Haw. Code R. § 11-99-70 - Nursing services
(a) Each facility
shall have nursing staff sufficient in number and qualifications to meet the
nursing needs of the residents. There must be at least one registered nurse,
full time on the day shift and at least one licensed nurse full time as needed
whenever medications are administered.
(b) Nursing services shall include at least
the following:
(1) Assessment of each
resident and development and implementation of an appropriate plan of
care.
(2) A nursing care plan
incorporated in the active treatment plan and reviewed in conjunction with this
overall active treatment plan.
(3)
Nursing observations and summaries of the resident's status recorded at least
every thirty days or more frequently in accord with changes in the resident's
condition.
(4) Administration and
recording of all medications, and diets, and other orders prescribed by the
physician.
(5) Restorative and
preventive nursing care including resident education as appropriate for each
resident.
(6) Proper care to
prevent or treat decubitis ulcers and deformities.
(7) Weighing each resident at least monthly
and height taken upon admission.
(8) Restraints should be used only under a
physician's orders for specified and limited periods of time and so documented.
(A) If they are used in an emergency
situation, the attending physician shall be contacted immediately for orders
supporting the temporary need.
(B)
Regular observation and release of a resident shall be required while
restraints are in use.
(C) No
restraints with locking devices shall be used.
(D) There shall be written policies and
procedures governing the use of restraints.
(c) There shall be an appropriately equipped
nurses' station in each unit. At a minimum it shall include telephone, writing
space, storage cabinets, and medical record space.
(d) There shall be a nurses' call system
which registers calls within hearing range and directly visible by on-duty
personnel.
(e) There shall be
appropriately equipped utility rooms within each nursing unit or on each
resident floor.
Notes
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