15 MAC Pt. 16, R. 1.18.11
Registered Nurse (RN) - The hospice must designate a registered nurse to
Cite as 15 Miss. Admin. Code Pt. 16, R. 1.18.11
Registered Nurse (RN) - The hospice must designate a registered nurse to
coordinate the implementation of the POC for each patient.
1. Qualifications – A licensed registered nurse must be currently licensed to practice
in the State of Mississippi with no restrictions:
a. Have at least one year full-time experience as a registered nurse or have been a
licensed LPN employed for three years full-time working in a healthcare setting;
and
b. Be an employee of the hospice.
2. Responsibilities – The registered nurse shall identify the patient/family’s physical,
psychosocial, and environmental needs and reassess as needed but no less
frequently than every 14-15 days:
a. Provide nursing services in accordance with the POC;
b. Document problems, appropriate goals, interventions, and patient/family
response to hospice care;
c. Collaborate with the patient/family, attending physician and other members of
the IDT in providing patient and family care;
d. Instruct patient/family in self-care techniques when appropriate;
e. Supervise ancillary personnel and delegate responsibilities when required;
f. Complete and submit accurate and relevant clinical notes regarding the patient’s
condition into the clinical record within one week of the visit;
g. Provide direct supervision of the Licensed Practical Nurse (LPN) in the home of
each patient seen by the LPN at least once a month;
h. Make supervisory visits to the patient’s residence at least every other week with
the aide alternately present and absent, to provide direct supervision, to assess
relationships and determine whether goals are being met. For the initial visit,
the RN must accompany/assist the nurse aide;
i. If a hospice aide is assigned to a patient by the RN, in accordance with the POC,
specific written instructions for patient care are to be prepared by the RN. All
personal care services are to be outlined for the patient, in writing, by the RN;
j. Document supervision, to include the hospice aide relationships, services
provided and instructions and comments given as well as other requirements of
the clinical note;
k. Document annual performance reviews for the hospice aide. This performance
review must be maintained in the individual’s personnel record; and
l. Attend hospice IDT meetings.