Nursing Services and Nursing Practice
Sets out how the Agency provides nursing services by or under the supervision of a registered nurse, what registered nurses, licensed vocational nurses and advanced practice registered nurses may do, how intravenous, procedural and psychiatric nursing are handled, and how the Agency makes sure every nurse practices within the Texas Board of Nursing rules.
About this policy
- Policy number
- TX-HSP-NUR-01
- Version
- 1.0
- Main rule
- 42 CFR §418.64(b)
- Library
- Texas hospice · 59 policies
- Category
- Clinical tasks
- Sections
- 22
In short
- All nursing is given by or under the supervision of a registered nurse. Your RN case manager is your first contact.
- Do only the procedures that are ordered for the patient and that you have a signed competency for.
- LVNs: call the RN case manager about any change in the patient. You do not do the initial or comprehensive assessment.
- Write your visit note the same day.
- If a patient talks about ending their life, stay with them, call 911 if there is immediate danger, and call the hospice physician and social worker.
- Keep your license current and tell the supervising nurse at once if anything changes.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (26 TAC §558.832; 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 (26 TAC §558.281(8))
- 10. Intravenous and Infusion Services (26 TAC §558.281(3))
- 10.1 Conditions
- 10.2 Safety
- 11. Psychiatric Nursing and Emotional Distress (26 TAC §558.281(9))
- 12. Licensure and Practice Compliance (26 TAC §558.299)
- 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 nursing services, and how do you know each nurse’s license is current?
- Show me how an LVN’s work on this patient is supervised by an RN.
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