§ 109.23. Written nursing care policies and procedures.

 (a)  Written administrative and nursing care policies shall be reviewed at least annually and revised as necessary. They shall be dated to indicate the time of the most recent review.

 (b)  Nursing care policies and procedures shall be consistent with professionally recognized standards of nursing practice and shall be in accordance with The Professional Nursing Law (63 P. S. § §  211—225) and regulations promulgated by the State Board of Nurse Examiners. These policies shall include procedures for the following:

   (1)  Noting diagnostic and therapeutic orders.

   (2)  Assigning the nursing care of patients.

   (3)  Infection control.

   (4)  Patient safety.

   (5)  Implementing orders for medication or treatment, consistent with § §  107.61—107.65 (relating to medical orders).

 (c)  Written copies of policies shall be available to the nursing staff in every nursing care unit and service area, as well as to other services and departments of the hospital.

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