Idaho Admin. Code r. 16.03.10.209

Current through September 2, 2024

Section 16.03.10.209 - PRIVATE DUTY NURSING: PROVIDER QUALIFICATIONS AND DUTIES

01.Primary RN Responsibility For PDN Redetermination. Primary RN responsibility for PDN redetermination is to submit a current plan of care to the Department at least annually or as the child's needs change. Failure to submit an updated plan of care to the Department prior to the end date of the most recent authorization will cause payments to cease until completed information is received and evaluated and authorization given for further PDN services. The plan of care must include all requested material outlined in Subsection 204.02 of these rules.

02.Physician Responsibilities. Physician responsibilities include:

a. Medical Information. Provide the Department the necessary medical information in order to establish the child's medical eligibility for services based on an EPSDT screen.

b. Order Services. Order all services to be delivered by the private duty nurse.

c. Sign Medical Plan of Care. Review, sign, and date child's Medical Plan of Care and orders at least annually or as condition changes.

d. Community Resources. Determine if the combination of PDN Services along with other community resources are sufficient to ensure the health or safety of the child. If it is determined that the resources are not sufficient to ensure the health and safety of the child, notify the family and the Department and facilitate the admission of the child to the appropriate medical facility.

03.Private Duty Nurse Responsibilities. RN supervisor or an RN providing PDN services responsibilities include:

a. Notify the physician immediately of any significant changes in the child's medical condition or response to the service delivery;

b. Notify the Department within forty-eight (48) hours or on the first business day following a weekend or holiday of any significant changes in the child's condition or if the child is hospitalized at any time;

c. Evaluate changes of condition;

d. Provide services in accordance with the nursing care plan; and

e. Must ensure copies of records are maintained in the child's home including:

i. The date;

ii. Time of start and end of service delivery each day;

iii. Comments on child's response to services delivered;

iv. Nursing assessment of child's status and any changes in that status per each working shift;

v. Services provided during each working shift; and

vi. The Medical Plan of Care signed by the physician, primary RN, the parent or legal guardian and a representative from the Department.

04.LPN Providers. LPN providers, document that oversight of services by an RN is in accordance with the Idaho Nursing Practice Act and IDAPA 23.01.01, "Rules of the Board of Nursing." RN Supervisor visits must occur at least once every thirty (30) days when services are provided by an LPN.

05.Ensure Health and Safety of Children. PDN providers must notify the physician if the combination of PDN Services along with other community resources are not sufficient to ensure the health or safety of the child.

Idaho Admin. Code r. 16.03.10.209

Effective March 17, 2022