{"ref":"NC-HH-CS-02","title":"Nursing Services: Registered Nurse and Licensed Practical Nurse Duties","category":"Clinical tasks","summary":"Requires all nursing to be given by or under the supervision of a registered nurse under the Nursing Practice Act; sets out what the registered nurse and the licensed practical nurse each do under 10A NCAC 13J .1102 and the Board of Nursing rules; sets the Agency’s method and frequency for supervising licensed practical nurses; and limits delegation to unlicensed staff to tasks that meet the Board’s criteria.","inShort":["All nursing is given by or under the supervision of a registered nurse.","Only a registered nurse does the initial visit, the comprehensive assessments, and aide supervisory visits. LPNs do not.","LPNs see stable patients, report what they find to the RN case manager, and can reach an RN at all times.","Report any reaction to treatment or change in the patient’s condition to the physician and the case manager the same day.","Delegate a task to an aide only if it meets the Board of Nursing’s rules and the aide has shown you he or she can do it."],"primaryCitation":"10A NCAC 13J .1102","citations":["10A NCAC 13J .0901","10A NCAC 13J .1102","10A NCAC 13J .1110(a)","10A NCAC 13J .1110(c)","10A NCAC 13J .1202(a)","21 NCAC 36 .0221","21 NCAC 36 .0224","21 NCAC 36 .0225","21 NCAC 36 .0401","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(e)","42 CFR §484.115(k)","42 CFR §484.55(a)","42 CFR §484.55(b)","42 CFR §484.60(c)","42 CFR §484.110(a)"],"surveyorAsks":["Who supervises your licensed practical nurses, and how often, and where is that documented?","Show me how the registered nurse assessed this patient and wrote the nursing plan of care."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1102; 42 CFR §484.75)","5. What the Registered Nurse Does","6. What the Licensed Practical Nurse Does","7. How the Agency Supervises Licensed Practical Nurses","8. Delegating Nursing Tasks to Unlicensed Staff","9. Reporting Changes to the Physician","10. Nursing Documentation","11. Licensure and Competency","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":"nc-hha","state":"North Carolina","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}}