1. (a) A home health agency shall furnish nursing services in accordance with a plan of care by or under the supervision of a registered nurse licensed under AS 08.68. A registered nurse employed by a home health agency shall

   1. (1) assure that patient care is coordinated between services and that all of the patient's needs identified by the assessments are addressed;
   2. (2) conduct initial evaluation visits and re-evaluate nursing needs on an ongoing basis;
   3. (3) conduct in-depth and comprehensive assessments of a patient at acceptance and when significant changes occur in the patient's condition;
   4. (4) initiate a plan of care and make necessary revisions;
   5. (5) provide services requiring substantial and specialized nursing skill;
   6. (6) initiate appropriate preventive and rehabilitative nursing procedures;
   7. (7) implement patient teaching based on the patient's needs consistent with agency policies and procedures, including demonstration, supervision, and evaluation;
   8. (8) prepare clinical and progress notes;
   9. (9) prepare summaries of care;
   10. (10) inform the attending physician, advanced practice registered nurse, or physician assistant and inform other personnel of changes in the patient's condition and needs;
   11. (11) counsel each patient and the patient's family on how to meet the patient's nursing and related needs;
   12. (12) prepare a written summary of care and services in the event of patient transfer to another agency, hospital, or other health care setting;
   13. (13) supervise other nursing personnel;
   14. (14) participate in inservice training; and
   15. (15) if a patient is receiving care by a licensed practical nurse, review the plan of care and the nursing services every two weeks and document the review in the patient's clinical record.

2. (b) A licensed practical nurse licensed under AS 08.68 employed by a home health agency shall

   1. (1) furnish services in accordance with applicable state and federal law, agency policies and procedures, and the plan of care;
   2. (2) assist the physician and registered nurse in performing specialized procedures;
   3. (3) prepare equipment and materials for treatments observing required aseptic technique;
   4. (4) assist the patient in learning appropriate self-care;
   5. (5) consult the registered nurse in making judgments and decisions regarding care and services rendered; and
   6. (6) prepare clinical progress notes.

(Eff. 9/6/96, Register 139; am 5/14/2021, Register 238)

Authority: AS 18.05.040, AS 47.32.010, AS 47.32.030