Director of Nurses Requirements for the State of North Carolina
10A NCAC 13D
.2302 NURSING SERVICES
(a) The facility shall designate a
registered nurse to serve as the director of nursing on a
full‑time basis.
(b) The director of nursing shall be
responsible for the administering of nursing services.
(c) The director of nursing may serve also
as nurse-in-charge, only if the average daily occupancy is less
than 60.
(d) The director of nursing shall not
serve as administrator, assistant administrator or acting
administrator during an employment vacancy in the administrator
position.
History Note: Authority G.S. 131E‑104;
RRC objection due to lack of statutory authority Eff. July 13,
1995;
Eff. January 1, 1996.
10A NCAC 13D .2303 NURSE STAFFING
REQUIREMENTS
(d) Except for designated units with
higher staffing requirements noted elsewhere in this Subchapter,
daily direct patient care nursing staff, licensed and
unlicensed, shall equal or exceed 2.1 nursing hours per patient
per day. (This is sometimes referred to as nursing hours per
patient day or NHPPD or NH/PD.)
(1) Inclusive in these nursing hours is
the requirement that at least one licensed nurse is on duty for
direct patient care at all times.
(2) Nursing care shall include the
services of a registered nurse for at least eight consecutive
hours a day, seven days a week. This coverage can be spread
over more than one shift if such a need exists. The director of
nursing may be counted as meeting the requirements for both the
director of nursing and patient staffing for facilities with a
total census of 60 nursing beds or less.
(3) Nursing support personnel, including
ward clerks, secretaries, nurse educators and persons in
primarily administrative management positions and not actively
involved in direct patient care, shall not be counted toward
compliance with minimum daily requirements for direct care
staffing.
History Note: Authority G.S. 131E‑104;
Eff. January 1, 1996. |
