Nursing Services and Nursing Practice

Sets how the Agency provides nursing care by or under the supervision of a registered nurse: who directs nursing, the RN who coordinates each patient’s care, what registered nurses, licensed practical nurses and nurse practitioners may do under District law, how nursing visits, teaching and procedures are carried out, how nursing is available around the clock, when nursing may be contracted, and how nurse licenses are kept current.

Preview: full text with a package

About this policy

Policy number: DC-HSP-NUR-01
Version: 1.0
Main rule: 42 CFR §418.64(b)
Library: Washington, DC hospice · 60 policies
Category: Clinical tasks
Sections: 19

In short

Every patient has an RN coordinator. Know who it is and tell that nurse about any change.
Make each visit the plan of care calls for. If you cannot, reschedule the same day and tell the RN coordinator.
Write your clinical note the same day as the visit.
Work only within your District license. LPNs work under an RN and do not do assessments or aide supervision.
Do not do a procedure such as infusions or line care until your competency has been checked.
A registered nurse is on call 24 hours a day on (202) 555-0199.

What's inside

19 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 §418.64(b))
5. Organization and Supervision of Nursing
6. Nursing Provided Directly, and When Nursing May Be Contracted
7. Scope of Practice by Type of Nurse
8. Nursing Care Delivery
9. Nursing Available Around the Clock
10. Orders and Nursing Procedures
11. Licensure and Practice Compliance
12. Responsibilities
13. Records and Compliance Monitoring
14. Staff Training
15. References
16. Related Policies and Forms
17. Approval
18. Revision History

An inspector may ask

Who is the registered nurse who coordinates this patient’s care, and how does that nurse make sure the plan of care is carried out?
Show me how nursing visits match the frequency in the plan of care and how missed visits are handled.

Washington, DC hospice

Get it for your agency

All 60 Washington, DC hospice policies, filled in with your details, in Word and PDF.

$1,100one-time · Policy Pack, required

The files are yours to keep. Includes 90 days in the portal with Premium; keep it after that for $109 a month or $1,090 a year.

Buy the Policy Pack See pricing

Rules it follows

42 CFR §418.64(b)D.C. Code §3-1201.02D.C. Code §3-1205.0117 DCMR Chapter 5417 DCMR Chapter 5517 DCMR Chapter 5929 DCMR §939.20(b)29 DCMR §939.2129 DCMR §939.2229 DCMR §939.2442 CFR §418.6442 CFR §418.6642 CFR §418.54(a)42 CFR §418.56(a)(1), (b)42 CFR §418.6242 CFR §418.100(c)(2)42 CFR §418.106(b)42 CFR §418.114(a), (c)42 CFR §418.202(a)42 CFR §418.204(a)42 CFR §418.3

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