LAC 48:I.4251. Nursing Services

A. All nursing services furnished in the ADHC center shall be provided in accordance with acceptable nursing professional practice standards. B. A licensed registered nurse (RN) shall serve on the interdisciplinary (ID) team and shall monitor the overall health needs of the participants. The RN serves as a liaison between the participant and medical resources, including the treating physician. 1. The RN's responsibilities include medication review for each participant at least monthly and when there is a change in the medication regimen to: a. determine the appropriateness of the medication regime; b. evaluate contraindications; c. evaluate the need for lab monitoring; d. make referrals to the primary care physician for needed monitoring tests; e. report the efficacy of the medications prescribed; and f. determine if medications are properly being administered in the center. C. The RN shall supervise the method of medication administration to participants (both self-administration and staff administration). D. The RN shall approve the method of medication storage and record-keeping. E. The RN or LPN shall document the receipt of all prescribed medications for each participant with a legible signature and will comply with all Louisiana laws and rules regarding medication control and disbursement. F. The RN shall give in-service training to both staff and participants on health related matters at least quarterly. G. The RN shall ensure that diagnoses are compiled into a central location in the participant's record and updated when there is a change. H. The RN shall monitor and supervise any staff licensed practical nurse (LPN) providing care and services to participants.