1. (a) A plan of care must be recommended, signed, and dated by the client's primary physician.

2. (b) A plan of care must meet the plan of care standards at Code of Federal Regulations, Title 42, §484.18, and §29.304 of this title (relating to Written Plan of Care) and must contain the following elements:

   1. (1) all pertinent diagnoses;
   2. (2) mental status;
   3. (3) types of services, including amount, duration, and frequency;
   4. (4) equipment required;
   5. (5) prognosis;
   6. (6) rehabilitation potential;
   7. (7) functional limitations;
   8. (8) activities permitted;
   9. (9) nutritional requirements;
   10. (10) medications;
   11. (11) treatments, including amount and frequency;
   12. (12) safety measures to protect against injury;
   13. (13) instructions for timely discharge or referral;
   14. (14) date the client was last seen by the primary physician;
   15. (15) other medical orders; and
   16. (16) current department form THSteps-CCP Private Duty Nursing Addendum to Plan of Care.

Source Note:The provisions of this §363.313 adopted to be effective March 31, 1999, 23 TexReg 13077; transferred effective September 1, 2002, as published in the Texas Register December 6, 2002, 27 TexReg 11527.