Current through Register No. 40, October 3, 2024
(a) The licensee
shall appoint an administrator who:
(1) Has a
bachelor's degree in a health-related field, or is a registered
nurse;
(2) Is responsible for the
day to day operations of the EHC;
(3) Shall, directly or through delegation,
notify the student's contact person or guardian, if any, and primary care
licensed practitioner in the event of any reportable incident involving the
student;
(4) Shall make available
and assure delivery of the following required services:
a. Counseling, including psychological
services;
b. Education on
communicable diseases, chemical dependency, and promotion of good
health;
c. Medical follow up;
and
d. Nursing assessment and
intervention; and
(5)
Designates, in writing, an alternate administrator who shall assume the
responsibilities of the administrator in his or her absence.
(b) The administrator described in
(a) above shall be permitted to hold more than one position at the EHC if the
individual meets the qualifications of the positions.
(c) The licensee shall appoint a medical
director who meets one of the following qualifications:
(1) Is a physician currently licensed in the
state of New Hampshire; or
(2) Is
an APRN currently licensed in the state of New Hampshire.
(d) The medical director in (c) above shall:
(1) Participate in the development of and
approve all policies and procedures, standing orders, and guidelines for
student care;
(2) Participate as a
member of the quality improvement committee;
(3) Provide medical direction and
consultation to the professional staff; and
(4) Stock medications and physician's samples
as authorized by his or her practice act.
(e) The licensee shall appoint a director of
nursing who:
(1) Is an RN or an APRN licensed
to practice in the state of New Hampshire in accordance with RSA
326-B;
(2) Is employed full time
when the academic program is in session;
(3) Shall be permitted to hold more than one
position at the EHC if the individual meets the qualifications of the
positions; and
(4) Shall:
a. Make available and assure delivery of
nursing care and services;
b.
Provide nursing direction and supervision to the direct care staff;
c. Provide coverage by a licensed nurse,
except that if it is an LPN, an RN shall be available for consultation and
supervision via telephone;
d.
Notify the administrator in the event that there is insufficient nursing staff
to meet the needs of the ECH's students;
e. Participate in the development of the
EHC's nursing policies and guidelines; and
f. Establish a system for referrals for any
services needed by the student but are not available at the EHC.
(f) The licensee shall
provide nursing and direct care personnel to meet the needs of
students.
(g) The licensee shall
provide counseling services to meet the needs of the students, which may be
provided directly by the licensee or by contract.
(h) The licensee shall provide the following:
(1) Nursing care, in accordance with (e) (4)
a. above and as authorized by RSA 326, including, but not limited to:
a. Medication administration;
b. Wound care;
c. Initial and ongoing assessments of the
client's pain level, vital signs, and physical, cognitive, and behavioral
status; and
d. Assessment as to how
the student is adapting psychologically to their social environment if a
student presents with this type of problem;
(2) Nutritional monitoring;
(3) Case management; and
(4) Referrals to community service agencies
when necessary.
(i) If
the EHC has licensed beds, the licensee shall have:
(1) A kitchen within the EHC if meals are
prepared in the EHC; or
(2) A
refrigerator and microwave oven if meals are prepared off site.
(j) In addition to (i) above, the
licensee shall provide dietary services appropriate to meet the needs of
students.
#9193, eff 6-26-08; ss by #9565, eff
10-16-09
