{"ref":"PA-HSP-NUR-01","title":"Nursing Services and Nursing Practice","category":"Clinical tasks","summary":"Sets out how the Agency provides nursing services by or under the supervision of a registered nurse, what registered nurses, licensed practical nurses and certified registered nurse practitioners may do under the Pennsylvania Board of Nursing rules, how intravenous therapy and other procedures are controlled, when nursing may be contracted, and how the Agency makes sure every nurse practices within the Professional Nursing Law and the Practical Nurse Law.","inShort":["Every nurse needs a current Pennsylvania license or compact privilege before the first visit. Work only within your license.","LPNs work under the direction of the RN case manager. Call the RN when the patient changes, gets worse or needs more than you can do.","Do a procedure only if it is ordered and your competency for it is on file. If unsure, stop and ask the clinical manager.","LPNs never give IV push or bolus drugs, titrated drugs, or insert any IV device other than a short peripheral catheter.","Document every visit the same day, accurately and truthfully.","If a patient talks about suicide, stay with them, make the home safer and call the hospice physician or 911."],"primaryCitation":"42 CFR §418.64(b)","citations":["63 P.S. §211 et seq.","63 P.S. §651 et seq.","49 Pa. Code §21.11","49 Pa. Code §21.12","49 Pa. Code §21.14","49 Pa. Code §21.18","49 Pa. Code §21.141","49 Pa. Code §21.145","49 Pa. Code §21.145a","49 Pa. Code §21.148","49 Pa. Code §21.282a","49 Pa. Code §21.283","49 Pa. Code §21.285","49 Pa. Code §21.411","49 Pa. Code §21.415","28 Pa. Code §51.1a","28 Pa. Code §51.3(g)"],"federalCitations":["42 CFR §418.64(b)","42 CFR §418.64","42 CFR §418.66","42 CFR §418.54(a)-(b)","42 CFR §418.56(a)","42 CFR §418.100(c)(2)","42 CFR §418.114(a), (c)","42 CFR §418.202(a)","42 CFR §418.204(a)"],"surveyorAsks":["Who supervises nursing services, and how do you know each nurse's license is current?","Show me how this LPN's work with this patient is directed and supervised by a registered nurse."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.64(b))","5. Organization and Supervision of Nursing","6. Contracted Nursing","7. Scope of Practice by Type of Nurse","8. Nursing Care Delivery","9. Nursing Procedures","10. Intravenous Therapy","10.1 Conditions for every IV therapy","10.2 IV therapy by LPNs","10.3 Safety","11. Emotional Crises and Suicide Risk","12. Licensure and Professional Conduct","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":"pa-hospice","state":"Pennsylvania","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}}