LAC 48:I.6845
LAC 48:I.6845. Intermittent Nursing Services
Cite as La. Admin. Code tit. 48, pt. I, § 6845
A. Intermittent nursing services may be provided by level 4 ARCPs only. At no time shall an ARCP serve as provider for a resident whose condition is so unstable as to require continuous monitoring by licensed professional staff.
B. Where intermittent nursing services are provided, the following provisions shall apply.
1. All nursing services shall be provided in accordance with acceptable standards of practice and shall be delivered as prescribed by the resident’s physician and in accordance with the PCSP.
2. The ARCP shall have written policies and procedures governing intermittent nursing services, including but not limited to the following:
a. responding to medical emergencies on all shifts;
b. ensuring that there is sufficient nursing staff to meet the needs of the residents;
c. ensuring that the ARCP's licensed nurse is notified of nursing needs as identified in the PCSP for each resident;
d. defining the duties, responsibilities and limitations of the ARCP licensed nurse in policy and procedures;
e. defining the policy for conducting nursing assessments;
f. delegating and training of ARCP staff to assist with nursing services;
g. coordinating with other third party contracted health service providers;
h. documentation by nursing personnel; and
i. infection control policies and procedures that meet or exceed the latest criteria established by the CDC, OSHA, and State Sanitary Code.