Md. Code Regs. 10.07.21.14

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.07.21.14 - Nursing Services

A. Nursing services shall be provided by licensed or certified personnel, trained or experienced in hospice care and supervised by a registered nurse with training or experience in hospice nursing. All nursing services shall be provided in accordance with the requirements of Health Occupations Article, Title 8, Annotated Code of Maryland.

B. The hospice care program shall provide nurse staffing levels based on:

(1) An assessment of patient and family care needs;

(2) The experience level of the nursing staff available to provide services; and

(3) Available assistance from support service staff.

C. The hospice care program shall provide nursing services in accordance with each patient's interdisciplinary plan of care.

D. Registered Nurse. A registered nurse shall:

(1) Conduct the initial assessment of the patient;

(2) Regularly reevaluate the patient's nursing needs;

(3) Initiate the plan of care and necessary revisions;

(4) Prepare clinical and progress notes, coordinate services, and inform the physician and other personnel of changes in the patient's condition and needs;

(5) Inform the patient and family in regard to the patient's nursing needs; and

(6) Supervise other nursing personnel.

E. The initial assessment or any reevaluation of the patient's care needs may not be conducted by a licensed practical nurse or nursing assistant. Licensed practical nurses and nursing assistants shall provide all services in accordance with the patient's interdisciplinary plan of care.

Md. Code Regs. 10.07.21.14

Regulations .14 adopted effective August 10, 1998 (25:16 Md. R. 1274)