Skilled Nursing, Psychiatric Nursing, and Monitoring Services

In short

• Skilled nursing is given by a registered nurse, or by a licensed practical nurse supervised by a registered nurse, following the plan of care.
• A registered nurse visits each LPN on site, during patient care, at least every 62 calendar days.
• Nurses write a progress note at least every 30 days and a summary note at least every 62 days. Finish visit notes by the end of the next business day.
• Report changes in the patient’s condition to the physician. Call 911 first in an emergency; call the physician the same day for a significant change.
• Only nurses do wound care and tube feeding, unless the nurse assigns simple wound care or g-tube feeding to a trained aide and checks on site at least every two weeks.