(b) Qualified personnel.

1. (1) The hospital shall maintain a sufficient number of qualified personnel to provide:

   1. (A) Effective patient care; and
   2. (B) All other related services.
2. (2) There shall be personnel policies and procedures available.
3. (3) Provisions shall be made for orientation and continuing education.

(c) Minimum age.

1. (1) Personnel who care for patients shall be a minimum of sixteen (16) years of age.
2. (2) For any exceptions, see Subpart C of 29 C.F.R. pt. 570, Child Labor Regulations No. 3.

(d) Employee health.

1. (1) It shall be the responsibility of administration, with advice and guidance from the medical staff and/or Infection Prevention and Control Committee, to establish and enforce policies concerning preemployment physicals and employee health.

2. (2) The policies shall include but are not limited to:

   1. (A) Requirements for an up-to-date health file for each employee;
   2. (B)

(i) Measures for prevention of communicable disease outbreaks, especially Mycobacterium tuberculosis (TB).

1. (ii) All plans for the prevention of transmission of TB shall conform to the most current Centers for Disease Control and Prevention Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings; and

   1. (C)

      1. (i) Work restrictions placed on hospital personnel who are known to be:

(b) (b) A carrier of such disease; or

1. (c) (c) Afflicted with:
2. (1) (1) Boils;
3. (2) (2) Jaundice;
4. (3) (3) Infected wounds;
5. (4) (4) Diarrhea; or

6. (5) (5) Acute respiratory infections.

   1. (ii) Such individuals shall not work in any area in any capacity in which there is:

(e)

1. (1) The licensure rules promulgated by the Department of Health for hospitals and other related institutions shall be available to all personnel.
2. (2) All personnel shall be instructed in the requirements of the rules pertaining to their respective duties.

(f)

1. (1) Job descriptions shall:

   1. (A) Be developed for each employee; and
   2. (B) Include the responsibilities or actual work to be performed.
2. (2) The job descriptions shall include physical, educational, and licensing or certification requirements for each job.

(g) Personnel records shall:

1. (1) Be maintained for each employee; and

2. (2) Include:

   1. (A) Current and background information covering qualifications for employment;
   2. (B) Records of all required health examinations;
   3. (C) Evidence of current registration, certification, or licensure of personnel subject to statutory regulation; and
   4. (D) An annual job-specific performance evaluation.