{"ref":"LA-HH-CS-02","title":"Skilled Nursing Services: Registered Nurse and Licensed Practical Nurse","category":"Patient care","summary":"Sets out the Louisiana qualifications, duties and limits of the registered nurses and licensed practical nurses who provide the Agency's skilled nursing service, the RN's supervision of LPNs (an on-site evaluation at least every six months while the LPN gives care), clinical note time frames, and reporting of changes in the patient's condition.","inShort":["RNs need a Louisiana license without restrictions and one year of RN experience.","LPNs work under an RN and are observed on site by an RN at least every six months.","LPNs never access an IV, do initial assessments, recertifications or aide supervisory visits, or change the plan of care.","Put every visit note in the record within one week.","Report changes in the patient's condition to the RN and the provider the same day."],"primaryCitation":"LAC 48:I §9103.K","citations":["LAC 48:I §9103.K","LAC 48:I §9103.K.1.a","LAC 48:I §9103.K.2","LAC 48:I §9103.K.3","LAC 48:I §9103.D","LAC 48:I §9103.D.2.f","LAC 48:I §9103.D.3","LAC 48:I §9129.B","LAC 48:I §9115.B.1.c","LAC 48:I §9115.B.1.n","R.S. 37:911 et seq.","LAC 46:XLVII.3703"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(e)","42 CFR §484.115(k)"],"surveyorAsks":["Show me the six-monthly on-site supervisory evaluation for each LPN, and where it is filed.","Who prepares the recertification and updates the plan of care for this patient? Is that person an RN?"],"forms":[{"ref":"LA-HH-CS-02-A","title":"LPN On-Site Supervisory Evaluation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §9103.K)","5. Qualifications","6. Registered Nurse Responsibilities","7. Licensed Practical Nurse Responsibilities","8. Licensed Practical Nurse Restrictions","9. RN Supervision of LPNs","10. Nursing Documentation","11. Reporting Changes in Condition","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":"la-hha","state":"Louisiana","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}}