Cal. Code Regs. Tit. 22, § 54323 - Nursing Service
(a) The
nursing service shall, as a minimum:
(1)
Assess each participant to determine needs for personal care and assistance in
activities of daily living such as bathing, grooming, toileting and eating;
include these needs in the plan of care and supervise the provision of these
services.
(2) Specify short-term
and long-term nursing goals in each individualized plan of care.
(3) Document all skilled nursing care
provided on the day the service is given and include quarterly signed and dated
progress notes in each participant record.
(4) Provide health education and counseling
to the participant and family when indicated by the plan of care.
(5) Provide assistance to the participant in
obtaining medical services from providers other than adult day health
staff.
(6) Monitor, administer and
record prescribed medications as follows:
(A)
Medication shall be given only on the prescriber's order.
(B) Participants shall be identified prior to
the administration of a drug.
(C)
Medication shall be administered within one hour of the prescribed
time.
(D) Time and doses of each
drug administered must be recorded in the participant's record by the nurse who
gave the drug.
(7)
Provide training in self-administration of medications to
participants.
(8) Provide liaison
to the participant's personal physician.
(9) Develop the nursing component in the plan
of care for each participant capable of benefiting from a continence training
program.
(10) Provide observation
and monitoring of health status.
(11) Provide supportive and restorative
nursing as indicated by the treatment plan.
(b) The nursing service shall provide a
registered nurse or a licensed vocational nurse under the supervision of a
registered nurse at the center during the hours the center is offering required
services.
(c) A registered nurse
shall be a member of the assessment team to assess the nursing needs of the
participant and develop the nursing component of the individualized plan of
care.
(d) Nursing service supplies
and equipment shall meet the requirements of Section
78439(a), Title
22, California Administrative Code.
Notes
Note: Authority cited: Chapter 1066, Statutes of 1977. Reference: Chapter 1066, Statutes of 1977.
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