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Nursing homes that participate in Medicare or Medi-Cal must complete and implement a baseline care plan for each resident within 48 hours of admission. 42 CFR 483.21(a). The purpose of the baseline care plan is to give initial instructions on necessary care until a comprehensive care plan is established.
The law says that the local authority must: Prepare a care and support plan, and give you a copy of that plan. This should happen within a reasonable time the law does not set a time limit. If your needs are complex, your plan may take longer to prepare.
The guidelines state the 48 hour baseline care plan must include the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care, including, but not limited to: initial goals based on admission orders, physician orders, dietary orders, therapy
Final answer: The healthcare professionals, especially the physician or nurse in charge of the patients care, are responsible for creating and following the patient care plan. Other members of the healthcare team, as well as the patient themselves, also play a role in following the care plan.
The Planning Standard of Practice is defined as, The registered nurse develops a collaborative plan encompassing strategies to achieve expected outcomes. Assessment data, diagnoses, and goals are used to select evidence-based nursing interventions customized to each patients needs and concerns.
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