Section 134.61. Nursing services.

 

(1)   Required services. All facilities shall provide residents with nursing services in accordance with the needs of the residents. These services shall include:

(a) The development, review, and updating of an IPP as part of the interdisciplinary team process;

(b) The development, with a physician, of a medical care plan of treatment for a resident when the physician has determined that the resident requires such a plan;

(c) In facilities with residents who have been determined by the physician not to require a medical care plan, arrangements for a nurse to conduct health surveillance of each resident on a quarterly basis;

(d) Based on the nurse's recorded findings, action by the nurse, including referral to a physician when necessary, to address the health problems of a resident; and

(e) Implementation with other members of the interdisciplinary team of appropriate protective and preventive health measures, including training residents and staff as needed in appropriate personal health and hygiene measures.

(2)   Nursing administration.

(a) Health services supervision.

1. A facility shall have a health services supervisor to supervise the facility's health services full-time on one shift a day, 7 days a week, for residents for whom a physician has ordered a medical care plan.

2. The health services supervisor required under subd. 1. shall be:

a. A registered nurse; or

b. A licensed practical nurse with consultation at regular intervals from a registered nurse under contract to the facility.

(3)   Training.

(a) A registered nurse shall participate as appropriate in the planning and implementation of training programs for facility personnel.

(b) The facility shall train resident care personnel in:

1. Detecting signs of illness or dysfunction that warrant medical or nursing intervention;

2. Basic skills required to meet the health needs and problems of the residents; and

3. First aid for accidents and illnesses.

Cr. Register, June, 1988, No. 390 , eff. 7-1-88.