SECTION 748.571. What are the responsibilities of a registered nurse at an operation that provides services to a child with primary medical needs?

The responsibilities of a registered nurse include:

(1) Performing a nursing assessment of the child to include documentation of the child's diagnosed medical needs and selection of placement;

(2) Leading or participating in the service planning process for the child's care;

(3) Directing the health care training of unlicensed caregivers, such as care of a permanently placed feeding tube;

(4) Ensuring non-mobile children are turned every two hours to increase circulation and to prevent bedsores or contractures, unless medical orders are to the contrary. This procedure must be documented in the child's record;

(5) Reviewing medical records;

(6) Contacting other professionals, as needed, for the child's care;

(7) On-site visits for nursing assessments and child record reviews, including compliance with written physician orders;

(8) Monitoring the implementation of the child's service plan; and

(9) Documenting outcomes for interventions used in the child's care.

Source Note: The provisions of this §748.571 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909