Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 69 - Assisted Living Programs
Rule 481-69.27 - Nurse Review
Universal Citation: IA Admin Code 481-69.27
Current through Register Vol. 47, No. 6, September 18, 2024
(1) If a tenant does not receive personal or health-related care, but an observed significant change in the tenant's condition occurs, a nurse review shall be conducted. If a tenant receives personal or health-related care, the program shall provide for a registered nurse:
a. To
monitor, at least every 90 days, or after a significant change in the tenant's
condition, any tenant who receives program-administered prescription
medications for adverse reactions to the medications and to make appropriate
interventions or referrals, and to ensure that the prescription medication
orders are current and that the prescription medications are administered
consistent with such orders; and
b.
To ensure that health care professionals' orders are current for tenants who
receive health care professional-directed care from the program; and
c. To assess and document the health status
of each tenant, to make recommendations and referrals as appropriate, and to
monitor progress relating to previous recommendations at least every 90 days
and whenever there are changes in the tenant's health status; and
d. To provide the program with written
documentation of the nurse review, showing the time, date and signature.
(2) A licensed practical nurse via nurse delegation may complete the tasks required by this rule, except when a tenant experiences a significant change in condition.
Note: Refer to Table A at the end of this chapter. If the program does not provide personal or health-related care to a tenant, nurse review is not required.
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