When an individual client is discharged from the hospital, is there a requirement that the individual client be seen by the RN within 24 hours of discharge?
There is no regulation that specifies that a RN must see an individual client upon discharge from a hospital. However, under COMAR 10.27.11.03 D, when delegating a nursing task, the nurse shall make an assessment of the patients nursing care needs before delegating the task. In addition, the RN Standards of Practice COMAR 10.27.09 (I)(1) states the RN may delegate nursing tasks to individuals who are competent to perform the nursing tasks. The RN is accountable for practicing nursing in compliance with all Board statutes and regulations and exercising reasonable prudent judgment. The clinical status of the client, the reason for the hospital admission, and the discharge orders and instructions for the clients care -will dictate the timeliness with which the RN needs to see the client. An example may be a client returns to the agency at 7PM after having a bowel resection and hospital stay of 10 days with orders for tube feedings. A prudent nurse would assess the client for bowel sounds
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