59MDWI46-102 governs telehealth nursing practice, operations, standards of care, protocols, documentation, and staff selection at the 59th Medical Wing.
View 59MDWI46-102 on armypubs.army.mil
The publication addresses telehealth delivery, staffing, clinical management, education and training, and risk management. It requires uniform procedures, approved decision support tools, encounter documentation, and competency training.
Applies to: This instruction applies to all military and/or civilian nurses who perform telehealth nursing duties and functions.
Use of secure messaging (i.e., MHS GENESIS patient portal) does not constitute a telehealth nursing encounter. (paragraph 3)
Telehealth nurses require a minimum of three (3) years experience in various clinical settings. (paragraph 3)
All nurses with or without previous telehealth experience will complete initial and unit-specific training if not completed previously. (paragraph 3)
On-going training will consist of no less than an annual in-service directed towards the approved protocols and current trends in telephone nursing practices. (paragraph 3)
Problems deemed to pose an imminent threat to life, limb or vision will be referred immediately to the nearest emergency department (ED). (paragraph 3)