048-22 Wyo. Code R. § 22-12 - Nursing Services

(a) The rehabilitation 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.

(b) Job descriptions delineating the qualifications, responsibilities, and duties for each category of nursing personnel shall be in writing and approved by the rehabilitation hospital administrator or his designee.

(c) 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.

(d) Medications shall be administered by a registered nurse, LPN, a certified medication aide (MA-C) if allowed by the rehabilitation 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.

(e) All medication orders shall be in writing and signed by the physician. Telephone orders shall be used sparingly, and shall be signed or initialed by the physician within forty-eight (48) hours.

(f) 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.

(g) 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 patient's;

(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.

(h) New employees shall be oriented to the rehabilitation hospital, nursing services, and their jobs.

(i) Planned inservice programs shall be conducted at regular intervals for all nursing personnel, and records which document the date, time, topic, outline of content, and individuals present.

Notes

048-22 Wyo. Code R. § 22-12