NDAC 33-03-10.1-14 — Nursing Services

What this rule requires your agency to do

• 1Individuals providing home health aide services must be supervised by an RN and provide only care permitted by statute/rule, consistent with physician orders and the patient's plan of care as assigned by the RN (subsection 4, subdivs a-b).(NDAC 33-03-10.1-14 — Nursing Services)
• 2The RN must assign home health aides to patients based on patient need and aide skill, and home health aide services must be provided only by individuals meeting the training/competency and registry requirements of section 33-03-10.1-18 (subsection 2 subdiv c; subsection 4).(NDAC 33-03-10.1-14 — Nursing Services)
• 3For a patient receiving skilled nursing plus home health aide services, the RN must make supervisory visits no less frequently than every two weeks (subsection 2, subdiv a(1)).(NDAC 33-03-10.1-14 — Nursing Services)
• 4The nurse executive must be a full-time salaried employee, supervise all patient care activities, maintain policies/procedures/job descriptions, ensure sufficient qualified nursing personnel, and ensure an RN is available by telephone during operating hours and while services are provided (subsection 1, subdivs a-e).(NDAC 33-03-10.1-14 — Nursing Services)
• 5The nurse executive must identify in writing an alternate RN to function in that role when the nurse executive is unavailable (subsection 1, subdiv f).(NDAC 33-03-10.1-14 — Nursing Services)
• 6An RN must make the initial evaluation visit, initiate the plan of care, regularly reevaluate needs, and revise the plan of care (subsection 2, subdiv a).(NDAC 33-03-10.1-14 — Nursing Services)
• 7Skilled nursing services must be provided under the direction of a nurse executive/director of nursing who is an RN licensed in North Dakota with at least one year full-time home health direct patient care experience and three years RN experience (subsection 1).(NDAC 33-03-10.1-14 — Nursing Services)
• 8For a patient receiving home health aide, homemaker, or companion services but not skilled nursing, the RN must make contact at least every sixty days to determine the appropriateness of the plan of care and acceptability of care (subsection 2, subdiv a(2)).(NDAC 33-03-10.1-14 — Nursing Services)