HAR §11-99-70
HAR §11-99-70. Nursing services
Cite as Haw. Code R. § 11-99-70
(a) Each facility
shall have nursing staff sufficient in number and
qualifications to meet the nursing needs of the
residents. There must be at least one registered nurse,
full time on the day shift and at least one licensed
nurse full time as needed whenever medications are
administered.
(b)
Nursing services shall include at least the
following:
(1)
Assessment of each resident and development
and implementation of an appropriate plan of
care.
(2)
A nursing care plan incorporated in the active
treatment plan and reviewed in conjunction
with this overall active treatment plan.
(3)
Nursing observations and summaries of the
resident's status recorded at least every
thirty days or more frequently in accord with
changes in the resident's condition.
(4)
Administration and recording of all
medications, and diets, and other orders
prescribed by the physician.
(5)
Restorative and preventive nursing care
including resident education as appropriate
for each resident.
(6)
Proper care to prevent or treat decubitis
ulcers and deformities.
(7)
Weighing each resident at least monthly and
height taken upon admission.
(8)
Restraints should be used only under a
physician's orders for specified and limited
periods of time and so documented.
(A)
If they are used in an emergency
situation, the attending physician shall
§11-99-70
be contacted immediately for orders
supporting the temporary need.
(B)
Regular observation and release of a
resident shall be required while
restraints are in use.
(C)
No restraints with locking devices shall
be used.
(D)
There shall be written policies and
procedures governing the use of
restraints.
(c)
There shall be an appropriately equipped
nurses' station in each unit. At a minimum it shall
include telephone, writing space, storage cabinets, and
medical record space.
(d)
There shall be a nurses' call system which
registers calls within hearing range and directly
visible by on-duty personnel.
(e)
There shall be appropriately equipped utility
rooms within each nursing unit or on each resident
floor. [Eff. April 29, 1985] (Auth: HRS §§321-9,
321-10, 321-11, 333-53) (Imp: HRS §333-53)