Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - HEALTH AND DEVELOPMENTAL SERVICES › Section 390.1040 - Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have a written program of Nursing Services, providing for a
				planned medical program, encompassing nursing treatments, rehabilitation and
				habilitation nursing, skilled observations, and ongoing evaluation and
				coordination of the resident's individual habilitation plan.
b) There shall be a sufficient number of
				nursing and auxiliary personnel on duty 24 hours each day to provide adequate
				and properly supervised nursing services to meet the nursing needs of the
				residents. There shall be at least one registered professional nurse on duty
				seven days a week, for 8 consecutive hours. There shall be at least one
				registered professional nurse or licensed practical nurse on duty at all times
				and on each floor housing residents. Nursing staff personnel shall include
				registered professional nurses, licensed practical nurses, and auxiliary
				personnel as defined in Section
				390.330.
c) There shall be a director of nursing who
				shall be a registered professional nurse.
d) The director of nursing shall have
				knowledge and training in nursing service administration, restorative and
				habilitative nursing.
e) The
				director of nursing shall be a full-time employee who is on duty a minimum of
				36 hours, four days per week. At least 50 percent of this person's hours shall
				be regularly scheduled between 7 A.M. and 7 P.M.
1) A facility may, with written approval from
				the Department, have two registered professional nurses share the duties of
				this position if it is unable to obtain a full-time person. Such an arrangement
				will be granted approval only through written documentation that the facility
				was unable to obtain the full-time services of a qualified individual to fill
				this position. Documentation shall include, but not be limited to: an
				advertisement that has appeared in a newspaper of general circulation in the
				area for at least three weeks; the names, addresses and phone numbers of all
				persons who applied for the position and the reasons why they were not
				acceptable or would not work full-time; and information about the number and
				availability of registered professional nurses in the area. The Department will
				grant approval only when such documentation indicates that there were no
				qualified applicants who were willing to accept the job on a full-time basis,
				and the pool of registered professional nurses available in the area cannot be
				expected to produce, in the near future, a qualified person who is willing to
				work full-time. If two persons are to share the position, one shall be
				designated the Director of Nursing Services and the other shall be designated
				the Assistant Director of Nursing Services. Both of these persons shall be
				registered professional nurses.
2)
				In facilities with a capacity of less than 50 beds, this person (or these
				persons), may also provide direct patient care, and this person's time may be
				included in meeting the staff-to-resident ratio requirements.