Section 410 IAC 16.2-6-3 - Nursing servicesAuthority: IC 16-28-1-7
Affected: IC 16-28-5-1
Sec. 3.
(a) Each child shall be given nursing care and supervision based on individual needs.(b) Nursing care shall include, but is not limited to, providing the following: (1) Each child shall be bathed or assisted to bathe as frequently as is necessary but at least daily, unless contraindicated by the physician.(2) Each child shall be dressed in clean clothing at least daily or more often as needed to keep the child clean.(3) Each child shall be given or assisted in oral care daily.(4) Each child shall be checked at least every two (2) hours and shall be given a diaper change and clothing change if soiled. Skin care shall be given with each diaper change to prevent pressure sores, heat rashes, or other skin breakdown.(5) A minimum of two (2) supervised play periods shall be provided daily. Each child shall be taken out of the bed for the play periods unless in the judgment of the charge nurse or physician it is contraindicated due to conditions or medical treatment.(6) Helpless children shall be protected from active children.(7) Each child shall be held or placed in a chair for feeding unless otherwise ordered by the attending physician.(c) The growth and development of each child shall be monitored and encouraged by the following: (1) Adopting food habits as near as possible to those of normal children.(2) Obtaining specific diet orders for each child that include the kind, consistency, and quantity of food required. Children shall receive solid foods whenever possible.(3) Evaluation of the diet order by the physician or dietitian at least every six (6) months.(4) Obtaining and recording the weight and height on admission.(5) Subsequent to admission, weights shall be taken and recorded monthly and height measured and recorded as ordered by the physician.(d) No child shall be restrained except to prevent injury to himself or others, and then, only upon the written order of the physician.(e) According to his needs, each child shall be taught the activities of daily living, including: (f) A program shall be provided for children to participate in daily living activity, that is, household tasks, which is not dangerous or injurious to the health or general welfare of the child.(g) For purposes of IC 16-28-5-1, a breach of:(1) subsection (d) is a deficiency;(2) subsection (b), (c), (e), or (f) is a noncompliance; and(3) subsection (a) is a nonconformance.Indiana State Department of Health; 410 IAC 16.2-6-3; filed May 2, 1984, 2:50 p.m.: 7 IR 1499; filed Jan 10, 1997, 4:00 p.m.: 20 IR 1585, eff Apr 1, 1997; 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 Sep 11, 2013, 3:19 p.m.: 20131009-IR-410130346RFAReadopted filed 11/13/2019, 3:14 p.m.: 20191211-IR-410190391RFA