Section R9-10-412. Nursing Services

A.      An administrator shall ensure that:

1.        Nursing services are provided 24 hours a day in a nursing care institution;

2.        A director of nursing is appointed who:

a.         Is a registered nurse,

b.        Works full-time at the nursing care institution, and

c.         Is responsible for the direction of nursing services;

3.        The director of nursing or an individual designated by the administrator participates in the quality management pro- gram; and

4.        If the daily census of the nursing care institution is less than 60, the director of nursing may provide direct care to residents on a regular basis.

B.       A director of nursing shall ensure that:

1.        A method is established and documented that identifies the types and numbers of nursing personnel that are nec- essary to provide nursing services to residents based on the residents’ comprehensive assessments, orders for physical health services and behavioral health services, and care plans and the nursing care institution’s scope of services;

2.        Sufficient nursing personnel, as determined by the method in subsection (B)(1), are on the nursing care insti- tution premises to meet the needs of a resident for nursing services;

3.        At least one nurse is present on the nursing care institu- tion's premises and responsible for providing direct care to not more than 64 residents;

4.        Documentation of nursing personnel present on the nurs- ing care institution's premises each day is maintained and includes:

a.         The date,

b.        The number of residents,

c.         The name and license or certification title of each nursing personnel member who worked that day, and

d.        The actual number of hours each nursing personnel member worked that day;

5.        The documentation of nursing personnel required in sub- section (B)(4) is maintained for at least 12 months after the date of the documentation;

6.        As soon as possible but not more than 24 hours after one of the following events occur, a nurse notifies a resident's attending physician and, if applicable, the resident's rep- resentative, if the resident:

a.         Is injured,

b.        Is involved in an incident that may require medical services, or

c.         Has a significant change in condition; and

7.        An unnecessary drug is not administered to a resident.

Historical Note

Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-412 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt

rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20

A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effec- tive July 1, 2014 (Supp. 14-2).