Do individuals attending a day or vocational program need a nursing assessment and a nursing care plan (NCP)? Is there a need for a nursing assessment and NCP if there is no nursing delegation?
Clients attending a day or vocational program should be screened by the provider agency to identify the need for nursing intervention. It is recommended that a formal screening tool, such as the HRST, or another professionally accepted health screening tool, be completed by a licensed nurse or other appropriate provider representative to make a preliminary determination of the need for: a. an initial nursing assessment b. nursing care plan (NCP) c. health education d. nursing delegation When utilizing the HRST, the results, (along with the individuals medical history), should be reviewed by the RN for a final decision as to whether or not a nursing assessment is indicated. Individuals with chronic health conditions, while not requiring on-site nursing delegation, may still require individual education. Therefore, the nurse may determine that there is a need to provide health teaching or counseling to the unlicensed care provider, employer, or client. Subsequently, the educational healt
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