Tenn. Comp. R. & Regs. 1200-01-01-.02

Current through June 26, 2024
Section 1200-01-01-.02 - MEDICAL CARE
(1) Physicians - Physician services shall be as follows:
(a) There must be a minimum of one (1) physician on duty at all times.
(b) The person proposing or holding an assembly shall employ one (1) physician for each 10,000 PEA. These physicians must agree to schedule so that there will be the following ratios around the clock for each consecutive eight hour period. The ratio of physicians per 10,000 per shift shall be:
1. 8 a.m. to 4 p.m. -0.4 physician per 10,000 PEA
2. 4 p.m. to 12 midnight -0.4 physician per 10,000 PEA
3. 12 midnight to 8 a.m. -0.2 physician per 10,000 PEA
(2) Nurses - Nursing services shall be as follows:
(a) There must be at least one (1) R.N. and one (1) L.P.N. on duty at all times.
(b) The person proposing or holding an Assembly shall employ two (2) R.N.'s and two (2) L.P.N.'s for each 10,000 for each consecutive eight hour period. The ratio of nursing staff per shift per 10,000 shall be:
1. 8 a.m. to 4 p.m. -0.8 R.N.'s, 0.8 L.P.N.'s
2. 4 p.m. to 12 midnight -0.8 R.N.'s, 0.8 L.P.N.'s
3. 12 midnight to 8 a.m. -0.4 R.N.'s, 0.4 L.P.N.'s
(c) The person proposing an Assembly shall present to the Commissioner evidence of employment by contractural arrangement or otherwise of each nurse by name and address and their Tennessee license number, along with the schedule of hours to be worked. Said evidence shall be filed with the application for license.
(3) Emergency Medical Technicians - EMT services shall be provided as follows:
(a) There must be at least two (2) EMT's on duty at all times.
(b) The person proposing or holding an Assembly shall employ one (1) EMT for each 10,000 PEA. The EMT personnel must agree to a schedule so that there will be the following ratios around the clock for each consecutive eight hour period. The ratio of EMT's per 10,000 per shift shall be:
1. 8 a.m. to 4 p.m. -0.4 EMT's per 10,000 PEA
2. 4 p.m. to 12 midnight -0.4 EMT's per 10,000 PEA
3. 12 midnight to 8 a.m. -0.2 EMT's per 10,000 PEA
(c) The person proposing an Assembly shall present to the Commissioner evidence of employment by contractural arrangement or otherwise of each EMT by name and address and their current Tennessee EMT Certification number, along with the schedule of hours to be worked. Said evidence shall be filed with the application for license.
(4) Back-up Medical Personnel - a person proposing or holding an Assembly shall show evidence of adequate back-up physicians, nurses and EMT's in addition to the medical personnel required in sections (1), (2), and (3) of these Regulations.

Tenn. Comp. R. & Regs. 1200-01-01-.02

Original Rule certified June 7, 1974. Rule Amended: filed December 13, 1974, effective January 12, 1975.

Authority: T.C.A. §53-105.