Embed Size (px)
Citation preview
SB 1857SB 1857Training Follow-upTraining Follow-up
Grace WhiteDirector of Nursing
MHMR of Tarrant County
Where are we now???Where are we now???
o Trainings occurredo January 1, 2012 deadline for HCS1.Implementation plans2.LVN’s must have RN supervisor3.Written plan for comprehensive nursing
assessments by 9/1/20124.Provider advocate committeeo March 1, 2012o LVN on call pilot begins
Why these issues?Why these issues?
o Change really isn’t because of SB 1857, but because traditionally providers and DADS weren’t following the TAC rules mandated by the BON
o Allows providers to continue to use unlicensed staff to give medication
o Allows providers to continue to use LVN’s on call
Comprehensive assessmentsComprehensive assessments
o Nursing process toolkito http://www.dads.state.tx.us/providers/nsc
hanges/index.htmlo Nursing comprehensive assessment and
nursing care plano RN delegation worksheet o Nursing supervision formo Nursing special needs form for Unlicensed
Assistive Personnel
oComprehensive assessmentComprehensive assessment
o DADS doesn’t mandate the form, just the elements in the form
o This is Nursing 101 o 9/1/2012 – DADS - plan reasonable to your
programo Initial comprehensive assessment/ annual
update – don’t re-do the entire assessment each time
o Reassess for significant changeo Define – significant change -
Nursing service planNursing service plan
Nursing care plan IS the nursing service plan
An example of a completed nursing service plan is in the training materials at the end of the presentations
The nursing service plan is the IP for HCSWhat the RN uses to guide care, also
specific details in the plan are required for LVN on call pilot
PAC as the CRAPAC as the CRA
o Provider advocate committee acting as the Client Responsible Adult
o Develop as part of implementation plano Nurse/service coordinator/CEO designeeo Mandated form on DADS website
ICF changesICF changes
o RN’s must do initial and annual comprehensive assessments
o RN’s must do IDT meetings pertaining to above assessments and nursing service plans
o Quarterly nursing physical examso LVN supervisiono Training of individuals and staff by nurseso Different timeframe for assessments
TrainingTraining
o RN responsible for medication training of unlicensed staff
o RN responsible for competency of unlicensed staff to give medications under SB1857
o RN responsible for ongoing oversight and training and competency of the staff
o Re-do SAMS training - Example: Medication Management Training
o Policies – update!!!
LVN pilotLVN pilot
March 1, 2012Everyone must participate in data
collection componentMarch data entered into CARE April 30,
2012Listing of what should be in place by
March 1 to start pilot
Questions???Questions???
More Information letters are coming out for ICF
The FAQs and the notebooks for the training are good things to review for answers
DADS is gathering answers to questions submitted and will be getting those to us…
