Nursing Services Requirements for the State of Kansas
NURSING SERVICES
28-39-154. Nursing services. Each nursing
facility shall have sufficient nursing staff to provide nursing
and related services to attain or maintain the highest
practicable physical, mental, and psychosocial well-being of
each resident as determined by resident assessments and
individual plans of care.
(a) Sufficient staff. The facility shall
employ sufficient numbers of each of the following types of
personnel to provide nursing care to all residents in accordance
with each resident's comprehensive assessment and care plan.
(1) The nursing facility shall employ
full-time a director of nursing who is a registered nurse. The
director of nursing shall have administrative authority over and
responsibility for the functions and activities of the nursing
staff.
(2) A registered nurse shall be on duty at
least eight consecutive hours per day, seven days per week. The
facility may include the director of nursing to meet this
requirement.
(3) A licensed nurse shall be on duty 24
hours per day, seven days per week.
(A) On the day shift there shall be the
same number of licensed nurses on duty as there are nursing
units.
(B) If a licensed practical nurse is the
only licensed nurse on duty, a registered nurse shall be
immediately available by telephone.
(4) At least two nursing personnel shall be
on duty at all times in the facility. Personnel shall be
immediately accessible to each resident to assure prompt
response to the resident call system and necessary action in the
event of injury, illness, fire, or other emergency.
(5) The nursing facility shall not assign
nursing personnel routine housekeeping, laundry, or dietary
duties.
(6) Direct care staff shall wear
identification badges to identify name and position.
(7) The nursing facility shall ensure that
direct care staff are available to provide resident care in
accordance with the following minimum requirements.
(A) Per facility, there shall be a weekly
average of 2.0 hours of direct care staff time per resident and
a daily average of not fewer than 1.85 hours during any 24 hour
period. The director of nursing shall not be included in this
computation in facilities with more than 60 beds.
(B) The ratio of nursing personnel to
residents per nursing unit shall not be fewer than one nursing
staff member for each 30 residents or for each fraction of that
number of residents.
(C) The licensing agency may require an
increase in the number of nursing personnel above minimum levels
under certain circumstances. The circumstances may include the
following:
(i) location of resident rooms;
(ii) locations of nurses' stations;
(iii) the acuity level of residents; or
(iv) that the health and safety needs of
residents are not being met.
(b) The nursing facility shall maintain
staffing schedules on file in the facility for 12 months and
shall include hours actually worked and the classification of
nursing personnel who worked in each nursing unit on each shift.
(Authorized by and implementing K.S.A.
39-932; effective Nov. 1, 1993; amended Feb. 21, 1997.) |
