[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR484.30]



[Page 583]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 484_HOME HEALTH SERVICES--Table of Contents

 

                    Subpart C_Furnishing of Services

 

Sec. 484.30  Condition of participation: Skilled nursing services.





    The HHA furnishes skilled nursing services by or under the 

supervision of a registered nurse and in accordance with the plan of 

care.

    (a) Standard: Duties of the registered nurse. The registered nurse 

makes the initial evaluation visit, regularly reevaluates the patient's 

nursing needs, initiates the plan of care and necessary revisions, 

furnishes those services requiring substantial and specialized nursing 

skill, initiates appropriate preventive and rehabilitative nursing 

procedures, prepares clinical and progress notes, coordinates services, 

informs the physician and other personnel of changes in the patient's 

condition and needs, counsels the patient and family in meeting nursing 

and related needs, participates in in-service programs, and supervises 

and teaches other nursing personnel.

    (b) Standard: Duties of the licensed practical nurse. The licensed 

practical nurse furnishes services in accordance with agency policies, 

prepares clinical and progress notes, assists the physician and 

registered nurse in performing specialized procedures, prepares 

equipment and materials for treatments observing aseptic technique as 

required, and assists the patient in learning appropriate self-care 

techniques.



[54 FR 33367, August 14, 1989, as amended at 56 FR 32974, July 18, 1991]