Ariz. Admin. Code § 9-10-214

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-214 - Nursing Services

A. An administrator shall ensure that:

1. Nursing services are provided 24 hours a day, and

2. A nurse executive is appointed who is qualified according to policies and procedures.

B. A nurse executive shall designate a registered nurse who is present on the hospital's premises to be accountable for managing the nursing services when the nurse executive is not present in the hospital.

C. A nurse executive shall ensure that:

1. Policies and procedures for nursing services are established, documented, and implemented;

2. An acuity plan is established, documented, and implemented that includes:

a. A method that establishes the types and numbers of nursing personnel that are required for each unit in the hospital;

b. An assessment of a patient's need for nursing services made by a registered nurse providing nursing services directly to the patient; and

c. A policy and procedure stating the steps a hospital will take to:

i. Obtain the necessary nursing personnel to meet patient acuity, and

ii. Make assignments for patient care according to the acuity plan;

3. Registered nurses, including registered nurses providing nursing services directly to a patient, are knowledgeable about the acuity plan and implement the acuity plan established under subsection (C)(2);

4. If licensed capacity in an organized service is exceeded or patients are kept in areas without licensed beds, nursing personnel are assigned according to the specific rules for the organized service in this Chapter;

5. There is at least one registered nurse on the hospital's premises whether or not there is a patient;

6. A general hospital has at least two registered nurses on the general hospital's premises when there is more than one patient;

7. A special hospital offering emergency services or obstetrical services has at least two registered nurses on the special hospital's premises when there is more than one patient;

8. A special hospital not offering emergency services or obstetrical services has at least one registered nurse and one other nurse on the special hospital's premises when there is more than one patient;

9. A rural general hospital with more than one patient has at least one registered nurse and at least one other nursing personnel member on the rural general hospital's premises. If there is only one registered nurse on the rural general hospital's premises, an additional registered nurse is on-call who is able to be present on the rural general hospital's premises within 15 minutes after being called;

10. If a hospital has a patient in a unit, there is at least one registered nurse present in the unit;

11. If a hospital has more than one patient in a unit, there is at least one registered nurse and one additional nursing personnel member present in the unit;

12. At least one registered nurse is present and accountable for the nursing services provided to a patient:

a. During the delivery of a neonate,

b. In an operating room, and

c. In a post-anesthesia care unit;

13. Nursing personnel work schedules are planned, reviewed, adjusted, and documented to meet patient needs and emergencies;

14. A registered nurse assesses, plans, directs, and evaluates nursing services provided to a patient;

15. There is a care plan for each inpatient based on the inpatient's need for nursing services; and

16. Nursing personnel document nursing services in a patient's medical record.

Ariz. Admin. Code § R9-10-214

Former Section R9-10-214 renumbered as R9-10-314 as an emergency effective February 22, 1979, new Section R9-10-214 adopted effective February 23, 1979 (Supp. 79-1). Section repealed; new Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Section R9-10-214 renumbered to R9-10-215; new Section R9-10-214 renumbered from R9-10-208 and amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014.