481—53.9(135J) Nursing services. Nursing services shall be planned and provided or supervised by a registered nurse who has a current Iowa license to practice nursing. The service shall be available 24 hours a day, seven days a week.
	53.9(1) A registered nurse shall assess patient and family nursing needs and develop a nursing plan of care to meet these needs.
	53.9(2) The nursing service staff shall:
	a. 	Participate in IDT meetings to develop and amend the plan of care;
	b. 	Provide nursing service in accordance with the overall plan of care developed by the IDT;
	c. 	Consult with the patient and family regarding how to meet nursing and nursing-related needs of the patient;
	d. 	Document nursing care given and observations made regarding patient, family reactions and status;
	e. 	Consult with other care providers and the family to enhance continuity of care;
	f. 	Develop and implement nursing service objectives, policies and procedures; and
	g. 	Assign duties to nurses and hospice aides consistent with their education and experience.
	53.9(3) Persons who are employed by, volunteer with or work under contract to a licensed hospice organization may administer medications only if they are also a licensed nurse, a licensed physician or a certified medication aide.
This rule is intended to implement Iowa Code section 135J.3(2).
[ARC 6975C, IAB 4/5/23, effective 5/10/23]