{"ref":"MI-HSP-NUR-01","title":"Nursing Services and the Director of Nursing","category":"Clinical tasks","summary":"Sets out how the Agency provides nursing services: the director of nursing who directs them and the registered nurse delegate, the registered nurse case manager named for each patient, the initial assessment within 48 hours after election, plan of care updates every 15 days or sooner, nursing available 24 hours a day, 7 days a week, what registered nurses and licensed practical nurses may and may not do, when nurses may be contracted, and the pain and symptom resource materials every nurse must be able to reach.","inShort":["A registered nurse completes the initial assessment within 48 hours after the patient elects hospice, or sooner if the physician, patient or representative asks.","Each patient has an RN case manager named in the record who coordinates the plan of care with the team.","The plan of care is reviewed at least every 15 days and whenever the patient's or family's needs change.","A nurse is available 24 hours a day, 7 days a week at (517) 555-0199.","LPNs work under RN supervision. Only an RN or a physician pronounces death.","Use the pain and symptom resource materials, and ask Robin Sample, RN when you are unsure."],"primaryCitation":"Mich. Admin. Code R 325.45353","citations":["Mich. Admin. Code R 325.45353","Mich. Admin. Code R 325.45175","Mich. Admin. Code R 325.45177","Mich. Admin. Code R 325.45349(1)-(4)","Mich. Admin. Code R 325.45345(1)(b)","Mich. Admin. Code R 325.45199","Mich. Admin. Code R 325.45215(5)","MCL 333.17201","MCL 333.16215","MCL 333.1033(3)","MCL 333.21418(4)(b)"],"federalCitations":["42 CFR §418.64(b)","42 CFR §418.66","42 CFR §418.56(a)(1)","42 CFR §418.54(a)-(b)","42 CFR §418.100(c)(2)","42 CFR §418.106(b)(2)","42 CFR §418.114(a)"],"surveyorAsks":["Who is your director of nursing, and who directs nursing when that person is away? Show me the written delegation.","Show me that a registered nurse completed this patient's initial assessment within 48 hours after the election of hospice care."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45353)","5. The Director of Nursing","6. The RN Case Manager","7. Nursing Available 24 Hours a Day, 7 Days a Week","8. What RNs and LPNs Do","9. Nursing Care Delivery","10. Pain and Symptom Resource Materials","11. Contracted Nurses","12. Staffing and Assignments","13. Licensure and Competence","14. Evaluation of Nursing Services","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","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}}