Cal. Code Regs. Tit. 22, § 70214 - Nursing Staff Development
(a) There shall be a written, organized
in-service education program for all patient care personnel, including
temporary staff as described in subsection 70217(m). The program shall include,
but shall not be limited to, orientation and the process of competency
validation as described in subsection 70213(c).
(1) All patient care personnel, including
temporary staff as indicated in subsection 70217(m), shall receive and complete
orientation to the hospital and their assigned patient care unit before
receiving patient care assignments. Orientation to a specific unit may be
modified in order to meet temporary staffing emergencies as described in
subsection 70213(e).
(2) All
patient care personnel, including temporary staff as described in subsection
70217(m), shall be subject to the process of competency validation for their
assigned patient care unit or units. Prior to the completion of validation of
the competency standards for a patient care unit, patient care assignments
shall be subject to the following restrictions:
(A) Assignments shall include only those
duties and responsibilities for which competency has been validated.
(B) A registered nurse who has demonstrated
competency for the patient care unit shall be responsible for nursing care as
described in subsections 70215(a) and
70217(h)(3), and
shall be assigned as a resource nurse for those registered nurses and licensed
vocational nurses who have not completed competency validation for that
unit.
(C) Registered nurses shall
not be assigned total responsibility for patient care, including the duties and
responsibilities described in subsections 70215(a) and
70217(h)(3),
until all the standards of competency for that unit have been
validated.
(3) The
duties and responsibilities of patient care personnel who may be temporarily
re-directed from their assigned units are subject to the restrictions in (A),
(B), and (C) of subsection (a)(2) above.
(4) Orientation and competency validation
shall be documented in the employee's file and shall be retained for the
duration of the individual's employment.
(5) A rural General Acute Care Hospital, as
defined in Health and Safety Code Section
1250(a),
may apply for program flexibility pursuant to Section 70129 of this Chapter, to
meet the requirements of subsections 70214(a)(1) through (4) above, by
alternate means.
(b) The
staff education and training program shall be based on current standards of
nursing practice, established standards of staff performance as specified in
subsection 70213(c) above, individual staff needs and needs identified in the
quality assurance process.
(c) The
administrator of nursing services shall be responsible for seeing that all
nursing staff receive mandated education as specified in subsection (a) of this
Section.
(d) All staff development
programs shall be documented by:
(1) A record
of the title, length of course in hours, and objectives of the education
program presented.
(2) Name, title,
and qualifications of the instructor or the title and type of other educational
media.
(3) A description of the
content.
(4) A date, a record of
the instructor, process, or media and a list of attendees.
(5) Written evaluation of course content by
attendees.
Notes
Note: Authority cited: Sections 100275(a) and 1275, Health and Safety Code. Reference: Sections 1250(a) and 1276, Health and Safety Code.
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