LD 616
pg. 2
Page 1 of 3 An Act To Provide Safe Staffing Levels for Patients and To Retain Registered Nu... Page 3 of 3
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LR 469
Item 1

 
F.__For an operating room while under anesthesia, one
nurse to every patient; and post anesthesia, one nurse to
every 2 patients;

 
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;

 
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;

 
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;

 
J.__For pediatrics, psychiatrics, medical-surgical,
telemetry, observational and outpatient units, one nurse
to every 4 patients;

 
K.__For a transitional care and rehabilitation unit, one
nurse to every 5 patients; and

 
L.__For specialty care of noncritical, stable-condition
patients and any unit not listed above, one nurse to every
3 patients.

 
Additional direct-care registered nurses must be added and the
ratio adjusted to ensure staffing in accordance with acuity-
based patient classification systems.

 
3.__Restriction.__The following activities are prohibited.

 
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.

 
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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