1. (a) The nursing service shall, as a minimum:

   1. (1) Assess each participant to determine needs for personal care and assistance in activities of daily living such as bathing, grooming, toileting and eating; include these needs in the plan of care and supervise the provision of these services.
   2. (2) Specify short-term and long-term nursing goals in each individualized plan of care.
   3. (3) Document all skilled nursing care provided on the day the service is given and include quarterly signed and dated progress notes in each participant record.
   4. (4) Provide health education and counseling to the participant and family when indicated by the plan of care.
   5. (5) Provide assistance to the participant in obtaining medical services from providers other than adult day health staff.

   6. (6) Monitor, administer and record prescribed medications as follows:

      1. (A) Medication shall be given only on the prescriber's order.
      2. (B) Participants shall be identified prior to the administration of a drug.
      3. (C) Medication shall be administered within one hour of the prescribed time.
      4. (D) Time and doses of each drug administered must be recorded in the participant's record by the nurse who gave the drug.
   7. (7) Provide training in self-administration of medications to participants.
   8. (8) Provide liaison to the participant's personal physician.
   9. (9) Develop the nursing component in the plan of care for each participant capable of benefiting from a continence training program.
   10. (10) Provide observation and monitoring of health status.
   11. (11) Provide supportive and restorative nursing as indicated by the treatment plan.
2. (b) The nursing service shall provide a registered nurse or a licensed vocational nurse under the supervision of a registered nurse at the center during the hours the center is offering required services.
3. (c) A registered nurse shall be a member of the assessment team to assess the nursing needs of the participant and develop the nursing component of the individualized plan of care.
4. (d) Nursing service supplies and equipment shall meet the requirements of Section 78439 (a), Title 22, California Administrative Code.

Note: Authority cited: Chapter 1066, Statutes of 1977. Reference: Chapter 1066, Statutes of 1977.

History

1. Amendment of subsections (a)(3), (b), and (d) filed 9-19-79; effective thirtieth day thereafter (Register 79, No. 38).