Director of Nurses Requirements for the State of Montana
37.106.1120 MEDICAL ASSISTANCE
FACILITIES: NURSING SERVICES (1) A medical
assistance facility must have a nursing service that
provides 24-hour nursing services whenever a patient
is in the facility and that meets the following
standards:
(a) The director of nursing
services must be a licensed registered nurse and
must:
(i) Determine the types and
numbers of nursing personnel and staff necessary to
provide nursing care; and
(ii) Schedule adequate numbers
of licensed registered nurses, licensed practical
nurses, and other personnel to provide nursing care
as needed.
(b) A registered nurse must be
on duty at least eight hours per day, and the
director of nursing or another registered nurse
designated as the director's alternate must be on
call and available within 20 minutes at all times.
(History: Sec. 50-5-103, MCA; IMP, Sec.
50-5-101, 50-5-103 and 50-5-204, MCA; NEW, 1989 MAR p. 663, Eff.
4/28/89; TRANS, from DHES, 2002 MAR p. 185.)
37.107.1843 SPECIALTY MENTAL HEALTH
FACILITY: NURSING SERVICES (1) A specialty mental health
facility must provide 24-hour nursing services and meet the
following standards:
(a) The director of nursing services must
be a licensed registered nurse and must:
(i) determine the types and numbers of
nursing personnel and staff necessary to provide nursing care;
and
(ii) schedule adequate numbers of licensed
registered nurses, licensed practical nurses, and other
personnel to provide nursing care as needed.
(b) A registered nurse must be on duty at
least eight hours per day, and the director of nursing or
another registered nurse designated as the director's alternate
must be on call and available within 20 minutes at all times.
(History: Sec. 50-5-103, MCA; IMP, Sec.
50-5-103, MCA; NEW, 1991 MAR
Sec. 50-5-103, MCA; IMP,p. 2454, Eff.
12/13/91; TRANS, from DHES, 2002 MAR p. 185.)
FACILITY FOR EACH 24 HOUR PERIOD: STAFFING
(1) The following table indicates an
absolute minimum staffing pattern below which an acceptable
level of care and safety cannot be maintained. Even with this
staffing it would be difficult. Therefore, it is recommended
that the quantity and quality of staffing should be determined
by the administrator in consultation with his director of
nursing. This decision should be based on the nursing needs of
the patients and should reflect the current concepts of
restorative and geriatric care.
(History: Sec. 50-5-103 and 50-5-404, MCA;
IMP, Sec. 50-5-103, 50-5-204 and 50-5-
404, MCA; Eff. 12/31/72; TRANS, from DHES,
2002 MAR p. 185.)
TABLE FROM 37.106.605, FROM PAGE 115, STAFFING GRID |
