Section 22-B3917. SKILLED NURSING SERVICES

 

3917.1Skilled nursing services shall be provided by a registered nurse, or by a licensed practical nurse under the supervision of a registered nurse, and in accordance with the patient's plan of care.

 

3917.2Duties of the nurse shall include, at a minimum, the following:

 

(a)Initial assessment and evaluation;

 

(b)Coordination of care and referrals;

 

(c)Ensuring that patient needs are met in accordance with the plan of care;

 

(d)Implementing preventive and rehabilitative nursing procedures;

 

(e)For registered nurses, supervision of nursing services delivered by licensed practical nurses, including on-site supervision at least once every sixty-two (62) calendar days;

 

(f)Supervision of services delivered by home health and personal care aides and household support staff, as appropriate;

 

(g)Recording progress notes at least once every thirty (30) calendar days and summary notes at least once every sixty-two (62) calendar days;

 

(h)Reporting changes in the patient's condition to the patient's physician;

 

(i)Patient instruction, and evaluation of patient instruction; and

 

(j)Discharge planning.

 

3917.3Except as described further in this subsection, wound care and tube feeding shall be provided only by a registered nurse or by a licensed practical nurse. Simple wound care and gastrostomy tube feeding may be provided by a home health aide or personal care aide, provided that the aide receives adequate training prior to performing the service and provided that the service is monitored continuously, with on-site supervision by a licensed nurse at least every two (2) weeks.

 

source

Final Rulemaking published at 51 DCR 2876 (March 19, 2004).