What can nurse practitioners do in the long-term care setting?
State and Federal guidelines regarding the delegation of tasks to NPs in the long-term care setting can be found in the Guidance to Surveyors – Long-term Care Facilities in the sections under Tag Number F385 – F397 (Regulation number ยง483.40 – Physician Services).The American Health Care Association publishes a book, The Long Term Care Survey, that has the regulations and guidance for surveyors. They have a website, http://www.minurses.org/apn/www.ahcabookstore.org and their address is 1201 L Street, NW: Washington, DC 20005. The NP may make every other required visit to the resident and may perform delegated tasks that fall within the scope of practice as defined by state law including examining the resident, reviewing the resident’s total program of care, writing progress notes and signing orders. A collaborative agreement must be in place between the NP and the primary/attending physician and the NP cannot be an employee of the long-term care facility. Typical Functions/Roles of a N
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