Minn. R. 4659.0180 - STAFFING
Subpart 1.
Definition. For purposes of this part "direct-care
staff1 means staff who provide services for
residents that include assistance with activities of daily living, medication
administration, resident-focused activities, supervision, and
support.
Subp. 2.
Clinical
nurse supervisor. The facility's clinical nurse supervisor may also
fulfill any of the responsibilities that a registered nurse is required to
perform at the facility under Minnesota Statutes, chapter 144G
Subp. 3.
Direct-care staffing; plan
required. A clinical nurse supervisor must develop and implement a
written staffing plan that provides an adequate number of qualified direct-care
staff to meet the residents needs 24-hours a day, seven-days a week. When
developing a direct-care staffing plan, the clinical nurse supervisor must
ensure that staffing levels are adequate to address the following:
A. each residents needs, as identified in the
residents service plan and assisted living contract;
B. each residents acuity level, as determined
by the most recent assessment or individualized review;
C. the ability of staff to timely meet the
residents scheduled and reasonably foreseeable unscheduled needs given the
physical layout of the facility premises;
D. whether the facility has a secured
dementia care unit; and
E. staff
experience, training, and competency.
Subp. 4.
Daily staffing
schedule.
A. The clinical nurse
supervisor must develop a 24-hour daily staffing schedule. The schedule must:
(1) include direct-care staff work schedules
for each direct-care staff member showing all work shifts, including days and
hours worked; and
(2) identify the
direct-care staff members resident assignments or work
location.
B. The daily
work schedule in item A must be posted at the beginning of each work shift in a
central location on each floor of the facility, accessible to staff, residents,
volunteers, and the public.
Subp.
5.
Direct-care staff availability. A minimum of two
direct-care staff must be scheduled and available at all times whenever a
resident requires the assistance of two direct-care staff for scheduled and
unscheduled needs.
Subp. 6.
Direct-care staff availability; night supervision. During the
hours of 10:00 p.m. to 6:00 a.m., direct-care staff shall respond to a
residents request for assistance with health or safety needs as soon as
possible, but no later than ten minutes after the request is made.
Notes
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No prior version found.