Idaho Admin. Code r. 16.03.22.305

Current through September 2, 2024

Section 16.03.22.305 - REQUIREMENTS FOR THE LICENSED REGISTERED NURSING ASSESSMENT

For each resident the licensed registered nurse must assess and document, including date and signature, the following:

01.Resident Medications and Therapies. Each resident's use of, and response to all medications, (including over-the-counter, and prescribed therapies), the monitoring of side effects, interactions, abuse, or other adverse effects, and ensuring the resident's physician or authorized provider is notified of any identified concerns with medications and therapies.

02.Current Medication Orders and Treatment Orders. Each resident's medication and treatment orders are current and verified for the following:

a. The medication listed on the medication distribution container, including over-the-counter-medications, is consistent with physician or authorized provider orders;

b. The physician or authorized provider orders related to therapeutic diets, treatments, and medications for each resident are followed; and

c. A copy of the actual written, signed, and dated orders are present in each resident's care record.

03.Resident Health Status. The health status of each resident by conducting a physical assessment and identifying symptoms of illness, or any changes in mental or physical health status.

04.Recommendations. Recommendations to the administrator regarding any medication needs, other health needs requiring follow-up, or changes needed to the NSA. The nurse must notify the physician or authorized provider of recommendations for medical care and services that are needed.

05.Progress of Previous Recommendations. The progress of previous recommendations regarding any medication needs or other health needs that require follow-up.

06.Self-Administered Medication. Each resident participating in a self-administered medication program at the following times:

a. Before the resident can self-administer medication to ensure resident safety; and

b. Every ninety (90) days to evaluate the continued validity of the assessment to ensure the resident is still capable to safely self-administer medication(s).

07.Resident and Facility Staff Education. Recommendations for any health care-related educational needs, for both the resident and facility staff, as the result of the nursing assessment or at the direction of the resident's health care provider.

Idaho Admin. Code r. 16.03.22.305

Effective March 15, 2022