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Title: Section 455.13 - Nursing administration

Effective Date


455.13 Nursing administration. This functional reporting center must contain all the expenses associated with the overall administration and supervision of all nursing services, including all nursing in-service training, scheduling and transferring of nurses between services and units, nursing staff supervision, evaluation and discipline. It includes the work of the director, assistants and/or associates, secretaries, clerks, and all nursing personnel who are responsible for conducting in-service education of nursing personnel, and the following specific job titles: RN Supervisor (supervising two or more units and/or areas), Health Services Supervisor, Director of Nursing Services, and Assistant Director of Nursing Services. Note that nursing in-service education is subject to special rules rather than the reclassification criteria (section 452.4(g)). Additional activities include but are not limited to the following: recommendation of appointments to the nursing staff; definition and execution of the philosophy, objectives, policies and standards for nursing care of patients; participation in community education health programs; participation in patient care review committees; inspection of patient areas to verify that patient needs are met; and coordination of all nursing activities and functions with other residential health care facility functions.

(a) Standard unit of measure: average number of nursing department employees. The sum of the average number of nursing service personnel working in the various departments throughout the residential health care facility under the direction of nursing administration.

(b) Data source. The average shall be determined by adding the number of nursing service personnel who worked for at least four pay periods during the year and dividing the total by the number of pay periods used. Payroll records should be used to obtain this information.


VOLUME D (Title 10)