NMAC 8.370.22.33 — PLAN OF CARE

What this rule requires your agency to do

• 1Where a plan of care cannot be completed until after an evaluation visit, the agency shall consult the physician to approve additions or modifications to the original plan (A(2)).(NMAC 8.370.22.33 — PLAN OF CARE)
• 2For a patient/client receiving nursing services, the agency shall check all medications to identify ineffective drug therapy, adverse reactions, significant side effects, drug allergies, and contraindicated medications, and shall promptly report medication problems to the physician (A(5)(c)).(NMAC 8.370.22.33 — PLAN OF CARE)
• 3The agency shall care for each patient/client under a written plan of care that is reviewed at least annually (opening paragraph).(NMAC 8.370.22.33 — PLAN OF CARE)
• 4For non-medically directed care, the agency shall follow a written plan of care that includes appropriate goals and objectives and is established and reviewed at least annually by agency staff (B).(NMAC 8.370.22.33 — PLAN OF CARE)
• 5The agency shall have the plan of care reviewed by the attending physician and agency personnel at least annually or as often as the patient/client's condition requires, and shall promptly alert the physician to changes suggesting a need to alter the plan (A(3), A(4)).(NMAC 8.370.22.33 — PLAN OF CARE)
• 6The agency shall administer drugs and treatments only as ordered by the physician, and licensed professionals shall immediately record and sign oral orders and obtain the physician's countersignature (A(5)(a), A(5)(b)).(NMAC 8.370.22.33 — PLAN OF CARE)
• 7For medically directed care, the agency shall follow a written plan of care established and periodically reviewed by a physician, with care continuing under physician supervision, developed in consultation with agency staff and covering all pertinent diagnoses and the specified elements (A, A(1)).(NMAC 8.370.22.33 — PLAN OF CARE)