DHS 132.60(5)(d)1.1. ‘Personnel who may administer medications.’ In a nursing home, medication may be administered only by a nurse, a practitioner, as defined in s. 450.01 (17), Stats., or a person who has completed training in a drug administration course approved by the department. DHS 132.60(5)(d)2.2. ‘Responsibility for administration.’ Policies and procedures designed to provide safe and accurate acquisition, receipt, dispensing and administration of medications shall be developed by the facility and shall be followed by personnel assigned to prepare and administer medications and to record their administration. The same person shall prepare, administer, and immediately record in the resident’s clinical record the administration of medications, except when a single unit dose package distribution system is used. DHS 132.60(5)(d)5.5. ‘Errors and reactions.’ Medication errors and suspected or apparent drug reactions shall be reported to the nurse in charge or on call as soon as discovered and an entry made in the resident’s clinical record. The nurse shall take appropriate action. DHS 132.60 NoteNote: See s. DHS 132.65, pharmaceutical services, for additional requirements. DHS 132.60(6)(b)(b) Orders required. Physical or chemical restraints shall be applied or administered only on the written order of a physician which shall indicate the resident’s name, the reason for restraint, and the period during which the restraint is to be applied. DHS 132.60(6)(e)(e) Type of restraints. Physical restraints shall be of a type which can be removed promptly in an emergency, and shall be the least restrictive type appropriate to the resident. DHS 132.60(6)(f)(f) Periodic care. Nursing personnel shall check a physically restrained resident as necessary, but at least every 2 hours, to see that the resident’s personal needs are met and to change the resident’s position. DHS 132.60(8)(a)(a) Development and content of care plans. Except in the case of a person admitted for short-term care, within 4 weeks following admission a written care plan shall be developed, based on the resident’s history and assessments from all appropriate disciplines and the physician’s evaluation and orders, as required by s. DHS 132.52. DHS 132.60 NoteNote: For requirements upon admission, see s. DHS 132.52. For requirements for short-term care residents, see s. DHS 132.70 (2). DHS 132.60(8)(b)(b) Evaluations and updates. The care of each resident shall be reviewed by each of the services involved in the resident’s care and the care plan evaluated and updated as needed. DHS 132.60(8)(c)(c) Implementation. The care plans shall be substantially followed. DHS 132.60 NoteNote: The department encourages and promotes the principles of resident self-determination and person directed care.
DHS 132.60 HistoryHistory: Cr. Register, July, 1982, No. 319, eff. 8-1-82; r. and recr. (5) (d) 1., Register, February, 1983, No. 326, eff. 3-1-83; am. (1) (d), (2) (d), (3) (5) (a) 1. to 3., (6) (c) and (8) (a), r. and recr. (1) (b) and (6) (f), Register, January, 1987, No. 373, eff. 2-1-87; am. (6) (a) 1. Register, February, 1989, No. 398, eff. 3-1-89; cr. (8) (d), Register, November, 1990, No. 419, eff. 12-1-90; correction in (5) (d) made under s. 13.93 (2m) (b) 7., Stats., Register, August, 2000, No. 536; CR 04-053: cr. (1) (c) 5., am. (5) (a) 1. and 2., (5) (d) 2., and (6) (b), r. (5) (a) 3. and (c) Register October 2004 No. 586, eff. 11-1-04; CR 06-053: r. (1) (a) 2. and 3., (c) 1., and (e), (2) (c), (4), (5) (a) 4., (b), (d) 3., 4., 6. and (e), (6) (a), (c), (d), (g), (7), and (8) (a) 1., and 2., and (d), am. (5) (a) 1., (6) (b), and (8) (a) (intro.), Register August 2007 No. 620, eff. 9-1-07. DHS 132.61DHS 132.61 Medical services. Every skilled care facility shall retain, pursuant to a written agreement, a physician to serve as medical director on a part-time or full-time basis as is appropriate for the needs of the residents and the facility. Medical direction and coordination of medical care in the facility shall be provided by the medical director. DHS 132.61 HistoryHistory: Cr. Register, July, 1982, No. 319, eff. 8-1-82; r. and recr. (2) (b), Register, January, 1987, No. 373, eff. 2-1-87; correction in (2) (b) made under s. 13.93 (2m) (b) 7., Stats., Register, December, 1996, No. 492; CR 06-053: r. (1) (c), (2), cons., renum. and am. (1) (a) and (b) to be DHS 132.61, Register August 2007 No. 620, eff. 9-1-07. DHS 132.62(1)(1) Definitions. “Nursing personnel” means nurses, nurse aides, nursing assistants, and orderlies. DHS 132.62(2)(a)(a) Director of nursing services in skilled care and intermediate care facilities. DHS 132.62(2)(a)1.1. ‘Staffing requirement.’ Every skilled care facility and every intermediate care facility shall employ a full-time director of nursing services who may also serve as a charge nurse in accordance with par. (b). DHS 132.62(2)(a)2.2. ‘Qualifications.’ The director of nursing services shall be a registered nurse. DHS 132.62(2)(a)3.b.b. Developing and maintaining standard nursing practice, nursing policy and procedure manuals, and written job descriptions for each level of nursing personnel; DHS 132.62(2)(a)3.e.e. Being on call at all times, or designating another registered nurse to be on call, when no registered nurse is on duty in the facility; and