California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 6 - Home Health Agencies
Article 3 - Services
Section 74707 - Skilled Nursing Services

Universal Citation: 22 CA Code of Regs 74707

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The responsibilities of registered nurse staff shall include, but not be limited to, the following duties:

(1) Provide those services requiring nursing skills in accordance with the plan of treatment or the plan of care.

(2) Provide the initial nursing assessment prior to the provision of care, provide the ongoing periodic assessment of the patient and initiate preventative and rehabilitative nursing procedures.

(3) Notify the patient's attending physician, dentist, or podiatrist and other professional persons and responsible staff of significant changes in the patient's condition pursuant to Section 74697(d).

(4) Assist in coordinating all services provided.

(5) Prepare documentation and clinical notes.

(6) Educate and instruct the patient, patient's family, or staff as required. For licensed vocational nurses, this is limited to teaching patient information which is outlined in and consistent with the Licensed Vocational Nurse Practice Act.

(b) The responsibilities of licensed vocational nursing staff shall not include (a)(2) and (a)(4) of this section, but may include all other responsibilities identified in subsection (a).

(c) A registered nurse shall perform duties consistent with the Nursing Practice Act including the Standards of Competent Performance, Title 16, Chapter 14, Section 1443.5 of the California Code of Regulations. A registered nurse shall meet qualifications established by the home health agency for the services provided and any additional qualifications required by home health agency licensure regulations. Effective January 1, 1998, registered nurses providing services in a patient's temporary or permanent place of residence through a home health agency shall have one year prior professional nursing experience.

(d) A licensed vocational nurse shall perform duties consistent with the Vocational Nursing Practice Act. A licensed vocational nurse shall meet qualifications established by the home health agency for the services provided and any additional qualifications required by home health agency licensure regulations. Effective January 1, 1998, licensed vocational nurses providing services in a patient's temporary or permanent place of residence through a home health agency shall have one year prior professional nursing experience.

(e) The home health agency shall provide the services of registered nurses and licensed vocational nurses in sufficient quality and quantity to meet the needs of the patients accepted for care. The services of registered nurses and licensed vocational nurses shall be reviewed pursuant to the Quality Management requirements of Section 74742(b)(2).

1. Amendment of section heading, section and NOTE filed 4-28-95 as an emergency; operative 4-28-95 (Register 95, No. 17). A Certificate of Compliance must be transmitted to OAL by 8-28-95 or emergency language will be repealed by operation of law on the following day.
2. Amendment of section heading, section and NOTE refiled 8-14-95 as an emergency; operative 8-14-95 (Register 95, No. 33). A Certificate of Compliance must be transmitted to OAL by 12-12-95 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section heading, section and NOTE refiled 12-12-95 as an emergency; operative 12-12-95 (Register 95, No. 50). A Certificate of Compliance must be transmitted to OAL by 4-10-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section heading, section and NOTE refiled 4-11-96 as an emergency; operative 4-11-96 (Register 96, No. 15). A Certificate of Compliance must be transmitted to OAL by 8-9-96 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 4-28-95 order transmitted to OAL 8-7-96 and disapproved 9-19-96 (Register 96, No. 38).
6. Amendment of section heading, section and NOTE filed 9-19-96 as an emergency; operative 9-19-96 (Register 96, No. 38). A Certificate of Compliance must be transmitted to OAL by 1-17-97 or emergency language will be repealed by operation of law on the following day.
7. Editorial correction of HISTORY 6 (Register 97, No. 3).
8. Amendment of section heading, section and NOTE refiled 1-16-97 as an emergency; operative 1-16-97 (Register 97, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-16-97 or emergency language will be repealed by operation of law on the following day.
9. Amendment of section heading, section and NOTE refiled 5-15-97 as an emergency; operative 5-15-97 (Register 97, No. 20). A Certificate of Compliance must be transmitted to OAL by 9-12-97 or emergency language will be repealed by operation of law on the following day.
10. Certificate of Compliance as to 5-15-97 order, including amendment of section and NOTE, transmitted to OAL 8-26-97 and filed 10-8-97 (Register 97, No. 41).

Note: Authority cited: Sections 1734 and 100275, Health and Safety Code. Reference: Sections 1727(b) and 1734, Health and Safety Code.

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