Nursing Support Services

Nursing Support Services include:
A. Performance of an initial nursing assessment to include reviewing and identifying health needs, review of medical care and appointments, review of all physician orders, and identifying nursing needs to determine:
     a. whether the program participant requires continued or additional nursing tasks;
     b. the participants health needs require performance of nursing tasks, including administration of medication
    c. if tasks are delegable in accordance with the MBON regulations and
    d. if the participants nursing tasks are exempt from delegation in accordance with the MBON regulations.

B. Based on the initial nursing assessment, if the participant requires, and meets criteria to receive, Nursing Consultation services, then the registered nursing providing Nurse Consultation services must:
   a. Provide recommendations to the participant on how to have their health needs met in the community, including accessing health services available in the community and other community resources;
   b. Development or review of health care and emergency protocols for the participant, uncompensated caregivers for use in training the DSP; and
   c. Development or review of communication systems the participant may need to communicate effectively with health care providers, DSP’s, and uncompendated caregivers who work to ensure the health and safety of participants; and resources in the community that may be needed to support the participants health needs.

C. Based on the intial nursing assessment, if the participant requires, and meets criteria to receive, Health Case Management Services, the registered nurse providing Health Case Management services must:
   a. Provide recocommendations to the participant on how to have their health needs met in the community, including accessing health services available in the community and other community resources;
   b. Develop a nurse Care Plan and protocols regarding the particpants health needs; and
   c. Provide training to DSP’s on how to address the participants specific health needs, in accordance with the health care plans and protocols developed. 

D. If during the initial nursing assessment it is determined that the program participant requires Degation services, then the registered nurse will:
   a. Provide recocommendations to the participant on how to have their health needs met in the community, including accessing health services available in the community and other community resources;
   b. Develop a nurse Care Plan and protocols regarding the particpants health needs;
   c. Provide training to DSP’s on how to address the participants specifc health needs, in accourance with the health care plans and protocols developed;
   d. Monitor the DSP/CMT’s performan of delegated nursing tasks, including reviewing applicable documentation in accorance with applicable regulations and standars of nursing care;
   e. Complete a Nursing Assessments and review health data documented and reported by DSP, in accordance with applicable regulations and standards of nursing care; and
   f. Provide on-call service to DSP’s who are performing delegated nursing tasks, while delegation is occurring, for up to 24 hours per day, 365 days per year to address participants health in cases of emergency.
 

E. Review of the Health Risk Screening Tool (HRST) at Level 3 or above, on an annual basis and when any significant changes in the health of the participant occur;
 

F. Completion of the Medication Administration Screening Tool, on an annual basis and when any significant changes in the health occurs, to determine the level of support needed for medication administration.