Section 7 AAC 12.517 - Nursing services(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) assure that patient care is coordinated between services and that all of the patient's needs identified by the assessments are addressed;(2) conduct initial evaluation visits and re-evaluate nursing needs on an ongoing basis;(3) conduct in-depth and comprehensive assessments of a patient at acceptance and when significant changes occur in the patient's condition;(4) initiate a plan of care and make necessary revisions;(5) provide services requiring substantial and specialized nursing skill;(6) initiate appropriate preventive and rehabilitative nursing procedures;(7) implement patient teaching based on the patient's needs consistent with agency policies and procedures, including demonstration, supervision, and evaluation;(8) prepare clinical and progress notes;(9) prepare summaries of care;(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) counsel each patient and the patient's family on how to meet the patient's nursing and related needs;(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) supervise other nursing personnel;(14) participate in inservice training; and(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.(b) A licensed practical nurse licensed under AS 08.68 employed by a home health agency shall (1) furnish services in accordance with applicable state and federal law, agency policies and procedures, and the plan of care;(2) assist the physician and registered nurse in performing specialized procedures;(3) prepare equipment and materials for treatments observing required aseptic technique;(4) assist the patient in learning appropriate self-care;(5) consult the registered nurse in making judgments and decisions regarding care and services rendered; and(6) prepare clinical progress notes.Eff. 9/6/96, Register 139; am 5/14/2021, Register 238, July 2021