S.D. Admin. R. 44:76:06:01 - Nursing services
Each facility shall have an organized nursing service under the direction of a registered nurse. At least one registered nurse shall be on duty in the ambulatory surgery center at all times when a patient is in the facility. Written policies and procedures consistent with the standards of nursing practices shall be developed for the direction and guidance of nursing personnel. All licensed practical nurses and other nursing personnel involved in patient care shall be under the direct supervision of a registered nurse. When a general anesthetic is used, at least one registered nurse other than the individual administering anesthesia shall be available in each operating room during surgical procedures. Nursing personnel shall be familiar with the location and trained in the operation and use of emergency and resuscitative equipment. A facility shall maintain a sufficient number of nursing personnel on duty at all times to provide supervision of and nursing care for all patients. An unlicensed employee of a licensed facility may not accept any delegated skilled tasks from any nonemployed, noncontracted skilled nursing and therapy providers pursuant to SDCL chapters 36-9, 36-10, and 36-31. The perioperative registered nurse monitoring the patient receiving moderate sedation or analgesic shall have no other responsibilities that would require leaving the patient unattended or compromise continuous monitoring during the procedure. The perioperative registered nurse shall continuously monitor the patients heart rate and function via electrocardiogram; oxygenation using pulse oximetry; respiratory rate and adequacy of ventilation, blood pressure; level of consciousness, comfort level, and skin condition at regular intervals. Annually education and competency shall be completed for nursing staff responsible for moderate sedation.
Notes
General Authority: SDCL 34-12-13(7).
Law Implemented: SDCL 34-12-13(7).
Scope and standards of nursing practice -- Basic role, ยง 20:48:04:01.
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