Okla. Admin. Code § 317:30-5-560

Current through Vol. 42, No. 3, October 15, 2024
Section 317:30-5-560 - [Effective 9/14/2025] Treatment plan
(a) An eligible organization must create a treatment plan for the member as part of the authorization process for private duty nursing (PDN) services. The initial treatment plan must be signed by the member's attending physician [medical doctor (MD), or doctor of osteopathy, (DO)], a physician assistant (PA), or advanced practice registered nurse (APRN).
(b) The treatment plan must include all of the following:
(1) Diagnosis;
(2) Prognosis;
(3) Anticipated length of treatment;
(4) Number of PDN requested hours per day;
(5) Assessment needs and frequency (e.g., vital signs, glucose checks, neuro checks, respiratory);
(6) Medication method of administration and frequency;
(7) Age-appropriate feeding requirements (diet, method and frequency);
(8) Respiratory needs;
(9) Mobility requirements including need for turning and positioning, and the potential for skin breakdown;
(10) Developmental deficits;
(11) Casting, orthotics, therapies;
(12) Age-appropriate elimination needs;
(13) Seizure activity and precautions;
(14) Age-appropriate sleep patterns;
(15) Disorientation and/or combative issues;
(16) Age-appropriate wound care and/or personal care;
(17) Communication issues;
(18) Social support needs;
(19) Name, skill level, and availability of all caregivers; and
(20) Other pertinent nursing needs such as dialysis, isolation.

Okla. Admin. Code § 317:30-5-560

Added at 23 Ok Reg 33, eff 8-1-05 (emergency); Added at 23 Ok Reg 1364, eff 5-25-06; Amended at 24 Ok Reg 333, eff 12-1-06 (emergency); Amended at 24 Ok Reg 930, eff 5-11-07; Amended at 28 Ok Reg 14, eff 8-13-10 (emergency); Amended at 28 Ok Reg 1429, eff 6-25-11
Amended by Oklahoma Register, Volume 32, Issue 23, August 17, 2015, eff. 8/27/2015
Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022
Amended by Oklahoma Register, Volume 41, Issue 17, May 15, 2024, eff. 3/27/2024, exp. 9/14/2025 (Emergency)