Ga. Comp. R. & Regs. R. 111-8-40-.21 - Nursing Services
The hospital shall have an organized nursing service that provides twenty-four (24) hour nursing care to meet the needs of patients. Critical access hospitals are exempted from providing on-site twenty-four (24) hour nursing care when there are no hospitalized patients.
(a)
Organization of Nursing Services.
The hospital's nursing services shall be directed by a licensed
registered nurse who shall be responsible for implementing a system for
supervision and evaluation of nursing clinical activities.
1. The chief nurse executive shall establish
and implement policies and procedures for nursing services based on generally
accepted standards of practice including the evaluation of the effectiveness of
the services in coordination with the hospital's quality management
program.
2. The chief nurse
executive shall be responsible for ensuring that nursing personnel are oriented
to nursing policies and procedures.
3. Nursing services shall have and follow a
written plan for organization, administrative authority, delineation of
responsibilities for patient care, and staff qualifications and competencies.
(i) The nursing service plan shall include
the types and numbers of nursing personnel necessary to provide appropriate
nursing care for each patient in the hospital.
(ii) Specialty areas shall specify nursing
requirements for their areas that also define any special nursing competency
requirements, staffing patterns based on patient acuity, and the required ratio
of nurses to technical staff.
(iii)
A system of patient assignment shall be defined which reflects a consideration
of patient needs and nursing staff qualifications and competencies.
(b)
Delivery of
Nursing Services. Nursing services must be delivered in accordance with
patients' needs and generally accepted standards of practice.
1. A license registered nurse must be on duty
at all times to provide or supervise the provision of care. Critical access
hospitals are permitted some flexibility in meeting this requirement as set
forth in Rule
111-8-40-.38.
2. Within the first twelve (12) hours after
admission, a basic nursing assessment shall be completed for each patient and a
plan of care initiated.
3. The
patient's condition shall be monitored by nursing staff on a schedule
appropriate to the patient's needs.
4. Nursing staff shall be responsible for
updating the patient's plan of care based on any changes in the patient's
condition.
5. Nursing staff
administering drugs and biologicals shall act in accordance with the orders
from the medical staff responsible for the patient's care, generally accepted
standards of practice, and any federal and state laws pertaining to medication
administration.
6. Nursing staff
shall report medication administration errors and adverse drug reactions in
accordance with established hospital policies.
7. Blood transfusions and other blood
products shall be administered by licensed nursing staff or other qualified
practitioners as authorized by law in accordance with established hospital
policies, which shall include, at a minimum, the following:
(i) Obtaining and documenting appropriate
patient consent to treatment and procedures, as required;
(ii) Responding to and reporting of
transfusion reactions;
(iii)
Monitoring patients appropriately; and
(iv) Designating personnel qualified to
perform these procedures.
Notes
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No prior version found.