15 Miss. Code. R. 16-1-45.4.1 - Nursing Facility
To be classified as a facility, the institution shall comply with the following staffing requirements:
1. Minimum requirements for nursing staff
shall be based on the ratio of two and eight-tenths (2.80) hours of direct
nursing care per resident per twenty-four (24) hours. Staffing requirements are
based upon resident census. Based upon the physical layout of the nursing
facility, the licensing agency may increase the nursing care per resident
ratio.
2. Each facility shall have
the following licensed personnel as a minimum:
a. Seven (7) day coverage on the day shift by
a registered nurse.
b. A
registered nurse designated as the Director of Nursing Services, who shall be
employed on a full time (five [5] days per week) basis on the day shift and be
responsible for all nursing services in the facility.
c. Facilities of one-hundred eighty (180)
beds or more shall have an assistant director of nursing services, who shall be
a registered nurse.
d. A
registered nurse or licensed practical nurse shall serve as a charge nurse and
be responsible for supervision of the total nursing activities in the facility
during the 7:00 a.m. to 3:00 p.m. and 3:00 p.m. to 11:00 p.m. shift. The nurse
assigned to the unit for the 11:00 p.m. to 7:00 a.m. shift may serve as both
the charge nurse and medication/treatment nurse. A medication/treatment nurse
for each nurses' station shall be required on all shifts. This shall be a
registered nurse or licensed practical nurse.
e. In facilities with sixty (60) beds or
less, the director of nursing services may serve as charge nurse.
f. In facilities with more than sixty (60)
beds, the charge nurse may not be the director of nursing services or the
medication/treatment nurse.
g. For
facilities providing care to ventilator dependent patients/residents, the
facility shall provide, on a twenty-four hour basis, an adequate number of
registered nurses and respiratory therapist(s) who are trained and competent to
take care of a ventilator dependent patient. Such training and the competency
evaluation must be conducted by a respiratory therapist or a pulmonologist and
records of said training maintained by the facility.
3. Non-Licensed Staff. The non-licensed staff
shall be added to the total licensed staff, to complete the required staffing
requirements.
4. There shall be at
least two (2) employees in the facility at all times in the event of an
emergency.
Notes
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No prior version found.