Section R. 325.45379 - Nursing care servicesRule 379.
(1) Nursing care services must be based on assessment of the patient through a person-centered approach. Nursing care services must include, but are not limited to, personal care, restorative services, and patient treatments.(2) Personal care must be provided in accordance with the patients preferred schedule and meet all of the following patient needs: (a) Hygiene through washing, bathing, oral care, and application of hygiene products.(b) Grooming through haircare, shaving, and application of cosmetic products.(c) Mobility through walking and propelling, including transfer assistance and use of ambulation devices, if needed.(d) Incontinence and perineal care.(e) Clothing that is clean and appropriate for the season, temperature, and activity, including undergarments and proper footwear.(f) Nourishment provided through meals and supplementary fluids with the proper consistency and texture.(3) Restorative services must focus on maintaining a patients optimum level in the activities of daily living by providing all of the following:(a) Range of motion exercises.(b) Positioning and body alignment.(c) Preventative skin care.(d) Transfer and ambulation training.(e) Bowel and bladder training.(f) Training in activities of daily living, including eating, dressing, personal hygiene, and toilet activities.(4) Patient treatments must be modified in accordance with the response or request of the patient consistent with physician orders and in consultation with the nursing staff.(5) The nursing care facility shall have an inventory system for patient clothing and personal items addressing all of the following: (a) Marking and labeling clothing and personal items in a dignified and private manner.(b) Laundering and ironing of clothing.(c) Mending clothing, as necessary.(d) Separately storing each patients clothing.(e) A method to add or remove items from the patients clothing and personal items inventory.Mich. Admin. Code R. 325.45379
2020 MR 4, Eff. 2/21/2020