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216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care

Rhode IslandregulationRhode Island Department of Health· effective 2024-05-06

What this rule requires your agency to do

  • 1Establish a Professional Advisory Committee including at least one physician and a registered nurse, a representative of each therapeutic service offered, the administrator ex-officio, and at least one member who is neither owner nor employee (17.8.1(A)(1)-(4)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 2Ensure patients admitted for medical services are under the care of an attending clinician responsible for a plan of care containing the enumerated diagnostic, service, and clinical content (17.8.1(C)(1)(a)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 3Provide direct nursing services by Rhode Island-licensed RNs/LPNs per the written plan of care, and provide the patient copies of the plan of care and scheduled service hours upon admission and as revised (17.8.1(C)(4)-(5)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 4Convene the Professional Advisory Committee at least twice per year to advise on professional issues and establish and annually review policies on scope of services, admission/discharge, plans of care, clinical records, personnel qualifications, and program evaluation (17.8.1(A)(5)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 5Provide direct nursing services in the home (directly or by contract with a Department-licensed agency) delivered by an RN or LPN (17.8.1(B)(1)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 6Ensure the physician member attends at least one meeting per year and shows evidence of participation in other meetings (17.8.1(A)(6)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 7Obtain attending clinician's orders specifying procedures and modalities including amount, frequency, and duration of therapy/care (17.8.1(C)(2)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)
  • 8Not modify the plan of care without attending clinician consent, and review it as the patient's condition requires but no less than once every 60 days from the start-of-care date (17.8.1(C)(3)).(216-RICR-40-10-17.8.1 — Additional Requirements for Home Nursing Care Providers: Professional Advisory Committee, Scope of Services, and Plan of Care)

Applies to: personal care

Imposes additional requirements on home nursing care providers: a Professional Advisory Committee (including a physician and RN, a service representative, and a member who is neither owner nor employee) meeting at least twice yearly to review policies; direct nursing services by RN/LPN; and, for medical-services patients, an attending-clinician plan of care with enumerated content, clinician orders specifying procedures/frequency/duration, no modification without clinician consent, review at least every 60 days, nursing services by Rhode Island-licensed nurses, and provision of the plan of care and scheduled service hours to the patient on admission and as revised. Framework topic: Patient Care / Plan of Care and Clinical Oversight (Skilled Nursing).

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