Section R432-152-17 - Nursing Services(1) The licensee shall provide nursing services in accordance with client needs that ensures: (a) nursing staff participation in the development, review and update of an individual program plan as part of the interdisciplinary team process;(b) the development, with a physician, of a medical care plan of treatment for a client if the physician has determined that an individual client requires such a plan; and(c) for those clients assessed to not need a medical care plan, a documented quarterly health status review by direct physical examination conducted by a licensed nurse including identifying and implementing nursing care needs as prescribed by the client's physician.(2) The licensee shall ensure nursing services staff coordinate with other members of the interdisciplinary team to implement appropriate protective and preventive health measures that include:(a) training clients and staff as needed in appropriate health and hygiene methods;(b) control of communicable diseases and infections, including the instruction of other personnel in methods of infection control; and(c) training direct care staff in detecting signs and symptoms of illness or dysfunction, first aid for accidents or illness and basic skills required to meet the health needs of the clients.(3)(a) The licensee shall ensure nursing practice and delegation of nursing tasks comply with Section R156-31b-701.(b) If the licensee utilizes only licensed practical nurses to provide health services, there shall be a formal arrangement for a registered nurse to provide verbal or on-site consultation to the licensed practical nurse.(c) The licensee shall ensure non-licensed staff who work with clients under a medical care plan shall be supervised by licensed nursing personnel.(4)(a) The administrator shall employ and designate, in writing, a nursing services supervisor.(b) The nursing services supervisor may be either a registered nurse or a licensed practical nurse.(c) The nursing services supervisor shall designate, in writing, a licensed nurse to be in charge during any temporary absence of the nursing services supervisor.(5) The nursing services supervisor shall: (a) establish a system to ensure nursing staff implement physician orders and deliver health care services as needed;(b) plan and direct the delivery of nursing care, treatments, procedures, and other services to ensure that each client's needs are met;(c) review each client's health care needs and orders for care and treatment;(d) review client individual program plans to ensure necessary medical aspects are incorporated;(e) review the medication system for completeness of information, accuracy in the transcription of physician's orders, and adherence to stop-order policies;(f) instruct the nursing staff on the legal requirements of charting and ensure that a nurse's notes describe the care provided and include the client's response;(g) teach and coordinate rehabilitative nursing to promote and maintain optimal physical and mental functioning of the client;(h) inform the administrator, attending physician and family of significant changes in the client's health status;(i) plan with the physician, family, and health-related agencies for the care of the client upon discharge;(j) develop, with the administrator, a nursing services procedure manual including procedures practiced in the facility;(k) coordinate client services through quality assurance and interdisciplinary team meetings;(l) respond to the pharmacist's quarterly medication report;(m) develop written job descriptions for levels of nursing personnel and orient new nursing personnel to the facility and their duties and responsibilities;(n) complete written performance evaluations for each member of the nursing staff at least annually; and(o) plan or conduct documented training programs for nursing staff and clients.Utah Admin. Code R432-152-17
Amended by Utah State Bulletin Number 2022-04, effective 1/31/2022Adopted by Utah State Bulletin Number 2024-01, effective 12/19/2023