| (a) An RN must complete a comprehensive nursing assessment
of an individual in person:
(1) if the initial IPC includes a sufficient number
of RN nursing units for the program provider's RN to perform a comprehensive
nursing assessment as described in §263.104(k)(9) of this chapter
(relating to Process for Enrollment of Applicants);
(2) if there is a significant change in an individual's
health or functional status:
(A) that, based on a determination by the RN, will
not normally resolve itself without further intervention; and
(B) requires review or revision of the IPC;
(3) at least annually if a nursing service is on the
individual's renewal IPC;
(4) before an unlicensed service provider performs
a delegated nursing task; and
(5) if the RN who completed the most recent comprehensive
nursing assessment of the individual is no longer providing a nursing
service to the individual, except as provided in subsection (b) of
this section.
(b) The comprehensive nursing assessment required to
be completed in accordance with subsection (a)(5) of this section
does not have to be completed in person if:
(1) the comprehensive nursing assessment is not the
annual comprehensive nursing assessment; and
(2) an unlicensed service provider is not performing
a delegated nursing task or a health maintenance activity for the
individual.
(c) An RN must document a comprehensive nursing assessment
required by subsection (a) of this section using the HHSC Comprehensive
Nursing Assessment form or a form that contains all of the same elements
as the HHSC Comprehensive Nursing Assessment form.
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