Section DHS 133.14 - Skilled nursing services(1) PROVISION OF SERVICES. Skilled nursing services shall be provided by or under the supervision of a registered nurse.(2) DUTIES OF THE REGISTERED NURSE. The registered nurse shall:(a) Make the initial evaluation visit to the patient.(b) Regularly reevaluate the patient's needs.(c) Initiate the plan of care and necessary revisions.(d) Provide those services requiring substantial specialized care.(e) Initiate appropriate preventive and rehabilitative procedures.(f) Prepare clinical and progress notes.(g) Promptly inform either the physician, advanced practice nurse prescriber, or physician assistant, as well as other personnel participating in the patient's care of changes in the patient's condition and needs.(h) Arrange for counseling the patient and family in meeting related needs.(i) Participate in inservice programs for agency staff.(j) Supervise and teach other personnel.(3) SCOPE OF DUTIES. Nurses shall perform only those duties within the scope of their licensure.(4) PRACTICAL NURSING. Nursing services not requiring a registered nurse may be provided by a licensed practical nurse under the supervision of a registered nurse.(5) COORDINATION OF SERVICES. A registered nurse shall maintain overall responsibility for coordinating services provided to the patient by the agency.(6) CONTRACTED REGISTERED NURSE SERVICES. A home health agency may purchase registered nurse services on an hourly or per visit basis, in accordance with the requirements in s. DHS 133.19. Persons providing registered nurse services under contract shall meet the requirements in s. DHS 133.06(4) (a) to (d), be assigned to duties for which they are licensed and trained and be utilized only in non-supervisory nursing assignments.Wis. Admin. Code Department of Health Services DHS 133.14
Cr. Register, May, 1984, No. 341, eff. 6-1-84; cr. (6), Register, April, 2001, No. 544, eff. 5-1-01; CR 07-060: am. (2) (c) and (g) Register November 2007 No. 623, eff. 12-1-07.Amended by, CR 16-077: am. (2) (a) to (i) Register September 2017 No. 741 eff. 10-1-17; correction in (2) (b) made under s. 35.17, Stats., Register September 2017 No. 741, eff. 10/1/2017