{"ref":"LA-HSP-NUR-01","title":"Nursing Services, Director of Nurses and RN Case Management","category":"Clinical tasks","summary":"Sets out how the Agency provides nursing services as a core service: the registered nurse designated to coordinate each patient’s plan of care, the registered nurse’s qualifications and duties under LAC 48:I §8217.O (reassessment at least every 14 days, notes within one week, aide supervision every 14 days), the limits on licensed practical nurses under §8217.H, the annual on-site LPN supervisory visit, nursing during continuous home care, and the federal nursing standard for a Medicare-certified hospice.","inShort":["Every patient has one registered nurse who coordinates the plan of care. Know who it is for each of your patients.","The registered nurse reassesses each patient at least every 14 days and enters visit notes within one week (our target is the next business day).","LPNs see only stable patients, under registered nurse supervision. LPNs never access IV lines, make assessment or aide supervisory visits, change the plan of care or take primary call.","If an LPN finds a patient is no longer stable, call the registered nurse right away.","Registered nurses complete at least two hours of end-of-life education every year."],"primaryCitation":"LAC 48:I §8217.O","citations":["LAC 48:I §8201 (Continuous Home Care; Core Services; Employee)","LAC 48:I §8217.E","LAC 48:I §8217.H","LAC 48:I §8217.O","LAC 48:I §8221.A.5","LAC 48:I §8221.B","LAC 48:I §8223.A.3","LAC 48:I §8235.B.2"],"federalCitations":["42 CFR §418.56(a)(1)","42 CFR §418.54(d)","42 CFR §418.64","42 CFR §418.64(b)","42 CFR §418.66","42 CFR §418.204(a)"],"surveyorAsks":["Who is the registered nurse coordinating this patient’s plan of care, and where is that shown in the record?","Show me the registered nurse reassessments for this patient for the last month. Are any more than 14 days apart?"],"forms":[{"ref":"LA-HSP-NUR-01-A","title":"LPN Annual On-Site Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8217.O)","5. Nursing Is Provided by Agency Staff","6. Registered Nurse Qualifications","7. The Registered Nurse Who Coordinates the Plan of Care","7.1 Registered Nurse Duties","7.2 Reassessment Every 14 Days and the Federal 15-Day Update","7.3 Nursing Documentation","8. Licensed Practical Nurses","8.1 LPN qualifications","8.2 What an LPN does","8.3 What an LPN never does","8.4 Annual on-site LPN supervisory visit","9. Nursing During Continuous Home Care","10. Orders and Scope of Practice","11. Supervision and Availability","12. Continuing Education","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","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}}