Skilled Nursing Services and Missouri Nursing Practice

Sets out how the Agency furnishes skilled nursing: only registered nurses and licensed practical nurses licensed where they practice (a Missouri license or a Nurse Licensure Compact multistate license), working within the Missouri Nursing Practice Act and the Agency's policies; the responsibilities 42 CFR §484.75(b) gives skilled professionals; what only a registered nurse may do; how licensed practical nurses are directed and supervised; competency for high-risk procedures; visit standards; and the MO HealthNet skilled nursing rules.

Preview: full text with a package

About this policy

Policy number: MO-HH-CS-02
Version: 1.0
Main rule: 42 CFR §484.75 (adopted by 19 CSR 30-26.010(1)(A))
Library: Missouri home health · 57 policies
Category: Clinical tasks
Sections: 20

In short

Only registered nurses (RNs) and licensed practical nurses (LPNs) with a license valid where the patient lives provide nursing care.
An RN does the first assessment, writes the plan with the patient and doctor, and supervises LPNs and aides.
LPNs work under an RN's direction and tell the RN case manager about changes the same day.
Give only the care that is ordered, and tell the doctor quickly if the patient's condition changes.
Finish your visit note by the end of the next business day.

What's inside

20 sections. The full text comes with the One-time Policy Pack.

Full text with a package

Terms of Reference
1. Purpose
2. Scope
3. Definitions
4. Policy Statement (42 CFR §484.75 (adopted by 19 CSR 30-26.010(1)(A)))
5. What Registered Nurses and Licensed Practical Nurses Do
6. Responsibilities of Every Skilled Nurse
7. Nursing Visits
8. Direction and Supervision of Licensed Practical Nurses
9. Competency for Nursing Procedures
10. Teaching, Delegation, and Assignment to Aides
11. Licensure and Practice Location
12. MO HealthNet Skilled Nursing
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 supervises your licensed practical nurses, and how is that supervision documented?
Show me how a nurse took part in care coordination and communicated with the physician for this patient.

Missouri home health

Get it for your agency

All 57 Missouri home health policies, filled in with your details, in Word and PDF.

$950one-time · Policy Pack, required

The files are yours to keep. Includes 90 days in the portal with Premium; keep it after that for $99 a month or $990 a year.

Buy the Policy Pack See pricing

Rules it follows

42 CFR §484.75 (adopted by 19 CSR 30-26.010(1)(A))19 CSR 30-26.010(1)(A)RSMo §335.016RSMo §335.360RSMo §197.400(4)20 CSR 2220-2.010(5)13 CSR 70-90.010(2)(A), (3)42 CFR §484.7542 CFR §484.115(e), (k)42 CFR §484.55(a), (b)42 CFR §484.6042 CFR §484.80(g), (h)42 CFR §409.44(b)

Read a sample in full

Guides on this topic

See Cura Core with your agency's name on it.

Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.

Get started Sign in