N.H. Admin. Code § He-P 816.15

Current through Register No. 45, November 7, 2024

Section He-P 816.15 - Required Health Care Services

(a) The licensee shall appoint an administrator who:

(1) Has a bachelor's degree in a health-related field, or is a registered nurse;

(2) Is responsible for the day to day operations of the EHC;

(3) Shall, directly or through delegation, notify the student's contact person or guardian, if any, and primary care licensed practitioner in the event of any reportable incident involving the student;

(4) Shall make available and assure delivery of the following required services:

a. Counseling, including psychological services;

b. Education on communicable diseases, chemical dependency, and promotion of good health;

c. Medical follow up; and

d. Nursing assessment and intervention; and

(5) Designates, in writing, an alternate administrator who shall assume the responsibilities of the administrator in his or her absence.

(b) The administrator described in (a) above shall be permitted to hold more than one position at the EHC if the individual meets the qualifications of the positions.

(c) The licensee shall appoint a medical director who meets one of the following qualifications:

(1) Is a physician currently licensed in the state of New Hampshire; or

(2) Is an APRN currently licensed in the state of New Hampshire.

(d) The medical director in (c) above shall:

(1) Participate in the development of and approve all policies and procedures, standing orders, and guidelines for student care;

(2) Participate as a member of the quality improvement committee;

(3) Provide medical direction and consultation to the professional staff; and

(4) Stock medications and physician's samples as authorized by his or her practice act.

(e) The licensee shall appoint a director of nursing who:

(1) Is an RN or an APRN licensed to practice in the state of New Hampshire in accordance with RSA 326-B;

(2) Is employed full time when the academic program is in session;

(3) Shall be permitted to hold more than one position at the EHC if the individual meets the qualifications of the positions; and

(4) Shall:

a. Make available and assure delivery of nursing care and services;

b. Provide nursing direction and supervision to the direct care staff;

c. Provide coverage by a licensed nurse, except that if it is an LPN, an RN shall be available for consultation and supervision via telephone;

d. Notify the administrator in the event that there is insufficient nursing staff to meet the needs of the ECH's students;

e. Participate in the development of the EHC's nursing policies and guidelines; and

f. Establish a system for referrals for any services needed by the student but are not available at the EHC.

(f) The licensee shall provide nursing and direct care personnel to meet the needs of students.

(g) The licensee shall provide counseling services to meet the needs of the students, which may be provided directly by the licensee or by contract.

(h) The licensee shall provide the following:

(1) Nursing care, in accordance with (e) (4) a. above and as authorized by RSA 326, including, but not limited to:

a. Medication administration;

b. Wound care;

c. Initial and ongoing assessments of the client's pain level, vital signs, and physical, cognitive, and behavioral status; and

d. Assessment as to how the student is adapting psychologically to their social environment if a student presents with this type of problem;

(2) Nutritional monitoring;

(3) Case management; and

(4) Referrals to community service agencies when necessary.

(i) If the EHC has licensed beds, the licensee shall have:

(1) A kitchen within the EHC if meals are prepared in the EHC; or

(2) A refrigerator and microwave oven if meals are prepared off site.

(j) In addition to (i) above, the licensee shall provide dietary services appropriate to meet the needs of students.

N.H. Admin. Code § He-P 816.15

#9193, eff 6-26-08; ss by #9565, eff 10-16-09

Amended by Volume XXXVII Number 23, Filed June 8, 2017, Proposed by #12197, Effective 6/2/2017, Expires 6/2/2027.