2. Authorized Nurse Visits Med set up Insulin syringe set up Diabetic nail care Monitor skin condition Evaluate advanced personal care aide Two nurse visits per year for a nurse assessment (Began April 1, 2004) 13 CSR 70-91.010(6)(D)

3. Any time an authorized nurse visit is made, the nurse shall also…… Evaluate the adequacy of the plan of care Review the plan of care with the recipient 13 CSR 70-91.010(6)(A)

4. Respite Basic Respite - client has non skilled need Advanced Respite – are maintenance and supervisory services provided to a client with non-skilled needs that requires specialized training Nurse Respite – client has special skilled needs 19 CSR 15-7.021(6)

5. Respite care services shall include: Supervision – assure the safety of the client and provide for their needs Companionship – provided during the client’s waking hours and make them comfortable Direct client assistance – provided to meet the needs of the client

6. Service Initiation Discontinuation

7. Service Initiation/Discontinuation Service Initiation – 7 days – Notification of case manager – 19 CSR 15-7.021(18)(K) Service Discontinuation – 21 days notice – Written notification of case manager – 19 CSR 15-7.021(16)(A)(B)(C)(D)