Ariz. Admin. Code § 9-10-206

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-206 - Personnel

An administrator shall ensure that:

1. The qualifications, skills, and knowledge required for each type of personnel member:

a. Are based on:

i. The type of physical health services or behavioral health services expected to be provided by the personnel member according to the established job description, and

ii. The acuity of the patients receiving physical health services or behavioral health services from the personnel member according to the established job description; and

b. Include:

i. The specific skills and knowledge necessary for the personnel member to provide the expected physical health services and behavioral health services listed in the established job description,

ii. The type and duration of education that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected physical health services or behavioral health services listed in the established job description, and

iii. The type and duration of experience that may allow the personnel member to have acquired the specific skills and knowledge for the personnel member to provide the expected physical health services or behavioral health services listed in the established job description;

2. A personnel member's skills and knowledge are verified and documented:

a. Before the personnel member provides physical health services or behavioral health services, and

b. According to policies and procedures;

3. Sufficient personnel members are present on a hospital's premises with the qualifications, skills, and knowledge necessary to:

a. Provide the services in the hospital's scope of services,

b. Meet the needs of a patient, and

c. Ensure the health and safety of a patient;

4. Orientation occurs within the first 30 calendar days after a personnel member begins providing hospital services and includes:

a. Informing a personnel member about Department rules for licensing and regulating hospitals and where the rules may be obtained,

b. Reviewing the process by which a personnel member may submit a complaint about patient care to a hospital, and

c. Providing the information required by policies and procedures;

5. Policies and procedures designate the categories of personnel providing medical services or nursing services who are:

a. Required to be qualified in cardiopulmonary resuscitation within 30 calendar days after the individual's starting date, and

b. Required to maintain current qualifications in cardiopulmonary resuscitation;

6. A personnel record for each personnel member is established and maintained and includes:

a. The personnel member's name, date of birth, and contact telephone number;

b. The personnel member's starting date and, if applicable, ending date;

c. Verification of a personnel member's certification, license, or education, if necessary for the position held;

d. Documentation of evidence of freedom from infectious tuberculosis required in R9-10-230(5);

e. Verification of current cardiopulmonary resuscitation qualifications, if necessary for the position held; and

f. Orientation documentation;

7. Personnel receive in-service education according to criteria established in policies and procedures;

8. In-service education documentation for a personnel member includes:

a. The subject matter,

b. The date of the in-service education, and

c. The signature of the personnel member;

9. Personnel records and in-service education documentation are maintained by the hospital for at least 24 months after the last date the personnel member worked; and

10. Personnel records and in-service education documentation, for a personnel member who has not worked in the hospital during the previous 12 months, are provided to the Department within 72 hours after the Department's request.

Ariz. Admin. Code § R9-10-206

New Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Amended by final rulemaking at 11 A.A.R. 536, effective March 5, 2005 (Supp. 05-1). Amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final rulemaking at 25 A.A.R. 1583, effective 10/1/2019.