048-12 Wyo. Code R. § 12-16 - Nursing Services
The hospital shall provide nursing services twenty-four (24) hours per day, seven (7) days a week. These services shall be supervised by a registered nurse.
(a) Job descriptions
delineating the qualifications, responsibilities, and duties for each category
of nursing personnel shall be in writing and approved by the hospital
administrator or her designee.
(b)
Personnel records, including the application and verification of credentials,
shall be maintained for each member of the nursing staff. Documentation shall
be maintained which verifies the current Wyoming licensure status for those
persons requiring licenses. Electronic verification must be evidenced in the
personnel file by hard copy.
(c)
Medications shall be administered by a registered nurse, LPN, a certified
medication aide (MA-C) if allowed by the hospital's policy, or a student nurse
in an approved school of nursing under the direct supervision of a registered
nurse. In all instances, this activity shall be in accordance with the Wyoming
Nurse Practice Act.
(d) All
medication orders shall be in writing and signed by the practitioner. Telephone
orders shall be used sparingly, and shall be signed or initialed by the
practitioner within forty-eight (48) hours.
(e) Blood transfusions and intravenous
medications shall be administered in accordance with state law. If administered
by a registered nurse and/or LPN, they shall be administered only by those who
have been specially trained.
(f)
There shall be monthly meetings of the nursing staff. Minutes of these meetings
shall be recorded.
(i) The minutes, when
appropriate, shall reflect:
(A) The purpose
of the staff meeting;
(B) Review
and evaluation of nursing care, ways of improving nursing services, discussion
of nursing care, and plans for individual patients;
(C) Consideration of specific nursing
techniques and procedures;
(D)
Establishment and/or interpretation of nursing services policies;
(E) Interpretation of administrative and
medical staff policies, reports of meetings, etc.; and
(F) The names of individuals attending the
meeting.
(g)
New employees shall be oriented to the hospital, nursing services, and their
jobs.
(i) Planned in-service
programs shall be conducted at regular intervals for all nursing personnel.
Records which document the date, time, topic, outline of content, and
individuals present shall be maintained.
Notes
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