures are carried out, how nursing is available around the clock, when nursing may be contracted, and how nurse licenses are kept current.","inShort":["Every patient has an RN coordinator. Know who it is and tell that nurse about any change.","Make each visit the plan of care calls for. If you cannot, reschedule the same day and tell the RN coordinator.","Write your clinical note the same day as the visit.","Work only within your District license. LPNs work under an RN and do not do assessments or aide supervision.","Do not do a procedure such as infusions or line care until your competency has been checked.","A registered nurse is on call 24 hours a day on (202) 555-0199."],"primaryCitation":"42 CFR §418.64(b)","citations":["D.C. Code §3-1201.02","D.C. Code §3-1205.01","17 DCMR Chapter 54","17 DCMR Chapter 55","17 DCMR Chapter 59","29 DCMR §939.20(b)","29 DCMR §939.21","29 DCMR §939.22","29 DCMR §939.24"],"federalCitations":["42 CFR §418.64","42 CFR §418.64(b)","42 CFR §418.66","42 CFR §418.54(a)","42 CFR §418.56(a)(1), (b)","42 CFR §418.62","42 CFR §418.100(c)(2)","42 CFR §418.106(b)","42 CFR §418.114(a), (c)","42 CFR §418.202(a)","42 CFR §418.204(a)","42 CFR §418.3"],"surveyorAsks":["Who is the registered nurse who coordinates this patient’s care, and how does that nurse make sure the plan of care is carried out?","Show me how nursing visits match the frequency in the plan of care and how missed visits are handled."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.64(b))","5. Organization and Supervision of Nursing","6. Nursing Provided Directly, and When Nursing May Be Contracted","7. Scope of Practice by Type of Nurse","8. Nursing Care Delivery","9. Nursing Available Around the Clock","10. Orders and Nursing Procedures","11. Licensure and Practice Compliance","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"dc-hospice","state":"Washington, DC","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}