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Title: Section 407.9 - Nursing services

Effective Date


407.9 Nursing services. The PCH/CAH shall have an organized nursing service with a written plan of administrative authority which delineates responsibilities for patient care.

(a) Organization. The director of the nursing service shall be a licensed registered nurse with appropriate education and experience. He or she shall be responsible for the operation of the service, credentialling of nursing staff and the determination of the types, numbers, and mix of nursing personnel and support staff necessary to provide nursing care for all patients admitted to the hospital.

(b) Staffing and delivery of care. The nursing service shall have adequate numbers of licensed registered nurses, licensed practical nurses and other personnel to provide nursing care to all patients as needed. There shall be supervisory and staff personnel for each department or nursing unit to ensure the immediate availability within 20 minutes of a registered nurse for bedside care of any patient.

(1) The PCH shall be capable of providing 24-hour a day nursing care furnished or supervised by a registered nurse and shall have a licensed practical nurse or registered nurse on duty at all times, except for PCHs that have in effect a 24-hour a day nursing waiver granted by the federal government.

(2) CAHs shall not be required to provide nursing staff when there are no inpatients in the CAH.

(3) PCHs shall comply with the provisions of paragraph (3) of subdivision (a) through paragraph (2) of subdivision (e) of section 405.5 of this Title.


VOLUME C (Title 10)