Current through Register Vol. 50, No. 9, September 20, 2024
A.
Staffing Requirements. The PRTF shall meet minimum licensure requirements for
staffing, staff qualifications and staffing ratios.
1. A PRTF that serves individuals from
special risk populations shall modify staffing patterns to fit their increased
needs.
2. The PRTF shall ensure
that an adequate number of qualified staff members are present with the
residents as necessary to ensure the health, safety and well-being of
residents. Staff coverage shall be maintained in consideration of the time of
day, the size and nature of the PRTF, the ages and needs of the residents, and
shall assure the continual safety, protection, direct care and supervision of
residents.
3. When residents are at
school, work or recreation outside the facility, the provider shall have a plan
ensuring the availability and accessibility of direct care staff to handle
emergencies or perform other necessary direct care functions.
4. The PRTF shall make sufficient provisions
for housekeeping and maintenance to ensure that staff is able to adequately
perform direct care functions.
B. The facility shall maintain a minimum
ratio of one staff person for four residents (1:4) between the hours of 6 a.m.
and 10 p.m. The staff for purposes of this ratio shall consist of direct care
staff (i.e. licensed practical nurse (LPN), MHS, MHP, LMHP, etc.).
C. The facility shall maintain a minimum
ratio of one staff person for six residents (1:6) between 10 p.m. and 6 a.m.
Staff shall always be awake while on duty. The staff for purposes of this ratio
shall consist of direct care staff (i.e. LPN, MHS, MHP, LMHP, etc.).
D. Staffing ratios listed above are a minimum
standard. The PRTF shall have written policies and procedures that:
1. demonstrate how the staffing pattern will
be adjusted when necessary to meet the individual needs and acuity of youth as
those fluctuate over time;
2.
document how the PRTF continuously monitors the appropriateness of its staffing
pattern to ensure the safety of both youth and staff;
a. this documentation shall include specific
methods used by the PRTF to monitor metrics such as restraints and seclusions
and other adverse incidents, and documentation of how the PRTF uses this
monitoring to make ongoing decisions about staffing patterns;
and
3. document how the
PRTF continuously monitors the appropriateness of its staffing pattern to
ensure that youth receive appropriate, individualized care and treatment and
therapeutic interactions;
a. this
documentation shall include specific methods used by the PRTF to monitor
metrics such as clinical progress and outcomes, and documentation of how the
PRTF uses this monitoring to make ongoing decisions about staffing patterns.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2009.
