Page 50 - Culture Change is QAPI Slides.pptx
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Physician services §483.30 (all Phase 1)
• Physician recommendation that an individual be admitted.
• Each resident must remain under the care of a physician.
•
A p p hy s i c i a n , p hy s i c i a n a s s i s t a n t , n u r s e practitioner, or clinical nurse specialist must provide orders for the resident’s immediate care and needs.
• New: Physicians can delegate dietary orders to dietitians and therapy orders to therapists.
Nursing services §483.35 (all Phase 1 but ...)
• New:Addsacompetencyrequirementfordetermining sufficient nursing staff based on a facility assessment, which includes but is not limited to the number of residents, resident acuity, range of diagnoses, and content of care plans. (Phase 3).
• Proficiency of nurse aides.
• Requirements for facility hiring and use of nursing aides.
• Non-permanent employees.
• Minimumcompetency.
• Registry verification.
• Multi-State registry verification.
• Requiredretraining.
• Regular in-service education.
