D.C. Mun. Regs. tit. 29, r. 29-704

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 29-704 - NURSES AND PHYSICIANS

704.1

Except as provided in § 704.2, the provider shall employ a registered nurse (RN) who shall be on the site daily for a minimum of four (4) scheduled hours.

704.2

If there are eighteen (18) participants or more, the registered nurse shall be on the site daily for eight (8) hours.

704.3

For day treatment programs providing services to the elderly, the registered nurse shall have at least two (2) years recent experience or specialized training in the care of the elderly.

704.4

For day treatment programs providing services to persons who are developmentally disabled, the registered nurse shall have specialized training or one (1) year of experience working with the developmentally disabled.

704.5

For day treatment programs offering services to individuals with mental disorders, the registered nurse shall have had specialized training in phychiatric mental health nursing or two (2) years of experience working in a psychiatric mental health setting.

704.6

The registered nurse shall enter in each participant's record written notes on a monthly basis, or more often if indicated, as a part of the participant's care plan. Assistance in this activity may be delegated to other nursing personnel.

704.7

The registered nurse shall coordinate the development and on-going review of each participant's individual care plan.

704.8

The responsibilities of the registered nurse shall include the following:

(a) Providing or supervising required program nursing services for each participant;

(b) Giving technical nursing supervision to other nursing personnel;

(c) Assisting, as necessary, in the delivery of other required program service; and

(d) Assisting in meeting the psycho-social needs of participants.

704.9

A physician shall be available to take professional responsibility for each participant's medication, emergency care, referral to a hospital or other appropriate facility, and all other medical and treatment decisions.

704.10

The physician shall approve, in writing, each participant's individual plan of care.

704.11

The physician shall be responsible for the following activities:

(a) Assisting in the development of the day treatment program's health policies;

(b) Participating in the multi-disciplinary team conferences;

(c) Consulting with the participant's personal physician when indicated; and

(d) Managing the delivery of all required medical services to ensure that needed services are provided in a timely manner by the appropriate personnel, consistent with each participant's plan of care.

D.C. Mun. Regs. tit. 29, r. 29-704

Final Rulemaking published at 31 DCR 326 (January 27, 1984)