Nursing Services, Director of Nurses and RN Case Management
Sets out how the Agency provides nursing services as a core service: the registered nurse designated to coordinate each patient’s plan of care, the registered nurse’s qualifications and duties under LAC 48:I §8217.O (reassessment at least every 14 days, notes within one week, aide supervision every 14 days), the limits on licensed practical nurses under §8217.H, the annual on-site LPN supervisory visit, nursing during continuous home care, and the federal nursing standard for a Medicare-certified hospice.
About this policy
- Policy number
- LA-HSP-NUR-01
- Version
- 1.0
- Main rule
- LAC 48:I §8217.O
- Library
- Louisiana hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 27
In short
- Every patient has one registered nurse who coordinates the plan of care. Know who it is for each of your patients.
- The registered nurse reassesses each patient at least every 14 days and enters visit notes within one week (our target is the next business day).
- LPNs see only stable patients, under registered nurse supervision. LPNs never access IV lines, make assessment or aide supervisory visits, change the plan of care or take primary call.
- If an LPN finds a patient is no longer stable, call the registered nurse right away.
- Registered nurses complete at least two hours of end-of-life education every year.
What's inside
27 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (LAC 48:I §8217.O)
- 5. Nursing Is Provided by Agency Staff
- 6. Registered Nurse Qualifications
- 7. The Registered Nurse Who Coordinates the Plan of Care
- 7.1 Registered Nurse Duties
- 7.2 Reassessment Every 14 Days and the Federal 15-Day Update
- 7.3 Nursing Documentation
- 8. Licensed Practical Nurses
- 8.1 LPN qualifications
- 8.2 What an LPN does
- 8.3 What an LPN never does
- 8.4 Annual on-site LPN supervisory visit
- 9. Nursing During Continuous Home Care
- 10. Orders and Scope of Practice
- 11. Supervision and Availability
- 12. Continuing Education
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Who is the registered nurse coordinating this patient’s plan of care, and where is that shown in the record?
- Show me the registered nurse reassessments for this patient for the last month. Are any more than 14 days apart?
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