{"ref":"OH-HSP-NUR-01","title":"Nursing Services and Registered Nurse Supervision","category":"Clinical tasks","summary":"Sets out how the Agency provides nursing care by or under the supervision of a registered nurse, names the registered nurse responsible for supervision and oversight of all nursing services, specifies the patient care responsibilities of each type of nursing staff, and makes nursing available 24 hours a day, 7 days a week in the home and in every inpatient facility the Agency uses, as OAC 3701-19-14 and 42 CFR §418.64(b) require.","inShort":["An RN is responsible for supervising all nursing care. Know who your supervising nurse is and how to reach the alternate.","Work only within your Ohio license and the responsibilities in Table 1. An LPN never does the initial or comprehensive assessment or changes the plan of care.","Report any big change in the patient, a fall, a medication error or a sign of abuse or drug diversion to the RN case manager at once.","Nursing care is available 24 hours a day. After hours patients call (614) 555-0199 and the on-call RN responds.","Document every visit by the end of the next business day."],"primaryCitation":"OAC 3701-19-14","citations":["OAC 3701-19-14","ORC 3712.01(A)(1), (H)","ORC 3712.06(B)","OAC 3701-19-01","OAC 3701-19-06(C)(3)(g), (C)(4)","OAC 3701-19-09(A)-(B)","OAC 3701-19-11(A), (C)(4)","OAC 3701-19-17(C)","OAC 3701-19-22(C)-(D)","ORC Chapter 4723","ORC 4723.36","OAC Chapter 4723-13","OAC 5160-56-04(J)"],"federalCitations":["42 CFR §418.64","42 CFR §418.64(b)","42 CFR §418.56(a)(1)","42 CFR §418.100(c)(2)","42 CFR §418.114(a)"],"surveyorAsks":["Which registered nurse is responsible for supervision and oversight of all nursing services, and where is that written down?","Where do you specify the patient care responsibilities of your RNs and LPNs?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 3701-19-14)","5. Organization of Nursing Services","6. Patient Care Responsibilities of Nursing Personnel","7. How Nursing Care Is Supervised","8. Nursing Care 24 Hours a Day, 7 Days a Week","9. Nursing Practice in the Home","10. Licenses and Competency","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"oh-hospice","state":"Ohio","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}}