Current through Register Vol. 50, No. 9, September 20, 2024
A.
Responsibility. The administration is responsible for assuring that:
1. all staff members are aware of their job
responsibilities and are capable of performing assigned tasks;
2. a facility's staffing is adequate to
produce the desired treatment outcomes and must reflect the volume of the
patients, patient acuity, and number of services provided;
3. a facility develop and utilize a specific
process to determine appropriate staffing levels.
B. Qualifications. All personnel shall be
licensed in accordance with their respective professions and be either board
certified or board eligible as required by their respective certifying
organizations. In addition, rural health clinics (RHCs) shall be responsible
for verifying and monitoring that professional certified personnel maintain
continuous license/certification.
1.
Physician Services. The physician, a medical doctor or doctor of osteopathic
medicine, shall provide the following:
a.
medical direction for the clinic's healthcare activities, and consultation for
and medical supervision of the healthcare staff;
b. in conjunction with the physician
assistant and/or midlevel practitioner, participation in the development,
execution, and periodic review of the RHCs' written policies and services
provided to patients; and
c.
periodic review of the RHCs' patient records, and provision of medical orders
and medical care services to the patients of the RHC.
2. Mid-level Practitioner. The mid-level
practitioner shall be appropriately licensed and credentialed as either an
advanced practice registered nurse (family nurse practitioner) or physician's
assistant. The mid-level practitioner(s) shall be required to maintain Advanced
Cardiac Life Support (ACLS) certification to assure his/her proficiency in
accepted standards of emergency care. If a facility has a current written
agreement with an advanced life support provider, who can provide care within
10 minutes, then the mid-level practitioner and/or physician are exempt from
this required certification.
a.
Repealed.
b. Repealed.
3. Support Staff. The facility
should be adequately staffed to provide necessary support to the professionals.
Additional staff may include pharmacists, administrators, managers, and
clerical and medical records personnel.
C. Governing Body. All owners of RHCs shall
be disclosed. Ownership of five percent or more constitutes ownership. In the
case of an entity requiring a board of directors by law and/or as a condition
of its articles of incorporation or bylaws, members of the board of directors
must be identified and minutes of the board meetings shall be made available to
LDH/HSS. In those RHCs requiring a board of directors, the board shall meet at
least once a year.
AUTHORITY
NOTE: Promulgated in accordance with
R.S.
46:153 and
R.S.
40:2197.
