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There are three components of Nursing Services: (Medical Management, Nursing Assessment, and Direct Services)
1. Medical Management These services will be provided by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensed in the state. Services are geared toward the development of health services support plans; training of direct support staff or family members to carry out treatment; monitoring of staff knowledge and competence to improve health outcomes; assistance with revision of health support plans in response to new or revised treatment orders or lack of positive outcomes of current supports by staff; monitoring/ assessment of the recipient’s condition in response to current health supports provided; and as needed assistance with referrals to other medical providers. This service includes professional observation and assessment, individualized program design and implementation, training of recipients and family members, consultation with caregivers and other agencies, and monitoring and evaluation of planning and service outcomes. The functions outlined for this service differs from case management in that this service relates directly to the medical needs of the individual. In addition, nurses may attend PCP team meetings and physician visits as needed to provide advocacy, resource information and recommendations to team and treating physicians in order to facilitate health supports.
2. Nursing Assesment This service will be completed by a RN to identify the needs, preferences, and abilities of the recipient. The assessment includes: an interview with the recipient; and/or their designated representative/LRI, an observation by the nurse to consider the symptoms and signs of condition, verbal and nonverbal communication skills, medical and social history, medication and any other information available.
3. Direct Services This service provides routine medical and health care services that are integral to meeting the daily needs of participants. This includes the routine administration of medication by nurses tending to the needs of participants who are ill and providing care to participants who have ongoing medical needs. Direct skilled nursing services are intended to be provided by an RN or LPN in a community setting, including home or work, as described and approved in the recipient’s PCP. LPNs must be under the supervision of a RN licensed in the state. Services include skilled medical care that is integral to meeting the daily medical needs of recipient. These services are intended to allow individuals to live safely within an integrated community setting.
There are three components of Nursing Services: (Medical Management, Nursing Assessment, and Direct Services)
1. Medical Management These services will be provided by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensed in the state. Services are geared toward the development of health services support plans; training of direct support staff or family members to carry out treatment; monitoring of staff knowledge and competence to improve health outcomes; assistance with revision of health support plans in response to new or revised treatment orders or lack of positive outcomes of current supports by staff; monitoring/ assessment of the recipient’s condition in response to current health supports provided; and as needed assistance with referrals to other medical providers. This service includes professional observation and assessment, individualized program design and implementation, training of recipients and family members, consultation with caregivers and other agencies, and monitoring and evaluation of planning and service outcomes. The functions outlined for this service differs from case management in that this service relates directly to the medical needs of the individual. In addition, nurses may attend PCP team meetings and physician visits as needed to provide advocacy, resource information and recommendations to team and treating physicians in order to facilitate health supports.
2. Nursing Assesment This service will be completed by a RN to identify the needs, preferences, and abilities of the recipient. The assessment includes: an interview with the recipient; and/or their designated representative/LRI, an observation by the nurse to consider the symptoms and signs of condition, verbal and nonverbal communication skills, medical and social history, medication and any other information available.
3. Direct Services This service provides routine medical and health care services that are integral to meeting the daily needs of participants. This includes the routine administration of medication by nurses tending to the needs of participants who are ill and providing care to participants who have ongoing medical needs. Direct skilled nursing services are intended to be provided by an RN or LPN in a community setting, including home or work, as described and approved in the recipient’s PCP. LPNs must be under the supervision of a RN licensed in the state. Services include skilled medical care that is integral to meeting the daily medical needs of recipient. These services are intended to allow individuals to live safely within an integrated community setting.
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