Section 410 IAC 15-2.5-5 - Patient care servicesAuthority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 5.
(a) All patient care services must meet the needs of the patient, within the scope of the service offered, in accordance with acceptable standards of practice. Patient care services must be under the direction of a qualified person or persons. Patient care services must require the following: (1) That the patient care services rendered are reviewed and analyzed at regular meetings of patient care personnel and used as a basis for evaluating the quality of services provided.(2) That personnel with appropriate training are available at all times to handle possible emergencies involving patients of the center.(3) That a registered nurse serves as head nurse supervising patient care services personnel.(4) That all registered nurses and licensed practical nurses must be currently licensed in Indiana.(5) That an experienced registered nurse supervise all nursing personnel, including, but not limited to, registered nurses, licensed practical nurses, and surgical technologists, in surgical areas and recovery unit(s) as follows: (A) Licensed practical nurses and surgical technologists may serve as scrub personnel under the supervision of a qualified registered nurse.(B) Circulating duties in the operating room shall be performed by a qualified registered nurse. Licensed practical nurses and surgical technologists may assist in circulating duties under the supervision of a qualified registered nurse who is immediately available to respond to emergencies, in accordance with applicable state law and approved medical staff policies and procedures.(6) A registered nurse must be in attendance in the postanesthesia recovery room during its operational period when patients are present.(b) Written patient care policies and procedures shall be available to personnel and shall include, but not be limited to, the following:(1) Provision that a reliable method of patient identification must be used. Particular attention must be given to identification of infants, young children, and others unable to identify themselves.(2) A requirement that side rails be provided on recovery carts and kept in the upright position when occupied by sedated patients.(3) A provision for instruction(s) to be given to the patient, responsible adult, and/or family regarding follow-up care and transportation needed by the patient on discharge.(4) A provision that facilities, reusable equipment, and supplies shall be thoroughly cleaned and/or sterilized following use according to center policies and procedures.(5) A provision that all nursing personnel meet annual inservice requirements as established by center and federal and state requirements.(6) A provision that a registered nurse assigns the care of each patient to patient care personnel in accordance with the patient's need and the specialized qualifications and competence of the patient care personnel available.Indiana State Department of Health; 410 IAC 15-2.5-5; filed Dec 1, 1999, 3:44 p.m.: 23 IR 792; errata filed Feb 15, 2000, 8:05 a.m.: 23 IR 1657; readopted filed Jul 15, 2005, 8:00 a.m.: 28 IR 3661; 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