| | | F.__For an operating room while under anesthesia, one | | nurse to every patient; and post anesthesia, one nurse to | | every 2 patients; |
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| | | G.__For a post-anesthesia care unit while still under | | anesthesia, one nurse to every patient; and post | | anesthesia, one nurse to every 2 patients; |
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| | | H.__For an emergency department, one nurse to every 2 | | patients; in emergency critical care, one nurse to every__ | | patient; and in emergency trauma, one nurse to every | | patient.__In an emergency department, triage, radio or | | specialty registered nurses do not count in calculation of | | nurse staffing; |
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| | | I.__For labor and delivery in active labor, one nurse to | | every patient; in immediate postpartum, one nurse to every | | 2 patients; in postpartum and well-baby nursery, one nurse | | to every 6 patients; and in immediate-care nursery, one | | nurse to every 4 patients; |
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| | | J.__For pediatrics, psychiatrics, medical-surgical, | | telemetry, observational and outpatient units, one nurse | | to every 4 patients; |
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| | | K.__For a transitional care and rehabilitation unit, one | | nurse to every 5 patients; and |
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| | | L.__For specialty care of noncritical, stable-condition | | patients and any unit not listed above, one nurse to every | | 3 patients. |
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| | | Additional direct-care registered nurses must be added and the | | ratio adjusted to ensure staffing in accordance with acuity- | | based patient classification systems. |
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| | | 3.__Restriction.__The following activities are prohibited. |
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| | | A.__A hospital may not directly assign any unlicensed | | personnel to perform registered-nurse functions in lieu of | | care delivered by a licensed registered nurse. |
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| | | B. Unlicensed personnel may not perform tasks that require | | the clinical assessment, judgment and skill of a licensed | | registered nurse, including, without limitation, nursing | | activities that require nursing assessment and judgment | | during implementation; physical, psychological and social | | assessment that require nursing judgment, intervention, | | referral or follow-up; formulation of a plan of nursing | | care and evaluation of the patient's response to the care | | provided; and administration of medications. |
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