Director of Nurses Requirements for the State of Wisconsin
Subchapter VI -
Services
HFS 132.62 Nursing
services.
(2) NURSING
ADMINISTRATION. (a) Director of nursing
services in skilled care and intermediate
care facilities.
1. ‘Staffing
requirement.’ Every skilled care facility
and every intermediate care facility shall
employ a full−time director of nursing
services who may also serve as a charge
nurse in accordance with par. (b).
2. ‘Qualifications.’
The director of nursing services shall:
a. Be a registered
nurse; and
b. Be trained or
experienced in areas such as nursing service
administration, restorative nursing,
psychiatric nursing, or geriatric nursing.
3. ‘Duties.’ The
director of nursing services shall be
responsible for:
a. Supervising the
functions, activities and training of the
nursing personnel;
b. Developing and
maintaining standard nursing practice,
nursing policy and procedure manuals, and
written job descriptions for each level of
nursing personnel;
c. Coordinating nursing
services with other resident services;
d. Designating the
charge nurses provided for by this section;
e. Being on call at all
times, or designating another registered
nurse to be on call, when no registered
nurse is on duty in the facility; and
f. Ensuring that the
duties of nursing personnel shall be clearly
defined and assigned to staff members
consistent with the level of education,
preparation, experience, and licensing of
each.
(b) Charge nurses in
skilled care facilities and intermediate
care facilities. 1. ‘Staffing requirement.’
A skilled nursing facility shall have at
least one charge nurse on duty at all times,
and:
a. A facility with
fewer than 60 residents in need of skilled
nursing care shall have at least one
registered nurse, who may be the director of
nursing services, on duty as charge nurse
during every daytime tour of duty;
b. A facility with 60
to 74 residents in need of skilled nursing
care shall, in addition to the director of
nursing services, have at least one
registered nurse on duty as charge nurse
during every daytime tour of duty;
c. A facility with 75
to 99 residents in need of skilled nursing
care shall have, in addition to the director
of nursing services, at least one registered
nurse on duty as charge nurse during every
daytime tour of duty. In addition, the
facility shall have at least one registered
nurse on duty as charge nurse every day on
at least one other non−daytime tour of duty.
d. A facility with 100
or more residents in need of skilled nursing
care shall have, in addition to the director
of nursing services, at least one
registered nurse on duty as charge nurse at
all times.
e. An intermediate care
facility shall have a charge nurse during
every daytime tour of duty, who may be the
director of nursing.
2. ‘Qualifications.’
Unless otherwise required under this
paragraph, the charge nurses shall be
registered nurses or licensed practical
nurses, and shall have had specialized
training, or be acquiring specialized
training, or have had experience in areas
such as nursing service administration, restorative
nursing, psychiatric nursing, or geriatric nursing.
3. ‘Duties.’ a. The charge nurse, if a
registered nurse, shall supervise the nursing care of all
assigned residents, and delegate the duty to provide for the
direct care of specific residents, including administration of
medications, to nursing personnel based upon individual resident
needs, the facility’s physical arrangement, and the staff
capability.
b. The charge nurse, if a licensed
practical nurse, shall manage and direct the nursing and other
activities of other licensed practical nurses and less skilled
assistants and shall arrange for the provision of direct care to
specific residents, including administration of medications, by
nursing personnel based upon individual resident needs, the
facility’s physical arrangement, and the staff capability. A
licensed practical nurse who serves as a charge nurse shall be
under the supervision and direction of a registered nurse who is
either in the facility or on call.
(c) Nurses in intermediate care facilities.
1. An intermediate care facility with fewer than 60 residents
shall have at least one registered nurse or one licensed
practical nurse on duty during every daytime tour of duty. The
registered nurse may be the director of nursing services in
accordance with par. (a).
2. An intermediate care facility with 60 or
more residents shall have at least one registered nurse on duty
during every daytime tour of duty. The registered nurse may be
the director of nursing services in accordance with par. (a).
History: Cr. Register, July, 1982, No.
319, eff. 8−1−82; am. (2) (b) 2. and (c), r. (2) (d), Register,
January, 1987, No 373, eff. 2−1−87; am. (3) (a), Register,
February, 1989, No. 398, eff. 3−1−89; CR 04−053: am. (2) (a) 1.
and r. and recr. (3) (a) Register October 2004 No. 586, eff.
11−1−04. |
