Director of Nurses Requirements for the State of Michigan
333.21720a Director of nursing;
nursing personnel; effective date of subsection (1); natural
disaster or other emergency.
Sec. 21720a. (1) A nursing home shall not
be licensed under this part unless that nursing home has on its
staff at least 1 registered nurse with specialized training or
relevant experience in the area of gerontology, who shall serve
as the director of nursing and who shall be responsible for
planning and directing nursing care. The nursing home shall
have at least 1 licensed nurse on duty at all times and shall
employ additional registered and licensed practical nurses in
accordance with subsection (2). This subsection shall not take
effect until January 1, 1980.
(2) A nursing home shall employ nursing
personnel sufficient to provide continuous 24-hour nursing care
and services sufficient to meet the needs of each patient in the
nursing home. Nursing personnel employed in the nursing home
shall be under the supervision of the director of nursing. A
licensee shall maintain a nursing home staff sufficient to
provide not less than 2.25 hours of nursing care by employed
nursing care personnel per patient per day. The ratio of
patients to nursing care personnel during a morning shift shall
not exceed 8 patients to 1 nursing care personnel; the ratio of
patients to nursing care personnel during an afternoon shift
shall not exceed 12 patients to 1 nursing care personnel; and
the ratio of patients to nursing care personnel during a
nighttime shift shall not exceed 15 patients to 1 nursing care
personnel and there shall be sufficient nursing care personnel
available on duty to assure coverage for patients at all times
during the shift. An employee designated as a member of the
nursing staff shall not be engaged in providing basic services
such as food preparation, housekeeping, laundry, or maintenance
services, except in an instance of natural disaster or other
emergency reported to and concurred in by the department. In a
nursing home having 30 or more beds, the director of nursing
shall not be included in counting the mini mum ratios
of nursing personnel required by this subsection.
(3) In administering this section, the
department shall take into consideration a natural disaster or
other emergency.
History: Add. 1978, Act 493, Eff. Mar. 30,
1979.
Popular name: Act 368 |
