Who must be notified of waiver and by whom?
Definition: A) RN (40 hr) req and DON req can be waived: By secretary if: -Facility in a rural area with limited supply of RN's; - has one full time RN on duty for 40 hrs per week AND - has only patients physician indicated do not need 48hr RN / physici...
Nursing staffing req 1) Personal to meet resident care
LN need? plan on 24hr basis
RN need? 2) Licensed nurse as charge nurse on
each shift
3) RN at least 8 HRS CONSECUTIVE
hrs a day 7 DAYS A WEEK
4) FULL TIME D.O.N the D.O.N may
serve as a charge nurse only when the
facility has an average daily
occupancy of fewer than 60 RES.
m
er as
co
eH w
o.
rs e
ou urc
o
aC s
vi y re
ed d
ar stu
sh is
Th
what staffing reqs can be waived? A) RN (40 hr) req and DON req can
Conditions for waiving LN charge be waived: By secretary if:
nurse? -Facility in a rural area with limited
Who must be notified of waiver and by supply of RN's;
whom? - has one full time RN on duty for 40
hrs per week AND
- has only patients physician indicated
do not need 48hr RN / physician care
OR indicates RN/physician will come
spend time with res on days RN not on
duty to provide needed care.
For LVN:
m
1) if state deems that the lTC has
er as
attempted and been unable to recruit
co
eH w
appropriate personnel,
2) the waiver doesn't put res at
o.
rs e danger,
ou urc
3) when LVN services are not
available and RN/ Physician can be
easily reached via phone
o
aC s
vi y re
waiver subject to state rev annual,
state may impose other staffing req,
ed d
ar stu
State/ Secretary provides notice of
waver to OMBUDS men, FACILITY
PROVIDES NOTICE OF WAIVER TO
sh is
RESIDENTS and members of
Th
immediate family or legs reps
Term: Definition:
RN and D.O.N waiver? full time RN can be waived to not
require working 40+ hrs per week and
so can D.O.N
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