PURPOSE: This rule specifies the requirements for special patient care services in a hospital.
- (1) Special care units, if provided, shall be under the medical direction of a qualified physician, member of the medical staff and appointed by the governing body.
- (2) Patient care in each special care unit shall be integrated with the other nursing services and supervised by a qualified registered professional nurse with relevant education, experience and demonstrated current competency.
- (3) Approved written policies and procedures shall define and describe the scope and conduct of each special patient-care service. These shall be reviewed annually and revised as necessary.
- (4) Qualifications of personnel for assignment to each special care unit shall be delineated in writing. Orientation, in-service training and continuing education shall be provided and documented.
- (5) Registered nurse staffing patterns shall be developed to meet the needs of each patient in special care units.
- (6) A multi-disciplinary committee, chaired by the director, shall develop protocols for the conduct of patient care in each special care unit. This committee shall meet at least quarterly and minutes shall be kept and filed on a confidential basis.
- (7) There shall be a mechanism for the review and evaluation on a regular basis of the quality and appropriateness of care provided in each special care area.
AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 197.154, RSMo Supp. 2007.* This rule previously filed as 19 CSR 30-20.021(4)(K). Original rule filed June 27, 2007, effective Feb. 29, 2008.
*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.