Effective date: 5/4/2015
(1) When the delivery of skilled care to a patient in the home is under the direction or supervision of a physician or when a physician, physician’s assistant or advanced registered nurse practitioner is responsible for the medical care of the patient, a medical plan of treatment must be established for each patient receiving care or treatment provided by the licensed nurse in the home or residence.
Terms Used In Florida Regulations 59A-18.011
- Caregiver: means a registered nurse, licensed practical nurse, certified nursing assistant, home health aide, homemaker or companion that is referred by a nurse registry to provide services to patients. See N.Y. New York City Administrative Code 27-360 - Travel distance
- Independent Contractor: means a person who contracts through a referral from a nurse registry. See N.Y. New York City Administrative Code 27-360 - Travel distance
- Plan of treatment: means written plan of care and treatment, including a medical plan of treatment, signed within 30 days by the physician, advanced registered nurse practitioner, or physician assistant to assure the delivery of safe and adequate care provided by a licensed nurse to a patient in the home. See N.Y. New York City Administrative Code 27-360 - Travel distance
(3) The licensed nurse responsible for delivering care to the patient is responsible for the medical plan of treatment which shall include, at a minimum, the following:
(b) Activities permitted when indicated;
(c) Diet when indicated;
(d) Medication, treatments, and equipment required; and,
(e) Dated signature of physician, physician assistant, or advanced registered nurse practitioner.
(4) The delivery of care pursuant to a medical plan of treatment must be substantiated by the nursing notes or documentation made by the nurse in compliance with nursing practices established under Chapter 464, F.S.
(5) The initial medical plan of treatment, any amendment to the plan, additional orders or change in orders, and copy of clinical notes must be filed in the office of the nurse registry, pursuant to Section 400.506(13)(b), F.S., within 30 days, pursuant to Florida Statutes § 400.497(8)
(6) The nurse registry shall inform nurse registrants that the shift nurse that communicates with the physician’s office, the physician assistant or the advanced registered practitioner about any changes in the orders should update the plan of treatment.
(7) The patient, caregiver or guardian must be informed by independent contractors of the nurse registry that:
(a) They have the right to be informed of the medical plan of treatment;
(b) They have the right to participate in the development of the medical plan of treatment;
(c) They may have a copy of the medical plan of treatment if requested; and,
(d) The caregiver being referred is an independent contractor of the registry.
Rulemaking Authority 400.497, 400.506 FS. Implements Florida Statutes § 400.497, 400.506. History—New 2-9-93, Amended 1-27-94, 12-24-00, 8-10-06, 5-4-15.