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<section article="ghg" article_name="Health - General" number="19-4A-03.2" title_number="19" title_name="Health Care Facilities" subtitle_number="4A" subtitle_name="Residential Service Agencies">
  <level label="a">
    <text>A residential service agency that provides private duty nursing services may employ a licensed nurse who does not meet the clinical experience requirements established by the Department if the residential service agency provides training and a competency evaluation in accordance with this section.</text>
  </level>
  <level label="b">
    <text>A residential service agency that seeks to employ a nurse described under subsection (a) of this section shall:</text>
    <level label="1">
      <text>Establish and implement a training program designed to ensure safe and competent care based on patient needs;</text>
    </level>
    <level label="2">
      <text>Ensure the nurse receives clinical supervision by a registered nurse qualified in private duty nursing services;</text>
    </level>
    <level label="3">
      <text>Assign the nurse to a qualified preceptor or clinical supervisor until competency is demonstrated;</text>
    </level>
    <level label="4">
      <text>Document satisfactory completion of required competency standards in the nurse’s personnel file; and</text>
    </level>
    <level label="5">
      <text>Conduct competency evaluations of the nurse:</text>
      <level label="i">
        <text>Annually; or</text>
      </level>
      <level label="ii">
        <text>For disciplinary purposes, on a more frequent schedule as required by the Department.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>A training program and competency evaluation required under this section are subject to approval by the Department.</text>
  </level>
  <level label="d">
    <text>This section may not be construed to affect requirements relating to occupational licensure, scope of practice, or standards of care.</text>
  </level>
</section>
