Nursing Services- Staff Ratio Requirements for the State
of New Mexico
F. STAFFING PATTERNS:
The assignment of the
nursing personnel required by this subsection to each tour of
duty shall be sufficient to meet each resident’s needs and
implement each resident’s comprehensive care plan.
(1) Nursing department personnel means, the
director of nursing, the assistant director of nursing, nursing
department directors, licensed nursing personnel, certified
nursing assistants, nursing assistants who have completed 16
hours or more of orientation and demonstrated competency and
restorative nursing assistants.
(2) The director of nursing, the assistant
director of nursing, and nursing department directors may be
counted towards the minimum staffing requirements only for the
time spent on the shift providing direct resident care services.
(a) A skilled nursing facility or facility
that offers intermediate and skilled nursing shall maintain a
nursing department minimum staffing level of two and a half
(2.5) hours per patient day calculated on a seven (7) day
average.
(b) An intermediate care facility shall
maintain a nursing department minimum staffing level of two and
three-tenths (2.3) hours per patient day calculated on a seven
(7) day average.
(c) Within one hour of shift change,
facilities shall post the number of nursing personnel on duty in
a conspicuous and consistent location for public review. Shifts
are informally defined as the day shift, evening shift, and
night shift. Employees working variations of these shifts shall
be included within the shift count where a majority of the hours
fall. EXAMPLE: For a facility with 100 patients, 2.3 hours per
patient day averages one nursing department employee on duty for
approximately every 10 to 11 patients. For a facility with 100
patients, 2.5 hours per patient day averages one nursing
department employee for every 9 to 10 patients. These are daily
averages that will vary from shift to shift so that actual
staffing might approximate:
2.3 Hours Per Patient Day
2.5 Hours Per Patient Day
Day
Shift 1 staff for 8 patients 1
staff for 7 patients
Evening
Shift 1 staff for 10 patients 1 staff
for 10 patients
Night
Shift 1 staff for 13 patients 1 staff
for 12 patients
[7-1-60, 5-2-89; 7.9.2.51 NMAC – Rn & A, 7
NMAC 9.2.51, 8-31-00]
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