Wis. Admin. Code Department of Health Services § DHS 132.62 - Nursing services
(1) DEFINITIONS. "Nursing personnel" means
nurses, nurse aides, nursing assistants, and orderlies.
(2) NURSING ADMINISTRATION.
(a)
Director of nursing services in
skilled care and intermediate care facilities.
1. `Staffing requirement.' Every skilled care
facility and every intermediate care facility shall employ a full-time director
of nursing services who may also serve as a charge nurse in accordance with
par. (b).
2. `Qualifications.' The
director of nursing services shall be a registered nurse.
3. `Duties.' The director of nursing services
shall be responsible for:
a. Supervising the
functions, activities and training of the nursing personnel;
b. Developing and maintaining standard
nursing practice, nursing policy and procedure manuals, and written job
descriptions for each level of nursing personnel;
c. Coordinating nursing services with other
resident services;
d. Designating
the charge nurses provided for by this section;
e. Being on call at all times, or designating
another registered nurse to be on call, when no registered nurse is on duty in
the facility; and
f. Ensuring that
the duties of nursing personnel shall be clearly defined and assigned to staff
members consistent with the level of education, preparation, experience, and
licensing of each.
(b)
Charge nurses in skilled care
facilities and intermediate care facilities.
1. `Staffing requirement.' A skilled nursing
facility shall have at least one charge nurse on duty at all times, and:
a. A facility with fewer than 60 residents in
need of skilled nursing care shall have at least one registered nurse, who may
be the director of nursing services, on duty as charge nurse during every
daytime tour of duty;
b. A facility
with 60 to 74 residents in need of skilled nursing care shall, in addition to
the director of nursing services, have at least one registered nurse on duty as
charge nurse during every daytime tour of duty;
c. A facility with 75 to 99 residents in need
of skilled nursing care shall have, in addition to the director of nursing
services, at least one registered nurse on duty as charge nurse during every
daytime tour of duty. In addition, the facility shall have at least one
registered nurse on duty as charge nurse every day on at least one other
non-daytime tour of duty.
d. A
facility with 100 or more residents in need of skilled nursing care shall have,
in addition to the director of nursing services, at least one registered nurse
on duty as charge nurse at all times.
e. An intermediate care facility shall have a
charge nurse during every daytime tour of duty, who may be the director of
nursing.
3. `Duties.'
a. The charge nurse, if a registered nurse,
shall supervise the nursing care of all assigned residents, and delegate the
duty to provide for the direct care of specific residents, including
administration of medications, to nursing personnel based upon individual
resident needs, the facility's physical arrangement, and the staff
capability.
b. The charge nurse, if
a licensed practical nurse, shall manage and direct the nursing and other
activities of other licensed practical nurses and less skilled assistants and
shall arrange for the provision of direct care to specific residents, including
administration of medications, by nursing personnel based upon individual
resident needs, the facility's physical arrangement, and the staff capability.
A licensed practical nurse who serves as a charge nurse shall be under the
supervision and direction of a registered nurse who is either in the facility
or on call.
(3) NURSE STAFFING. In addition to the
requirements of sub. (2), there shall be adequate nursing service personnel
assigned to care for the specific needs of each resident on each tour of duty.
Those personnel shall be briefed on the condition and appropriate care of each
resident.
Notes
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