{"ref":"FL-HH-CS-02","title":"Skilled Nursing Services: Registered Nurse and Licensed Practical Nurse Duties","category":"Clinical tasks","summary":"Sets the duties of registered nurses and licensed practical nurses in the Agency: the registered nurse as case manager and owner of the clinical record, progress reports to the practitioner, assignment of personal care tasks, supervision of licensed practical nurses with their annual evaluation, licensed practical nurse duties, clinical notes, and the federal skilled professional services standard for a Medicare-certified agency.","inShort":["The registered nurse is the case manager for every patient who receives nursing, and is responsible for the clinical record.","Tell the practitioner when the patient's condition changes or care differs from the plan, and write down that you did.","Licensed practical nurses work under a registered nurse's direction and report every change in the patient to that nurse.","Work only within your Florida license or multistate license, and write a clinical note for every visit."],"primaryCitation":"Rule 59A-8.0095(3), F.A.C.","citations":["Rule 59A-8.0095(2)(a), F.A.C.","Rule 59A-8.0095(3), F.A.C.","Rule 59A-8.0095(4), F.A.C.","Rule 59A-8.002(15), F.A.C.","Rule 59A-8.022(5)(h), F.A.C.","Rule 59A-8.0215(2), F.A.C.","Chapter 464, F.S.","s. 464.0095, F.S.","s. 400.474(2)(d), F.S.","s. 400.487(5), F.S."],"federalCitations":["42 CFR §484.75","42 CFR §484.115(e)","42 CFR §484.115(k)","42 CFR §484.60(b)(1)"],"surveyorAsks":["Who is the case manager for this patient? Show me where the registered nurse reported the change in condition to the physician.","How do your licensed practical nurses get their assignments? Who supervises them in the home?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.0095(3), F.A.C.)","5. Registered Nurse Duties","6. Licensed Practical Nurse Duties","7. Supervision of Licensed Practical Nurses","8. Practicing Within the License","9. Clinical Notes","10. Following Orders and Reporting Changes","11. Federal Skilled Professional Responsibilities","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":"fl-hha","state":"Florida","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}