Fla. Admin. Code Ann. R. 59A-3.243 - Nursing Services
Each hospital shall have a nursing department organized and staffed to provide quality nursing care to each patient. The relationship of the nursing department to other units of the hospital shall be documented by an organizational chart.
(1) The nursing
department shall have a written organizational plan that delineates lines of
authority, accountability and communication, and shall assure that the
following nursing management functions are fulfilled:
(a) Review and approval of policies and
procedures that relate to qualifications and employment of nurses.
(b) Establishment of standards for nursing
care and mechanisms for evaluating such care.
(c) Implementing approved policies of the
nursing department.
(d) Assuring
that a written evaluation is made of the performance of registered nurses and
ancillary nursing personnel at the end of any probationary period and at a
defined interval thereafter.
(2) The nursing department shall have written
standards of nursing practice and related policies and procedures to define and
describe the scope and conduct of patient care provided by the nursing staff.
These policies and procedures shall be reviewed annually, revised as necessary,
dated to indicate the time of the last review, signed by the responsible
reviewing authority, and enforced.
(3) The nursing department shall maintain a
list of licensed personnel, including private duty and per diem nurses, with
each individual's current license number, and documentation of the nurses'
hours of employment, and unit of employment within the hospital.
(4) Each hospital shall employ a registered
nurse on a full time basis who shall have the authority and responsibility for
managing nursing services and taking all reasonable steps to assure that a
uniformly optimal level of nursing care is provided throughout the hospital.
(a) The registered nurse shall be responsible
for ensuring that a review and evaluation of the quality and appropriateness of
nursing care is accomplished. The review and evaluation shall be based on
written criteria, shall be performed quarterly, and shall examine the provision
of nursing care and its effect on patients.
(b) The registered nurse shall ensure that
education and training programs for nursing personnel are available and are
designed to augment nurses' knowledge of pertinent new developments in patient
care and maintain current competence. Cardiopulmonary resuscitation training
shall be conducted as often as necessary, but not less than annually, for all
nursing staff members who cannot otherwise document their competence.
(c) The registered nurse shall be responsible
for determining the number of qualified registered nurses to be on duty at all
times. The number of qualified nurses shall be sufficient to ensure immediate
availability of a registered nurse for bedside care of any patient when needed,
to assure prompt recognition of an untoward change in a patient's condition,
and to facilitate appropriate intervention by nursing, medical or other
hospital staff members.
(5) The nursing process of assessment,
planning, intervention and evaluation shall be documented for each hospitalized
patient from admission through discharge.
(a)
Each patient's nursing needs shall be assessed by a registered nurse at the
time of admission or within the period established by each hospital's
policy.
(b) Nursing goals shall be
consistent with the therapy prescribed by the responsible member of the
organized medical staff.
(c)
Nursing intervention and patient response, and patient status on discharge from
the hospital, must be noted on the medical record.
(6) Each Class I and Class II hospital shall
have a minimum of one licensed registered nurse on duty at all times on each
nursing unit or similarly titled part of the hospital for rendering patient
care services.
Notes
Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS.
New 8-15-18.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.