{"ref":"GA-HH-CS-02","title":"Skilled Nursing Services: Registered Nurse and Licensed Practical Nurse Duties","category":"Clinical tasks","summary":"Sets out how skilled nursing is provided by or under the supervision of a registered nurse and in line with the plan of treatment: what Georgia requires of RNs and LPNs in home health, how LPNs are supervised, the Board of Nursing standards every nurse follows, clinical notes written the day of the visit, and prompt reporting of changes to the physician.","inShort":["Skilled nursing is given by or under the supervision of a registered nurse and follows the plan of treatment.","LPNs work under RN supervision. Call your case manager if you are asked to do something you are not trained for.","Write your clinical note the same day as the visit.","Tell the physician and your case manager promptly about any change in the patient’s condition. In an emergency, call 911 first.","Nurses never pronounce death."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-31-.08(a)","citations":["Ga. Comp. R. & Regs. 111-8-31-.08(a)","Ga. Comp. R. & Regs. 111-8-31-.07(5)","Ga. Comp. R. & Regs. 111-8-31-.06(f)","Ga. Comp. R. & Regs. 111-8-31-.06(w)","Ga. Comp. R. & Regs. 111-8-31-.09(b)","Ga. Comp. R. & Regs. 111-8-31-.09(d)","Ga. Comp. R. & Regs. 410-10-.01","Ga. Comp. R. & Regs. 410-10-.02","Ga. Comp. R. & Regs. 410-10-.03","O.C.G.A. §43-26-1"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(e)","42 CFR §484.115(k)","42 CFR §484.55"],"surveyorAsks":["Who made the initial evaluation visit for this patient, and who initiated the plan of treatment?","How are your LPNs supervised, and how do you know an LPN’s visit notes are reviewed?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-31-.08(a))","5. Duties of the Registered Nurse","6. Duties of the Licensed Practical Nurse","7. Supervision of LPNs","8. Practice Standards for Every Nurse","9. Nursing Visits and Clinical Notes","10. Reporting Changes in Condition","11. Teaching and Counseling","12. Procedures and Competency","13. Federal Responsibilities of Skilled Professionals","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"ga-hha","state":"Georgia","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}}