Minnesota Administrative Rules

4668.0825 DELEGATED NURSING SERVICES.

Subpart 1.

Scope.

This part applies to a class F home care provider licensee that provides nursing services delegated to unlicensed personnel.

Subp. 2.

Nursing assessment and service plan.

Before initiating delegated nursing services for a client, a registered nurse must conduct a nursing assessment of the client's functional status and need for nursing services and must develop a service plan for providing the services according to the client's needs and preferences. The service plan must include the frequency of supervision of the task and of the person providing the service for the client according to part 4668.0845. The service plan for delegated nursing services must be maintained as part of the service plan required under part 4668.0815.

Subp. 3.

Nursing services delegated to unlicensed personnel.

A registered nurse may delegate the nursing services specified in items A to I only to a person who satisfies the requirements of part 4668.0835 and possesses the knowledge and skills consistent with the complexity of the nursing task being delegated, only in accordance with Minnesota Statutes, sections 148.171 to 148.285. Nursing services that may be delegated are:

A.

performing assistance with self-administration of medication and medication administration according to part 4668.0855;

B.

performing routine delegated medical or nursing procedures, as provided under subpart 4;

C.

assisting with body positioning or transfer of a client;

D.

feeding a client who, because of the client's condition, is at risk of choking;

E.

assisting with bowel and bladder control, devices, and training programs;

F.

assisting with therapeutic or passive range of motion exercises;

G.

providing skin care, including full or partial bathing and foot soaks;

H.

during episodes of serious disease or acute illness, providing the following services or assisting a client to:

(1)

maintain the hygiene of the client's body and immediate environment;

(2)

satisfy nutritional needs;

(3)

assist with the client's mobility, including movement, change of location, and positioning;

(4)

bathe;

(5)

maintain oral hygiene;

(6)

dress;

(7)

care for hair;

(8)

use the toilet;

(9)

change bedding;

(10)

perform basic housekeeping; and

(11)

prepare meals; and

I.

providing central storage of medications, according to part 4668.0865.

Subp. 4.

Performance of routine procedures.

A person who satisfies the requirements of part 4668.0835, subpart 2, may perform delegated nursing procedures if:

A.

before performing the procedures, the person is instructed by a registered nurse in the proper methods to perform the procedures with respect to each client;

B.

a registered nurse specifies in writing specific instructions for performing the procedures for each client;

C.

before performing the procedures, the person demonstrates to a registered nurse the person's ability to competently follow the procedures;

D.

the procedures for each client are documented in the client's record; and

E.

the class F home care provider licensee retains documentation by the registered nurse regarding the person's demonstrated competency.

Subp. 5.

Information to determine delegation.

The licensee must establish and implement policies to communicate up-to-date information to the registered nurse regarding the current available unlicensed personnel and their training and qualifications, so the registered nurse has sufficient information to determine the appropriateness of delegating tasks in individual situations.

Subp. 6.

Schedule of fines.

For a violation of the following subparts, the stated fine shall be assessed:

A.

subpart 2, $250;

B.

subpart 3, $350;

C.

subpart 4, $350; and

D.

subpart 5, $350.

Statutory Authority:

MS s 144A.45

History:

24 SR 141; L 2006 c 282 art 19 s 19

Published Electronically:

July 3, 2013