If a participant does not receive personal or health-related
care, but an observed significant change in the participant's condition occurs,
a nurse review shall be conducted. If a participant receives personal or
health-related care, the program shall provide for a registered nurse or a
licensed practical nurse via nurse delegation:
(1) To monitor, at least every 90 days, or after a
significant change in the participant's condition, any participant who receives
program-administered prescription medications for adverse reactions to the
medications and to make appropriate interventions or referrals, and to ensure
that the prescription medication orders are current and that the prescription
medications are administered consistent with such orders; and
(2) To ensure that health care professionals'
orders are current for participants who receive health care
professional-directed care from the program; and
(3) To assess and document the health status of each
participant, to make recommendations and referrals as appropriate, and to
monitor progress relating to previous recommendations at least every 90 days
and whenever there are changes in the participant's health status;
and
(4) To provide the
program with
written documentation of the activities under the service plan, as set forth in
rule
481-70.26 (231D), showing the
time, date and signature.
Note: Refer to Table A at the end of this chapter If the
program does not provide personal or health-related care to a participant,
nurse review is not required.
