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(c) The department may require a facility to provide additional staff in accordance with subsection (b).

(d) Registered nurses and licensed practical nurses shall have a minimum of six months experience (within the past two years) in a direct participatory general acute care facility where the caseload included patients requiring intensive care and the use of special equipment. Completion of a department of human services approved subacute training course may be substituted for this requirement.

(e) The experience stated in subsection (d) or substitute clinical training for licensed nurses shall include respirator and tracheostomy care, nasogastric tube and gastrostomy care, administration of total parenteral nutrition and traction care. In addition, this requirement shall be completed prior to treating subacute patients. Registered nurses shall be certified by the facility to perform intravenous procedures and cardiopulmonary resuscitation.

(f) The facility shall provide documentation that all staff participating in direct patient care, including the director of nursing, registered nurses, licensed practical nurses, and nurse's aide staff have continuing in-service training pertinent to the subacute level of care and shall make documentation available upon request by the department of human services at the time of the facility inspection. [Eff 11/25/96 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: HRS §346-14)

§17-1737-119 Physician services. Physician services shall include, but not be limited to: (1) The evaluation and completion of forms used to establish and continue the subacute level of care for a recipient; (2) Physicians visits at least weekly during the first month and a minimum of once every two weeks thereafter until the stability of the patient's condition allows for monthly visits; (3) A plan of care shall be entered into the medical record and shall include: (A) Medical history, physical findings, and diagnosis indicating the need for admission;