New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.25 - Disclosure of nursing quality indicators

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Definitions.
For purposes of this section, the following terms shall
						have the following meanings:
(1)
Acuity
means the nursing care requirements of patients or
					 residents.
(2)
Case
					 mix
means the differences in patients or residents within a population
					 in terms of their physical and mental conditions, and the resources that are
					 used in their care.
(3)
Fall
means:
(i) for general
					 hospitals, an unplanned descent to the floor with or without injury to the
					 patient including unassisted and assisted descents whether they result from
					 physiological or environmental reasons; and
(ii) for nursing homes, an unintentional
					 change in position coming to rest on the ground, floor or onto the next lower
					 surface with or without injury to the resident including intercepted
					 falls.
(4)
Fall
					 injury level
means:
(i) for general
					 hospitals, the degree of injury resulting from a fall and designated as
					 moderate, major or fatal. For purposes of this subparagraph: moderate injuries
					 involve suturing, application of steri-strips/skin glue, splinting or
					 muscle/joint strain; major injuries involve surgery, casting or traction, or
					 require consultation to rule out neurological or internal injury or patients
					 with coagulopathy that receive blood products as a result of the fall; and
					 fatal falls involve injuries that cause the patient's death but do not include
					 falls caused by physiologic events; and
(ii) for nursing homes, the degree of injury
					 resulting from a fall designated as major involves bone fractures, joint
					 dislocations, closed head injuries with altered consciousness or subdural
					 hematoma.
(5)
Healthcare setting associated infection
means any localized or
					 systemic patient condition that:
(i) resulted
					 from the presence of an infectious agent or its toxin(s) as determined by
					 clinical examination or by laboratory testing; and
(ii) was not found to be present or
					 incubating at the time of admission unless the infection was related to a
					 previous admission to the same setting.
(6)
Licensed practical nurse
means a person who is licensed and currently registered as a licensed practical
					 nurse pursuant to article 139 of the New York State Education Law.
(7) Patient includes a resident of a nursing
					 home.
(8)
Patient care
					 staff
means unit-based registered nurses, licensed practical nurses
					 and unlicensed personnel providing direct patient care greater than 50 percent
					 of their shift.
(9)
Patient
					 day
is the average number of patients a unit has per shift during a 24
					 hour period.
(10)
Pressure
					 ulcer
means a localized injury to the skin and/or underlying tissue as
					 a result of pressure or pressure in combination with shear acquired after
					 admission to a healthcare facility.
(11)
Registered nurse
means
					 a person who is licensed and currently registered as a registered professional
					 nurse pursuant to article 139 of the New York State Education Law.
(12)
Shift
means a 24 hour
					 period of time as a whole or divided into parts as appropriate to the reporting
					 facility.
(13)
Unit
means a distinct location providing patient care in a
					 general hospital or nursing home distinguished from other distinct locations by
					 name, number or other patient-specific factors.
(14)
Unlicensed personnel
means individuals trained to function in an assistive role to nurses in the
					 provision of patient care, as assigned by and under the supervision of the
					 registered nurse.