Section 410 IAC 15-1.5-6 - Nursing serviceAuthority: IC 16-21-1-7
Affected: IC 16-21-1; IC 25-23-1-11
Sec. 6.
(a) The hospital shall have an organized nursing service that provides twenty-four (24) hour nursing services furnished or supervised by a registered nurse. The service shall have the following:(1) An organizational plan which delineates the responsibilities for patient care.(2) A nurse executive who is: (A) licensed under IC 25-23-1-11; and(B) responsible for the following: (i) The operation of the services, including, but not limited to, determining the types and numbers of nursing personnel and staff necessary to provide care for all patient care areas of the hospital.(ii) Maintaining a current nursing service organization chart.(iii) Maintaining current job descriptions with reporting responsibilities for all nursing staff positions.(iv) Ensuring that all nursing personnel meet annual in-service requirements as established by hospital and medical staff policy and procedure, and federal and state requirements.(v) Establishing the standards of nursing care and practice in all settings in which nursing care is provided in the hospital.(b) The nursing service shall have the following:(1) Adequate numbers of licensed registered nurses, licensed practical nurses, and other ancillary personnel necessary for the provision of appropriate care to all patients, as needed, to include the immediate availability of a registered nurse.(2) The service shall have a procedure to ensure that hospital nursing personnel, including nurse registry personnel for whom licensure is required, have valid and current licensure.(3) A registered nurse shall supervise and evaluate the care planned for and provided to each patient.(4) The nursing staff shall develop and utilize an ongoing individualized plan of care based on standards of care for each patient.(5) A registered nurse shall assign the care of each patient to nursing personnel in accordance with the patient's need and the specialized qualifications and competence of the nursing staff available.(6) All nursing personnel shall demonstrate and document competency in fulfilling assigned responsibilities.(c) Drugs and biologicals shall be prepared for administration and administered as follows: (1) By, or under the supervision of, a registered nurse or other qualified personnel.(2) In accordance with current federal and state laws.(3) In accordance with medical staff rules.(4) In accordance with the signed written orders of the practitioner or practitioners responsible for the patient's care. When verbal or telephone orders are used, they shall be accepted only by personnel that are authorized to do so by the medical staff rules.(5) In accordance with currently acceptable standards of practice.(6) As specified under section 7 of this rule.(d) Blood transfusions and intravenous medications shall be administered in accordance with state law and approved medical staff policies and procedures. If the blood transfusions and intravenous medications are administered by personnel other than physicians, the personnel shall have special training for these procedures in accordance with subsection (b)(6).(e) Emergency equipment and emergency drugs shall be available for use on all nursing units.Indiana State Department of Health; 410 IAC 15-1.5-6; filed Dec 21, 1994, 9:40 a.m.: 18 IR 1272; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR-410110253RFAReadopted filed 9/13/2017, 4:08 p.m.: 20171011-IR-410170339RFAReadopted filed 11/28/2023, 12:13 p.m.: 20231227-IR-410230639RFA