6 Colo. Code Regs. § 1011-1 Chapter 08 Part 16

Current through Register Vol. 47, No. 11, June 10, 2024

Part 16 - Nursing Services, Specialized Care, and Social Services

16.1 Nursing Services

(A) The facility shall develop and implement written nursing policies and procedures that address the nursing needs of the residents.

(B) The facility shall have sufficient licensed nursing staff available to respond to the needs of the residents.

16.2 Specialized Care: A facility providing specialized care must meet the following requirements:

(A) For the purpose of this Chapter 8, specialized care includes:

(1) Catheter care;

(2) Ostomy care;

(3) Tracheostomy care;

(4) Breathing treatments;

(5) Oxygen saturation monitoring;

(6) Blood pressure monitoring;

(7) Preventive skin care including appropriate pressure relieving/reducing devices.

(B) There shall be a record of any specialized care prescribed by a physician or other practitioner and/or delegated by a registered nurse or licensed practical nurse.

(C) The provision of specialized care shall be documented by the staff providing the service.

(D) Specialized care may be provided by unlicensed staff only if it is allowed by state law and such staff has been trained by a person licensed, certified, or legally authorized to provide such services, and the unlicensed staff has been deemed competent to provide such services through direct observation by the person providing the training.

(1) All specialized care provided by trained, unlicensed staff shall be monitored by a registered nurse or licensed practical nurse in accordance with their practice act, but no less than quarterly, and annually by a person licensed, certified, or legally authorized to provide such services. Such monitoring shall be documented in the resident file and include:

(a) Observing the unlicensed staff performing the specialized care to ensure ongoing competency to provide such service;

(b) Reviewing to ensure care is being provided as prescribed; and

(c) Ensuring appropriate documentation of care by the individual providing the service, at the time the service was provided.

16.3 Social Services. The facility shall provide appropriate social services and/or care coordination to residents and families, and consultation to the staff.

6 CCR 1011-1 Chapter 08 Part 16