Nurse Care Management & Delegation

Nurse Case Management and Delegation Services

Our Registered Nurse will provide nurse case management services and delegate nursing tasks to Direct Support Professionals (DSP), as appropriate and in accordance with applicable regulations. Additionally, our Registered Nurse will ensure each individuals health conditions meet delegation criteria.  Services include:

  1.  Performance of an nursing assessment of each program participant identifying health, medical appointment, and nursing needs;

  2. Review of the Health Risk Screening Tool (HRST) at Level 3 or above, on an annual basis and when any significant changes in the health of the participant occur;

  3. Completion of the Medication Administration Screening Tool, on an annual basis and when any significant changes in the health occurs, to determine the level of support needed for medication administration;

  4. Review the program participant’s health services and supports every 45 days or when significant changes in health occur according to the Maryland Board of Nursing regulations;

  5. Recommend and communicate with the entire person-centered planning team for health care services that are available in the community;

  6. Develop of nursing care plans and protocols, that include:

    1. Administration of medications,

    2. Performance of medical and nursing treatments,

    3. ADL performance, and

    4. Identification and intervention in an emergency;

  7. Training, supervision, evaluation and remediation on all health services provided by the paid staff as identified in the Nursing Care Plans; 

  8. Monitor services delivered under delegation for compliance with the Nursing Care Plan; and,   

  9. Monitoring health data obtained by qualified support counselor and as directed in the Nursing Care Plan. 

 

Delegation of Nursing Tasks services includes:

  • Assessment of the needs and abilities of the program participant, DSP’s performance of delegated nursing tasks, and the environment of service or care delivery;

  • Delegation of nursing tasks to unlicensed qualified support counselors that may be Certified Medication Technicians (CMT), Certified Nursing Assistant (CNA), or other Unlicensed Assistive Personnel (UAP) in accordance with applicable Maryland Board of Nursing regulations; 

  • Training, supervision, and remediation of unlicensed direct care staff who provide health services under the delegation of the RN  as required by applicable Maryland Board of Nursing regulations; and,

  • On-call service to DSP’s who are performing delegated nursing tasks, while delegation is occurring, for up to 24 hours per day, 365 days per year as required by applicable Maryland Board of Nursing regulations.

Dr in the Community.jpeg
20200207_180519.jpg