The director of nursing services must serve only one facility
in this capacity.
(1) If the director of nursing services has other institutional
responsibilities, a qualified registered nurse must serve as an assistant
so that there is the equivalent of a full-time director of nursing
services on duty.
(2) If a nursing facility, as a result of waivered
status, employs a licensed vocational nurse to supervise and direct
nursing services, the facility must have an agreement with a registered
nurse who must provide the vocational nurse at least four hours of
consultation in the facility per week. The registered nurse must not
assume director of nursing duties, but must act as a consultant to
solve problems involving resident care, conduct in-service training,
and maintain proper clinical records.
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| Source Note: The provisions of this §554.1004 adopted to be effective May 1, 1995, 20 TexReg 2393; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
