ardeasnest

I am working in a private home as a PDN in Ohio along with another RN and LPN for a wealthy gentleman who is private pay only. Does anyone know where I get guidance regarding rules, regulations, and laws? I feel like I am flying by the seat of my pants. For example, we keep notes, but we don't chart q2 hours like we did at the hospital, especially when he is doing well and all we are providing is ADLs. We also don't chart meds individually or do vitals daily when he is well. We don't have a Nurse Care Plan, etc. We do operate under the guidance of his personal physician, but said physician never signs off on orders we take, etc. Granted such orders are for things like meds and blood draws for which he must write a script. Grateful for any guidance you all may have, especially as it relates to law. Thank you!!