Ga. Comp. R. & Regs. 111-8-40-.12

Current through Rules and Regulations filed through December 24, 2024

Rule 111-8-40-.12 - Human Resources Management

The hospital shall select and organize sufficient qualified and competent personnel to meet patients' needs and in a manner appropriate to the scope and complexity of the services offered.

(a) The hospital shall establish and implement human resources policies and procedures to include at least:

1. Procedures for selecting qualified personnel;

2. A system for documenting the current licensure and/or certification status for those personnel whose positions or functions require such licensure or certification;

3. A system for assessing competency of all personnel providing health care services, on a time schedule defined by hospital policy; and

4. Policies and procedures regarding the hospital-approved method for identification of personnel to patients, other staff, and visitors.

(b)Written Job Descriptions. The hospital shall have a written description of responsibilities and job duties, with qualification requirements, for each position or job title at the hospital.

(c)Health Screenings. The hospital shall have in place a mechanism and requirement for initial, regular, and targeted health screenings of personnel who are employed or under contract with the hospital or providing patient care services within the hospital setting. The screening shall be sufficient in scope to identify conditions that may place patients or other personnel at risk for infection, injury, or improper care. The health-screening program shall be developed in consultation with hospital administration, medical staff, occupational health, and infection control/safety staff.

(d)Personnel Training Programs. The hospital shall have and implement a planned program of training for personnel to include at least:

1. Hospital policies and procedures;

2. Fire safety, hazardous materials handling and disposal, and disaster preparedness;

3. Policies and procedures for maintaining patients' medical records;

4. The infection control program and procedures; and

5. The updating of job-specific skills or knowledge.

(e) Personnel records shall be maintained for each employee of the hospital and shall contain, at a minimum:

1. The employment application or resume;

2. Dates of hire and position changes since hiring;

3. The job or position description(s) for the employee;

4. All evaluations of performance or competencies for the employee since the date of hire or at least the last five (5) years;

5. Credible evidence of current registration, licensure, or certification as required for that position by state law;

6. Evidence of completion of in-service training as required by hospital policy; and

7. Evidence of completion of any requirements of the occupational health program at the hospital.

Ga. Comp. R. & Regs. R. 111-8-40-.12

O.C.G.A. § 31-7-2.1.

Original Rule entitled "Human Resources Management" adopted. F. Feb. 20, 2013; eff. Mar. 12, 2013.