Current through November, 2024
Section 11-99-70 - Nursing services(a) Each facility shall have nursing staff sufficient in number and qualifications to meet the nursing needs of the residents. There must be at least one registered nurse, full time on the day shift and at least one licensed nurse full time as needed whenever medications are administered.(b) Nursing services shall include at least the following: (1) Assessment of each resident and development and implementation of an appropriate plan of care.(2) A nursing care plan incorporated in the active treatment plan and reviewed in conjunction with this overall active treatment plan.(3) Nursing observations and summaries of the resident's status recorded at least every thirty days or more frequently in accord with changes in the resident's condition.(4) Administration and recording of all medications, and diets, and other orders prescribed by the physician.(5) Restorative and preventive nursing care including resident education as appropriate for each resident.(6) Proper care to prevent or treat decubitis ulcers and deformities.(7) Weighing each resident at least monthly and height taken upon admission.(8) Restraints should be used only under a physician's orders for specified and limited periods of time and so documented. (A) If they are used in an emergency situation, the attending physician shall be contacted immediately for orders supporting the temporary need.(B) Regular observation and release of a resident shall be required while restraints are in use.(C) No restraints with locking devices shall be used.(D) There shall be written policies and procedures governing the use of restraints.(c) There shall be an appropriately equipped nurses' station in each unit. At a minimum it shall include telephone, writing space, storage cabinets, and medical record space.(d) There shall be a nurses' call system which registers calls within hearing range and directly visible by on-duty personnel.(e) There shall be appropriately equipped utility rooms within each nursing unit or on each resident floor.[Eff. APR 29, 1985] (Auth: HRS §§ 321-9, 321-10, 321-11, 333-53) (Imp: HRS § 333-53)