HOUSE BILL No. 6153


     May 30, 2002, Introduced by Rep. George and referred to the Committee on Senior Health, Security and Retirement.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   by amending section 21720a (MCL 333.21720a).

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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             Sec. 21720a.  (1)  A  THE DEPARTMENT SHALL NOT LICENSE A

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        nursing home  shall not be licensed  under this part unless that

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        nursing home has on its staff at least 1 registered PROFESSIONAL

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        nurse with specialized training or relevant experience in the

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        area of gerontology.  , who shall  THE NURSING HOME SHALL HAVE A

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        REGISTERED PROFESSIONAL NURSE serve as the director of nursing.

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         and who shall be  THE DIRECTOR OF NURSING IS responsible for

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        planning and directing nursing care.  The nursing home shall have

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        at least 1 REGISTERED PROFESSIONAL NURSE OR licensed PRACTICAL

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        nurse on duty at all times and shall employ additional registered

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        PROFESSIONAL NURSES and licensed practical nurses in accordance


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        with subsection (2).   This subsection shall not take effect

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        until January 1, 1980.

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             (2)  A  AS REQUIRED BY SUBSECTION (1), A nursing home shall

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        employ nursing personnel sufficient to provide continuous 24-hour

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        nursing care and services sufficient to meet the needs of each

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        patient in the nursing home.  Nursing personnel employed in the

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        nursing home  shall be  ARE under the supervision of the director

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        of nursing.  A licensee shall maintain a nursing home staff suf-

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        ficient to provide not less than 2.25 hours of nursing care by

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        employed nursing  care  personnel per patient per day.  The ratio

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        of patients to nursing  care  personnel  during  SHALL NOT EXCEED

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        THE FOLLOWING:

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             (A) DURING a morning shift,  shall not exceed  8 patients to

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        1 nursing  care  personnel.  ; the ratio of patients to nursing

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        care personnel during

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             (B) DURING an afternoon shift,  shall not exceed  12

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        patients to 1 nursing  care  personnel.  ; and the ratio of

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        patients to nursing care personnel during

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             (C) DURING a nighttime shift,  shall not exceed  15 patients

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        to 1 nursing  care  personnel.  and there shall be

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             (3) A NURSING HOME SHALL KEEP sufficient nursing  care  per-

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        sonnel available on duty to assure coverage for patients at all

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        times during the shift.  An employee designated as a member of

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        the nursing staff shall not be engaged in providing basic serv-

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        ices such as food preparation, housekeeping, laundry, or mainte-

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        nance services, except in an instance of natural disaster or

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        other emergency reported to and concurred in by the department.



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        In a nursing home having 30 or more beds, the director of nursing

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        shall not be included in counting the minimum ratios of nursing

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        personnel required by  this  subsection (2).  IN NO CASE SHALL AN

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        EMPLOYEE WHO IS NOT DESIGNATED AS A MEMBER OF THE NURSING STAFF

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        BE INCLUDED IN COUNTING THE MINIMUM RATIOS OF NURSING PERSONNEL

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        TO PATIENTS REQUIRED BY SUBSECTION (2).

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             (4)  (3)  In administering this section, the department

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        shall take into consideration a natural disaster or other

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        emergency.






































   04920'01          Final page.                            CPD