La. Admin. Code tit. 48 § I-8081

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8081 - Nursing Services

A. There shall be an organized nursing service that provides 24-hour nursing services. The nursing services shall be under the direction of a director of nursing, who is a registered nurse licensed to practice in Louisiana, employed full time by only one licensed agency. There shall be a similarly qualified registered nurse available to act in the absence of the director of nursing.

B. The CRCC facility shall have staff on the premises on a 24-hour a day, seven-day a week basis. There shall be a registered nurse on duty at all times when patients are in the facility. In addition, the facility shall provide nursing services sufficient to meet the total nursing needs of the patients in the facility. When there are no patients in the CRCC facility, the facility shall have a registered nurse on-call to be immediately available to the CRCC facility. The services provided must be in accordance with the patient's plan of care. Each shift shall include at least two direct patient care staff, one of which must be a registered nurse who provides direct patient care. The nurse to patient ratio shall be at least one nurse to every eight patients. In addition, there shall be sufficient number of direct patient care staff on duty to meet the patient care needs.

C. Written nursing policies and procedures shall define and describe the patient care provided.

D. Nursing services shall be either furnished and/or supervised by a registered nurse and all nursing services shall be evaluated by a registered nurse.

E. A registered nurse shall assign the nursing service staff for each patient in the CRCC facility. The CRCC facility shall provide 24-hour nursing services sufficient to meet the total nursing needs of the patient and which are in accordance with the patient's plan of care. Staffing shall be planned so that each patient receives treatments, medications and diet as prescribed, and is kept clean, well-groomed, and protected from accident, injury, and infection. Nursing services staff shall be assigned clinical and/or management responsibilities in accordance with education, experience and the current Louisiana Nurse Practice Act.

La. Admin. Code tit. 48, § I-8081

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 31:458 (February 2005).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2175.14(B).