Nursing Services Requirements for the State of Michigan
333.21715 Programs of planned and
continuing nursing and medical care required; nurses and
physicians in charge; expiration of subsection (1)(a);
nature and scope of services.
Sec. 21715. (1) A nursing home
shall provide:
(a) A program of planned and
continuing nursing care under the charge of a registered
nurse in a skilled facility and a licensed practical
nurse with a registered nurse consultant in an
intermediate care facility. This subdivision shall
expire December 31, 1979.
(b) A program of planned and
continuing medical care under the charge of physicians.
(2) Nursing care and medical care
shall consist of services given to individuals who are
subject to prolonged suffering from illness or injury or
who are recovering from illness or injury. The services
shall be within the ability of the home to provide and
shall include the functions of medical care such as
diagnosis and treatment of an illness; nursing care via
assessment, planning and implementation; evaluation of a
patient's health care needs; and the carrying out of
required treatment prescribed by a physician.
History: 1978, Act 368, Eff. Sept.
30, 1978; - Am. 1978, Act 493, Eff. Mar. 30, 1979.
Popular name: Act 368
333.21720a Director of nursing;
nursing personnel; effective date of subsection (1);
natural disaster or other emergency.
Sec. 21720a. (1) A nursing home
shall not be licensed under this part unless that
nursing home has on its staff at least 1 registered
nurse with specialized training or relevant experience
in the area of gerontology, who shall serve as the
director of nursing and who shall be responsible for
planning and directing nursing care. The nursing home
shall have at least 1 licensed nurse on duty at all
times and shall employ additional registered and
licensed practical nurses in accordance with subsection
(2). This subsection shall not take effect until
January 1, 1980.
(2) A nursing home shall employ
nursing personnel sufficient to provide continuous
24-hour nursing care and services sufficient to meet the
needs of each patient in the nursing home. Nursing
personnel employed in the nursing home shall be under
the supervision of the director of nursing. A licensee
shall maintain a nursing home staff sufficient to
provide not less than 2.25 hours of nursing care by
employed nursing care personnel per patient per day.
The ratio of patients to nursing care personnel during a
morning shift shall not exceed 8 patients to 1 nursing
care personnel; the ratio of patients to nursing
care personnel during an afternoon shift shall not exceed
12 patients to 1 nursing care personnel; and the ratio of
patients to nursing care personnel during a nighttime shift
shall not exceed 15 patients to 1 nursing care personnel and
there shall be sufficient nursing care personnel available
on duty to assure coverage for patients at all times during
the shift. An employee designated as a member of the
nursing staff shall not be engaged in providing basic
services such as food preparation, housekeeping, laundry, or
maintenance services, except in an instance of natural
disaster or other emergency reported to and concurred in by
the department. In a nursing home having 30 or more beds,
the director of nursing shall not be included in counting
the minimum ratios of nursing personnel required by this
subsection. (3) In administering this section, the
department shall take into consideration a natural disaster
or other emergency.
History: Add. 1978, Act 493, Eff. Mar.
30, 1979.
Popular name: Act 368 |
