TX HHS Form 8009. ICF/IID Review of Comprehensive Nursing Assessment by RN (Example Form)

TX HHS Form 8009. ICF/IID Review of Comprehensive Nursing Assessment by RN (Example Form)

The TX HHS Form 8009, ICF/IID Review of Comprehensive Nursing Assessment by RN, is a practical tool for healthcare professionals to document reviews of an individual's physical health, support system, mental status, social functioning, and ability to perform daily living activities. This form helps solve the problem of ensuring that nursing service plans remain current and decisions are appropriate, particularly in situations where there have been temporary or permanent changes in the individual's condition.

The form requires documentation of events, including descriptions of changes, actions taken by the RN, and any necessary revisions to the nursing service plan. The RN is responsible for reviewing and updating the plan at least annually to verify that information remains current and decisions remain appropriate. Key features include the required information on date of event, description of event, action taken by RN, and change(s) in nursing service plan.

This form is typically used by registered nurses (RNs) to review and update comprehensive nursing assessments for individuals with intellectual or developmental disabilities (ICF/IID). The following are key points to consider when using this form:

  • Temporary or permanent changes in the individual's physical health, support system, mental status, social functioning, or ability to perform daily living activities.
  • Nursing service plan revisions based on changes in the individual's condition.
  • Annual reviews of the nursing service plan to verify information remains current and decisions remain appropriate.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/8000-8999/form-8009-icfiid-review-comprehensive-nursing-assessment-rn-example-form