D.C. Mun. Regs. tit. 22, r. 22-B3519
Each CRFPID shall ensure a designated primary care physician for each person.
Each CRFPID shall ensure that all persons have access to appropriate medical and health care providers of their person's choice, subject to the person's health insurance coverage.
The CRFPID shall ensure appropriate referral and follow-up to meet the routine, chronic and acute health care needs of the person and in accordance with the person's choice of provider.
The CRFPID must employ or arrange for licensed nursing services appropriate to care for person's health care needs, including persons with medical care plans, using the provider of the person's choice.
The CRFPID shall ensure that its staff responds immediately to emergencies and provides care and intervention in accordance with the CRFPID's policies and procedures.
The CRFPID shall ensure that a person's health records include the diagnosis of any current condition, and that any diagnoses are based on relevant, objective and accurate data, and are updated as necessary to reflect the person's current condition.
Verbal orders shall be transcribed onto a physician order form by a nurse and countersigned and dated by the physician within twenty-four (24) hours for all controlled substances and psychotropic medications, and within ten (10) calendar days for other drugs. The CRFPID shall retain a copy of the signed order in the person's record.
The CRFPID shall ensure that a person's primary care physician receives reports of recommendations or orders from all other health or medical specialists to whom the person is referred within twenty-four (24) hours or the next business day. The CRFPID shall retain a copy of the signed recommendations or orders in the person's record.
The person's physician or advanced practice nurse must develop in coordination with licensed nursing personnel a medical care plan of treatment for people, if the physician determines that a person requires twenty-four (24) hours of licensed nursing care. The plan must be integrated in the person's ISP and monitored by the nursing and medical team as appropriate.
A physician or registered nurse shall implement with other members of the IDT appropriate protective and preventive health measures that include, but are not limited to:
of other personnel in methods of infection control; and
The CRFPID must utilize registered nurses as appropriate and as required by District of Columbia law to perform the health services specified in this section.
If the CRFPID utilizes only licensed practical nurses to provide health services, it must have a formal arrangement with a registered nurse or nurse practitioner to be available for verbal or on-site consultation and supervision to the licensed practical nurse.
The CRFPID may utilize trained medication employees practicing under the scope of their certification in accordance with Title 17 of the District of Columbia Municipal Regulations Chapter 61 (17 DCMR Chapter 61).
Non-licensed nursing personnel who work with persons under a medical care plan must do so under the supervision of a licensed nurse or medical physician.
A registered nurse may only delegate nursing functions to a licensed practical nurse in accordance with the Nurse Practice Act of the District of Columbia. A registered nurse or licensed practical nurse may not delegate nursing functions other than those aspects of care which address activities of daily living to direct support staff.
D.C. Mun. Regs. tit. 22, r. 22-B3519