Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 558 - LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES
Subchapter H - STANDARDS SPECIFIC TO AGENCIES LICENSED TO PROVIDE HOSPICE SERVICES
Division 4 - HOSPICE CORE SERVICES
Section 558.832 - Hospice Nursing Services
Current through Reg. 49, No. 38; September 20, 2024
(a) A hospice must provide nursing services by or under the supervision of an RN. An RN must ensure that the nursing needs of a client are met as identified in the client's initial assessment, comprehensive assessment, and updated assessments.
(b) An advanced practice nurse providing nursing services to a client and acting within the nurse's scope of practice may write orders for the client in accordance with a hospice's written policies and applicable State law, including the Texas Occupations Code Chapter 157, Authority of Physician to Delegate Certain Medical Acts; Texas Occupations Code Chapter 301, Nurses; and Texas Health and Safety Code Chapter 481, Texas Controlled Substances Act, and Chapter 483, Dangerous Drugs.
(c) A hospice may provide highly specialized nursing services under contract if the hospice provides such nursing services to a client so infrequently that providing them by a hospice employee would be impracticable and prohibitively expensive. A hospice may determine that a nursing service, such as complex wound care, infusion specialties, and pediatric nursing, is highly specialized by the nature of the service and the level of nursing skill required to be proficient in the service.
