Nursing Services Requirements for the State of Georgia
290-5-8-.04 Nursing Service.
(1) A registered nurse shall be
employed full time as director of nursing services. She
shall not also be the administrator.
(2) The director of nursing services
shall normally be employed on the daytime shift and shall
devote full time to the administration of the nursing
service which includes a reasonable amount of time with all
nursing shifts.
(3) The director of nursing services
may also serve as the director of nursing services in
another facility in close proximity to the home provided she
has a registered nurse assistant who is assigned to each
facility full time as supervisor of nursing care. The
director's assistant shall devote full time to the
supervision of nursing care.
(4) There shall be at least one nurse,
registered, licensed undergraduate, or licensed practical on
duty and in charge of all nursing activities during each
eight-hour shift.
(5) There shall be sufficient nursing
staff on duty at all times to provide care for each patient
according to his needs. A minimum of 2.0 hours of direct
nursing care per patient in a 24-hour period must be
provided. For every seven (7) total nursing personnel
required, there shall be not less than one registered nurse
or licensed practical nurse employed. Dining assistants are
to be used to supplement, not replace, existing nursing
staff requirements and as such are not considered nursing
staff and are not to be included in computing the required
minimum hours of direct nursing care.
(6) The nursing staff shall be employed
for nursing duties only.
(7) There shall be sufficient qualified
personnel in attendance at all times to ensure properly
supervised nursing services to the patients, including
direct supervision of dining assistants in accordance with
these rules. This includes staff members dressed, awake and
on duty all night.
(8) All nursing care and related
services shall be carried out in accordance with the
facility's patient care policies. The lines of
administrative authority and supervisory responsibility
shall be clearly stated. Duties assigned to staff members
shall be clearly defined and consistent with their training
and experience. Policies and procedures governing nursing
care shall be assembled, available and understood by the
staff members and shall be the basis for staff education and
practice.
(9) An active in-service nursing education
program shall be in effect for all nursing personnel. This
program shall be developed and conducted by a registered nurse
who may be employed part-time and under the direction of the
director of nursing services.
(10) The in-service nursing educational
program shall be in writing and shall show the frequency of
training. Attendance and progress records shall be kept for each
person receiving instruction.
Authority O.C.G.A. Sec. 31-7-1 et seq.
History. Original Rule entitled “Nursing Service” adopted. F.
Oct. 26, 1976; eff. Nov. 15, 1976. Repealed: New Rule of same
title adopted. F. Aug. 19, 2004; eff. Sept. 8, 2004. |
