An agency must adopt and enforce a written policy that specifies the agency's client care practices. The written policy must include the following elements if covered under the scope of services provided by the agency:
  (1) initial assessment, reassessment;
  (2) start of care, placing services on hold, transfer, and discharge;
  (3) intravenous services;
  (4) care of the pediatric client;
  (5) triaging clients in the event of disaster;
  (6) how to handle emergencies in the home;
  (7) safety of staff;
  (8) procedures the staff will perform for clients, such as dressing changes, Foley catheter changes, wound irrigation, administration of medication;
  (9) psychiatric nursing procedures;
  (10) patient and caregiver teaching relating to disease process/procedures;
  (11) care planning;
  (12) care of a client who has a terminal illness or a terminal prognosis;
  (13) receiving physician orders;
  (14) performing waived testing;
  (15) medication monitoring; and
  (16) anything else pertaining to client care.

Source Note: The provisions of this §558.281 adopted to be effective February 1, 2002, 26 TexReg 9159; amended to be effective June 1, 2006, 31 TexReg 1455; amended to be effective October 1, 2013, 38 TexReg 6645; transferred effective May 1, 2019, as published in the April 12, 2019, issue of the Texas Register, 44 TexReg 1893; amended to be effective April 25, 2021, 46 TexReg 2427