Utah Admin. Code R432-500-9 - Director of Nursing Services

(1) Each licensee shall employ and designate in writing a director of nursing who is responsible for the supervision and direction of the nursing staff and the operating room suite.

(2) The licensee shall ensure the director of nursing is a registered nurse who is qualified by training or education to supervise nursing services.

(3) The director of nursing shall consult with the medical director to plan and direct the delivery of nursing care.

(4) The licensee shall ensure the director of nursing is responsible for:

(a) maintaining qualified health care personnel that are available and used as needed under the supervision of a registered nurse;

(b) ensuring a licensed nurse is on duty when patients are in the facility;

(c) maintaining the operating room register;

(d) reviewing and updating nursing care policies and procedures;

(e) ensuring that nursing documentation is recorded immediately and reflects an accurate description of care given;

(f) maintaining policies and procedures for pre-operative and post-operative care;

(g) ensuring post-operative instructions are in writing and are reviewed with the patient or other responsible person following surgery;

(h) supervising any non-physician direct patient care services, as defined in facility policy;

(i) reviewing identified problems with the medical director through quality assurance mechanisms and take appropriate action;

(j) ensuring patient care policies including admission and discharge policies are reviewed annually; and

(k) ensuring patient care policies are developed and revised by a group representing professionals involved in patient care.

Notes

Utah Admin. Code R432-500-9

Amended by Utah State Bulletin Number 2023-17, effective 8/10/2023