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Wis. Admin. Code § DHS 133.20 — Plan of care

WisconsinregulationWisconsin Department of Health Services· effective 1984-06-01

What this rule requires your agency to do

  • 1The agency shall promptly notify the physician/APNP/PA of any changes in the patient's condition that suggest a need to modify the plan of care [DHS 133.20(3)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 2The total plan of care shall be signed and dated by the physician, APNP, or PA within 20 working days following the patient's admission for care [DHS 133.20(1)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 3The nurse or therapist shall immediately record, sign, and date oral orders and obtain the physician's/APNP's/PA's countersignature and date within 20 working days [DHS 133.20(4)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 4Drugs and treatment shall be administered by agency staff only as ordered by the attending physician/APNP/PA [DHS 133.20(4)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 5Each plan shall include measurable, time-specific goals with benchmark dates for review, and the methods for delivering needed care with an indication of which professional disciplines are responsible [DHS 133.20(2)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 6An initial plan shall be developed within 72 hours of acceptance, in consultation with the patient, agency staff, contractual providers, and the patient's physician/APNP/PA [DHS 133.20(1)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 7A plan of care including physician, advanced practice nurse prescriber (APNP), or physician assistant (PA) orders shall be established for every patient accepted for care and incorporated in the patient's medical record [DHS 133.20(1)].(Wis. Admin. Code § DHS 133.20 — Plan of care)
  • 8The total plan of care shall be reviewed by the attending physician/APNP/PA and appropriate agency personnel as often as required by the patient's condition, but no less often than every 60 days [DHS 133.20(3)].(Wis. Admin. Code § DHS 133.20 — Plan of care)

Applies to: personal care

Requires a physician/APNP/PA-ordered plan of care for every patient, developed within 72 hours and signed within 20 working days, with measurable time-specific goals and delivery methods. Requires review at least every 60 days and governs administration of drugs/treatment and countersignature of oral orders. Framework topic: Plan of Care / Care Planning.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.