ltc regs

[morte, LPN, LVN]

can anyone tell me the regs on rn coverage in ltc....ie does there have to be a rn present, in the building, at all times? or do they only need to be available? and if the latter, what is the definition of available? tia,morte

[CT Pixie, BSN, RN]

I've worked LTC for years as a CNA and currently as an LPN. In all the years spent in LTC, there was ALWAYS an RN in house. I don't ever recall being in a facility where there wasn't an RN in-house at all times but one "available". Because LPN's aren't able to do 'assessments', pronounce deaths, etc, you'd have to have an RN in house.

I'd think the best place to get the actual answer is the Department that handles LTC facilities. But I'm almost certain there has to be an RN in house at all times.

[morte, LPN, LVN]

thanks, lpns also cant pronounce......i was thinking this was the case, but a place is trying this, 3 noc shifts a week, no rn......

[CT Pixie, BSN, RN]

Yes, I said LPN"s can't pronounce :) But believe me when I tell you, I know a dead person when I see them LOL.

Like I said I've never been in a facility that doesn't have an in house RN 24/7. Is the facility you're talking about a SNF or an assisted living. If its not an actual SNF but assisted living, they might not have to have an in house RN.

[morte, LPN, LVN]

Yes, I said LPN"s can't pronounce :) But believe me when I tell you, I know a dead person when I see them LOL.

Like I said I've never been in a facility that doesn't have an in house RN 24/7. Is the facility you're talking about a SNF or an assisted living. If its not an actual SNF but assisted living, they might not have to have an in house RN.

geesh, i need glasses...sorry about that! and no it is strictly a SNF....

[morte, LPN, LVN]

have emailed someone off the ct.gov site we will see if i get an answer....

[RochesterRN-BSN, BSN, RN]

I think this varies by state.......I'm in NY state and am pretty sure that there has to be at least one in house at all times.... like a prior poster mentioned there are different levels of care out in the community.....senior living community, adult living facility, Supportive living, LTC, SNF...and the list goes on...who can keep it all straight!?!? lol but they all have there own guidelines by the state. But I would think a true SNF would require an RN in house at all times.......You could check with your states department of health......