SECTION 262.8. Comprehensive Nursing Assessment

(a) An RN must complete a comprehensive nursing assessment of an individual in person:

(1) if the initial IPC includes a sufficient number of RN nursing units for the program provider's RN to perform a comprehensive nursing assessment as described in §262.103(o)(1) of this chapter (relating to Process for Enrollment of Applicants);

(2) if there is a significant change in an individual's health or functional status:

(A) that, based on a determination by the RN, will not normally resolve itself without further intervention; and

(B) requires review or revision of the IPC;

(3) at least annually if a nursing service is on the individual's renewal IPC;

(4) before an unlicensed service provider performs a delegated nursing task; and

(5) if the RN who completed the most recent comprehensive nursing assessment of the individual is no longer providing a nursing service to the individual, except as provided in subsection (b) of this section.

(b) The comprehensive nursing assessment required to be completed in accordance with subsection (a)(5) of this section does not have to be completed in person if:

(1) the comprehensive nursing assessment is not the annual comprehensive nursing assessment; and

(2) an unlicensed service provider is not performing a delegated nursing task or a health maintenance activity for the individual.

(c) An RN must document a comprehensive nursing assessment required by subsection (a) of this section using the HHSC Comprehensive Nursing Assessment form or a form that contains all of the same elements as the HHSC Comprehensive Nursing Assessment form.

Source Note: The provisions of this §262.8 adopted to be effective March 1, 2023, 48 TexReg 1055