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Title 7 . Health and Social Services
Chapter 12 . Assistance for Community Health Facilities
Section 275. Nursing and medical services

7 AAC 12.275. Nursing and medical services

(a) Except as otherwise specified in this section, a nursing facility must have a registered nurse on duty seven days a week on the day shift and five days a week on the evening shift. A licensed practical nurse must be on duty during all shifts when a registered nurse is not present. A nursing facility must have telephone access to at least one registered nurse at all times and must post the names and phone numbers of those registered nurses at each nurse's station.

(b) A nursing facility with more than 60 occupied beds must have two registered nurses on duty during the day shift and one registered nurse on duty during other shifts.

(c) A nursing facility that shares the same building as a hospital must have a registered nurse on duty in the nursing facility seven days a week on the day shift. On the evening and night shift, a licensed practical nurse may serve as charge nurse. However, an on-duty registered nurse from the hospital must be available to make rounds at the nursing facility and to be otherwise available as needed during the evening and night shifts when a licensed practical nurse is serving as charge nurse. A nursing facility with 14 or fewer occupied beds may use an on-duty registered nurse from the hospital to meet the night shift nursing requirement set out in this subsection.

(d) A nursing facility must have a contract for diagnostic services with a laboratory and x-ray provider approved by the department.

(e) A nursing facility must have a contract with a licensed dentist to provide consultation and necessary dental services to residents.

(f) In addition to the requirements of this section, a governing body of a facility must provide resources and personnel as necessary to meet resident needs under 7 AAC 12.630(b) (6).

History: Eff. 11/19/83, Register 88; am 5/28/92, Register 122

Authority: AS 18.20.010

AS 18.20.060


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Last modified 7/05/2006