(1) A registered
nurse (RN) will serve full-time as the Director of Nursing. The Director of
Nursing must have at least the following qualifications:
(a) Hold a current Florida registered nurse
license.
(b) Hold a current
certification in Cardiopulmonary Resuscitation (CPR).
(c) Have a minimum of two (2) years general
pediatric nursing experience of which at least six (6) months must have been
spent caring for medically fragile infants or children in a pediatric intensive
care, neonatal intensive care, PPEC or similar care setting during the previous
five (5) years.
(2) The
Director of Nursing is responsible for the daily operation of the PPEC
center.
(3) Registered nurse
staffing standards:
(a) The registered nurse
must have at least the following qualifications and experience:
1. Licensed as a registered nurse in Florida,
pursuant to Chapter 464, F.S.
2.
Current certification in CPR.
(b) The registered nurse staff must provide:
1. Nursing interventions; educational
services to increase the parent's or guardian's confidence and competence in
caring for the child with special needs; assistance to facilitate coping with
the effects of chronic illness on the child and family and support effective
relationships among siblings and the ill child; interventions to foster normal
development and psychosocial adaptation.
2. Information regarding availability and
access to community resources.
3. A
collaborative relationship with the interdisciplinary health
team.
(4)
Licensed practical nurse (LPN) staffing standards:
Licensed practical nurses working in a PPEC center must be
supervised by a registered nurse and have the following qualifications and
experience;
(a) Hold a current Florida
licensed practical nurse license pursuant to Chapter 464, F.S.; and
(b) Hold a current certification in
CPR.
(5) Direct care
personnel staffing standards. For the purposes of this subsection, other direct
care personnel include: nursing assistants, nursing assistants certified
pursuant to Chapter 464, F.S., patient care technicians, medical assistants,
Emergency Medical Technicians (EMT) or Paramedics licensed pursuant to Chapter
401, F.S., and individuals with training and experience in education, social
services or child care related fields.
(a)
Direct care personnel must meet the following requirements:
1. Have one (1) year experience in the care
of infants and toddlers,
2.
Employment references documenting skill in the care of infants or children,
and,
3. Hold a current
certification in CPR.
(b)
Direct care personnel must work under the supervision of the registered nurse
and be responsible for providing direct care to PPEC center
children.
(6) Total
staffing for nursing services and direct care must, at a minimum, meet the
following ratios:
|
Children
|
Total Staff
|
RN
|
RN or LPN
|
Direct Care, or Licensed Nurse (RN or LPN)
|
|
1
|
1
|
1
|
|
|
|
2-6
|
2
|
1
|
|
1
|
|
7-9
|
3
|
1
|
1
|
1
|
|
10-12
|
4
|
1
|
1
|
2
|
|
13-15
|
5
|
2
|
1
|
2
|
|
16-18
|
6
|
2
|
1
|
3
|
|
19-21
|
7
|
2
|
2
|
3
|
|
22-24
|
8
|
2
|
2
|
4
|
|
25-27
|
9
|
3
|
2
|
4
|
|
28-30
|
10
|
3
|
2
|
5
|
|
31-33
|
11
|
3
|
3
|
5
|
|
34-36
|
12
|
3
|
3
|
6
|
|
37-39
|
13
|
4
|
3
|
6
|
|
40-42
|
14
|
4
|
3
|
7
|
|
43-45
|
15
|
4
|
4
|
7
|
If the PPEC center has a census of more than 45 children, the
staffing must increase by one staff for every three (3) children alternating
between a direct care staff and licensed nurse.
Notes
Fla. Admin.
Code Ann. R. 59A-13.010
Rulemaking Authority 400.914(1) FS. Law Implemented
400.914(1)(d) FS.
New 3-8-89, Formerly
10D-102.010, Amended 6-22-06, Amended by
Florida
Register Volume 45, Number 248, December 24, 2019 effective
1/7/2020.
New 3-8-89, Formerly 10D-102.010, Amended 6-22-06,
1-7-20.