Director of Nurses Requirements for the State of Massachusetts
150.007 Nursing Services
(B) Minimum Nursing Personnel
Requirements.
(1) General.
(b) One director of nurses may cover
multiple units of the same or different levels of care
within a single facility. One supervisor of nurses may
cover up to two units of the same or different levels of
care within a single facility.
(f) The supervisor of nurses and the
charge nurse, but not the director of nurses, may be counted
in the calculation of licensed nursing personnel.
(2) Facilities that provide Level I
care shall provide:
(a) A full-time director of nurses
during the day shift.
(b) A full-time supervisor of nurses
during the day shift, five days a week for facilities with
more than one unit. In facilities with a single unit, the
director of nurses may function as supervisor.
(3) Facilities that provide Level II
care shall provide:
(a) A full-time director of nurses.
(b) A full-time supervisor of nurses
during the day shift, five days a week for facilities with
more than one unit. In facilities with only a single unit,
the director of nurses may function as supervisor.
(5) Facilities that provide Level IV
care shall provide:
(d) If none of the responsible persons
on duty are licensed nurses, then the facility shall provide
a licensed consultant nurse, four hours per month per unit.
(In multiple level facilities the director or supervisor of
nurses may function in this capacity.)
(C) Qualifications and Duties.
(1) Director of Nurses: The Director
of Nurses shall be a registered nurse with at least two
years of nursing experience, at lest one of which has been
in an administrative or supervisory capacity. The director
of nurses shall be responsible for: development of the
objectives and standards of nursing practice and procedures,
overall management of nursing personnel, coordination of
nursing services, development of staff training programs,
and the evaluation and review of patient care and nursing
care practices.
In addition to the requirements above,
the Director of Nursing of a free-standing SNCFC must have
at least one year of nursing experience in pediatrics,
preferably with the developmentally disabled population.
(D) Nursing Care.
(2) Nursing Care Plan: In facilities
that provide Level I, II or III care, the nursing care shall
include a comprehensive, nursing care plan for each patient
developed by the nursing staff in relation to the patient's
total health needs.
(c) The plan shall be the responsibility
of the director or supervisor of nurses and shall be developed
in conjunction with the nursing staff and representatives of
other health disciplines where appropriate. |
