Section 144-118-10.F - Nursing Staff09/01/07 10.F.1. The facility shall utilize registered nurses as appropriate and as required by State law to perform the health services specified in this section.
09/01/07
a.There must be a registered nurse serving as director of nursing in each ICF/MR Nursing facility. Departmental approval must be obtained for less than forty (40) hours/week for Director of Nursing services. b. The facility shall have a contractual agreement with a registered nurse consultant to provide nursing services in an ICF/MR Group facility. 09/01/07
c.If the facility utilizes only licensed practical or vocational nurses to provide health services, it must have a formal arrangement with a registered nurse to be available for verbal or on-site consultation to the licensed practical or vocational nurse. A record must be kept of each consultation. 09/01/07 10.F.2. Non-licensed direct care staff in an ICF/MR Nursing facility must be certified nursing assistants, or be enrolled in an approved nurse aide training program. A CNA may perform duties only under the supervision of a licensed nurse.
10- 144 C.M.R. ch. 118, § 10.F