{"ref":"TX-HH-GOV-02","title":"Administrator, Alternate Administrator, and Supervising Nurse","category":"Governance","summary":"Sets out who may serve as Administrator, Alternate Administrator, supervising nurse, and alternate supervising nurse, what each must do, when each must be available, the training the Administrator and Alternate Administrator must complete, and how changes are reported to HHSC.","inShort":["Our Administrator is Pat Sample. When the Administrator is out, Jo Sample is in charge.","Our supervising nurse is Robin Sample, RN. When the supervising nurse is out, Casey Sample, RN covers.","A supervising nurse or the alternate can always be reached, day or night. During office hours call (512) 555-0100; after hours call (512) 555-0199.","Call the supervising nurse whenever a patient’s condition changes, after a hospital stay, or when the plan of care cannot be followed.","If you cannot reach anyone, call the after-hours line again and keep trying. In an emergency, call 911 first."],"primaryCitation":"26 TAC §558.244","citations":["26 TAC §558.243","26 TAC §558.244","26 TAC §558.259","26 TAC §558.260","26 TAC §558.218","26 TAC §558.2"],"federalCitations":["42 CFR §484.105(b)","42 CFR §484.105(c)","42 CFR §484.115(a)","42 CFR §484.115(c)"],"surveyorAsks":["Show me the written designations of the Alternate Administrator and the alternate supervising nurse.","Show me how the Administrator met the qualifications, and the certificates for the eight hours before designation and the 24 hours in the first year."],"forms":[{"ref":"TX-HH-GOV-02-A","title":"Written Designation of Administrator, Alternate Administrator, Supervising Nurse, and Alternate Supervising Nurse"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.244)","5. Qualifications","6. Who May Not Serve","7. Duties and Availability","8. Combined Roles and Coverage","9. Training of the Administrator and Alternate Administrator","10. Designation and Change Procedure","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":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}