Haw. Code R. § 17-1737-118 - Staffing standards
(a) For the purpose
of this section, each licensed nursing staff shall be counted as one. Each
subacute unit shall be under the supervision of a registered nurse twenty-four
hours a day.
(b) Subacute units
authorized to provide care to respirator or ventilator dependent patients shall
provide a minimum daily average of 9.0 nursing care hours of which 5.0 hours
shall be provided by the nursing staff. Where there is a mix of
ventilator-dependent and other patients, the facility shall provide no less
than 5.0 licensed and certified hours per patient per day. Subacute units
without ventilator patients shall employ sufficient licensed staff to provide a
minimum daily average of 5.0 licensed and certified nursing hours.
(c) The department may require a facility to
provide additional staff in accordance with subsection (b).
(d) Registered nurses and licensed practical
nurses shall have a minimum of six months experience (within the past two
years) in a direct participatory general acute care facility where the caseload
included patients requiring intensive care and the use of special equipment.
Completion of a department of human services approved subacute training course
may be substituted for this requirement.
(e) The experience stated in subsection (d)
or substitute clinical training for licensed nurses shall include respirator
and tracheostomy care, nasogastric tube and gastrostomy care, administration of
total parenteral nutrition and traction care. In addition, this requirement
shall be completed prior to treating subacute patients. Registered nurses shall
be certified by the facility to perform intravenous procedures and
cardiopulmonary resuscitation.
(f)
The facility shall provide documentation that all staff participating in direct
patient care, including the director of nursing, registered nurses, licensed
practical nurses, and nurse's aide staff have continuing in-service training
pertinent to the subacute level of care and shall make documentation available
upon request by the department of human services at the time of the facility
inspection.
Notes
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