erm:
Nursing staffing req LN need?
RN need?
Definition:
1) Personal to meet resident care plan on 24hr basis
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 facilit...
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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