7 AAC 12.517. Nursing services

(a) A home health agency shall furnish nursing services in accordance with a plan of care by or under the supervision of a registered nurse licensed under AS 08.68. A registered nurse employed by a home health agency shall

(1) assure that patient care is coordinated between services and that all of the patient's needs identified by the assessments are addressed;

(2) conduct initial evaluation visits and re-evaluate nursing needs on an ongoing basis;

(3) conduct in-depth and comprehensive assessments of a patient at acceptance and when significant changes occur in the patient's condition;

(4) initiate a plan of care and make necessary revisions;

(5) provide services requiring substantial and specialized nursing skill;

(6) initiate appropriate preventive and rehabilitative nursing procedures;

(7) implement patient teaching based on the patient's needs consistent with agency policies and procedures, including demonstration, supervision, and evaluation;

(8) prepare clinical and progress notes;

(9) prepare summaries of care;

(10) inform the attending physician and other personnel of changes in the patient's condition and needs;

(11) counsel each patient and the patient's family on how to meet the patient's nursing and related needs;

(12) prepare a written summary of care and services in the event of patient transfer to another agency, hospital, or other health care setting;

(13) supervise other nursing personnel;

(14) participate in inservice training; and

(15) if a patient is receiving care by a licensed practical nurse, review the plan of care and the nursing services every two weeks and document the review in the patient's clinical record.

(b) A licensed practical nurse licensed under AS 08.68 employed by a home health agency shall

(1) furnish services in accordance with applicable state and federal law, agency policies and procedures, and the plan of care;

(2) assist the physician and registered nurse in performing specialized procedures;

(3) prepare equipment and materials for treatments observing required aseptic technique;

(4) assist the patient in learning appropriate self-care;

(5) consult the registered nurse in making judgments and decisions regarding care and services rendered; and

(6) prepare clinical progress notes.

History: Eff. 9/6/96, Register 139

Authority: AS 18.05.040

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