| 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. |
|
|