HAR §11-96-25
HAR §11-96-25. Nursing service
Length: 277 wordsOfficial source
Cite as Haw. Code R. § 11-96-25
(a) Each program
shall have nursing staff sufficient in number and
qualifications to meet the needs of the clients.
(b)
Nursing services shall be under the
supervision of a registered nurse.
(c)
If there are clients admitted who require
skilled nursing, the services will be provided by a
registered nurse or under the direct supervision of a
registered nurse.
(d) Nursing services shall include, but not
96-
be limited to the following:
(1)
Nursing assessment of each client and
development of an appropriate plan of care
by a registered nurse;
(2)
Nursing observations and summaries of the
client's status recorded monthly, or more
frequently if appropriate, by a licensed
nurse;
(3)
Completion of all physician's orders with
proper documentation;
(4)
Supportive services for all clients to
encourage them to participate in appropriate
daily activities;
(5)
Physical
care
to
keep
clients
well-groomed,
clean,
comfortable,
and
protected from accidents and infections;
(6)
Proper
care
to
prevent
decubiti,
contractures or deformities;
(7)
Coordination of an overall plan of care
for
each
client,
consistent
with
the
physician's medical care plan and developed
by the various disciplines involved;
(8)
Frequent physical checks to insure that
all clients are present and accounted for;
(9)
Restorative and preventive nursing care
including client and family education as
appropriate for each client;
(10) Weighing each client at least monthly;
(11) Provision of emergency care, including
arrangements for transportation;
(12) Notification of the physician of any
marked changes in the client's condition;
and
(13) Administration
of
medications
or
monitoring
of
self-administration
of
medication by clients.
(e)
Nursing service space and beds shall be
provided for the treatment of clients.
[Eff ] (Auth: HRS §321-11)
(Imp: HRS §321-11)