Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-152 - Intermediate Care Facility for Individuals with Intellectual Disabilities
Section R432-152-17 - Nursing Services
Universal Citation: UT Admin Code R 432-152-17
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall provide nursing services in accordance with client needs that ensures:
(a) nursing staff participation in the
development, review and update of an individual program plan as part of the
interdisciplinary team process;
(b)
the development, with a physician, of a medical care plan of treatment for a
client if the physician has determined that an individual client requires such
a plan; and
(c) for those clients
assessed to not need a medical care plan, a documented quarterly health status
review by direct physical examination conducted by a licensed nurse including
identifying and implementing nursing care needs as prescribed by the client's
physician.
(2) The licensee shall ensure nursing services staff coordinate with other members of the interdisciplinary team to implement appropriate protective and preventive health measures that include:
(a) training
clients and staff as needed in appropriate health and hygiene
methods;
(b) control of
communicable diseases and infections, including the instruction of other
personnel in methods of infection control; and
(c) training direct care staff in detecting
signs and symptoms of illness or dysfunction, first aid for accidents or
illness and basic skills required to meet the health needs of the
clients.
(3)
(a) The licensee shall ensure nursing
practice and delegation of nursing tasks comply with Section
R156-31b-701.
(b) If the licensee utilizes only licensed
practical nurses to provide health services, there shall be a formal
arrangement for a registered nurse to provide verbal or on-site consultation to
the licensed practical nurse.
(c)
The licensee shall ensure non-licensed staff who work with clients under a
medical care plan shall be supervised by licensed nursing
personnel.
(4)
(a) The administrator shall employ and
designate, in writing, a nursing services supervisor.
(b) The nursing services supervisor may be
either a registered nurse or a licensed practical nurse.
(c) The nursing services supervisor shall
designate, in writing, a licensed nurse to be in charge during any temporary
absence of the nursing services supervisor.
(5) The nursing services supervisor shall:
(a) establish a system to ensure nursing
staff implement physician orders and deliver health care services as
needed;
(b) plan and direct the
delivery of nursing care, treatments, procedures, and other services to ensure
that each client's needs are met;
(c) review each client's health care needs
and orders for care and treatment;
(d) review client individual program plans to
ensure necessary medical aspects are incorporated;
(e) review the medication system for
completeness of information, accuracy in the transcription of physician's
orders, and adherence to stop-order policies;
(f) instruct the nursing staff on the legal
requirements of charting and ensure that a nurse's notes describe the care
provided and include the client's response;
(g) teach and coordinate rehabilitative
nursing to promote and maintain optimal physical and mental functioning of the
client;
(h) inform the
administrator, attending physician and family of significant changes in the
client's health status;
(i) plan
with the physician, family, and health-related agencies for the care of the
client upon discharge;
(j) develop,
with the administrator, a nursing services procedure manual including
procedures practiced in the facility;
(k) coordinate client services through
quality assurance and interdisciplinary team meetings;
(l) respond to the pharmacist's quarterly
medication report;
(m) develop
written job descriptions for levels of nursing personnel and orient new nursing
personnel to the facility and their duties and responsibilities;
(n) complete written performance evaluations
for each member of the nursing staff at least annually; and
(o) plan or conduct documented training
programs for nursing staff and clients.
Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
