Plan of Care, Plan of Care Review and Patient and Family Teaching

Sets the content of each patient’s written plan of care under s. 400.6095(5), F.S. (primary caregiver or alternative plan; diagnosis, prognosis and preferences; needs and the services to meet them; teaching plans; the coordinating nurse; and how care continues in an emergency) and 42 CFR §418.56(c); its preparation with the patient and the attending physician and its medical validation by the medical director; review at least every 15 calendar days; family access; and patient and family teaching toward comfort and self-sufficiency at home.