Florida Regulations 63M-2.0035: Protocols and Procedures
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(1) All newly employed health care personnel, whether state-employed or contracted health care staff, shall receive a clinical orientation to department health care policies and procedures, given by a Registered Nurse or designated licensed health care professional.
(2) The facility Designated Health Authority shall review and approve treatment protocols for the onsite licensed nursing staff and non-licensed staff to utilize when administering care in response to commonly encountered complaints. These protocols must be within the scope of practice and level of expertise and training of the staff conducting the Sick Call process.
(3) Treatment protocols shall be specifically developed for:
(a) Registered Nurses;
(b) Licensed Practical Nurses; and,
(c) Non-licensed staff.
(4) When utilizing treatment protocols, the Designated Health Authority or Physician Designee, PA or ARNP shall be contacted when deemed necessary based upon clinical judgment.
(5) Documentation of the implemented treatment protocol shall be recorded by one of the following:
(a) On the treatment protocol copy;
(b) Sick Call Request Form (HS 032, February 2010);
(c) For non-licensed staff, the Report of Onsite Health Care by Non-Health Care Staff Form (HS 049, December 2006), which is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-03796, or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.
(d) Chronological Progress Notes.
(6) The Designated Health Authority, the Psychiatrist (if applicable), and the Dentist (if applicable), must sign and date all of their respective written treatment protocols, each time a new protocol is developed and/or an existing one is changed at a time other than the annual review.
(7) Nursing staff must review, sign and date a cover page on which all Facility Operating Procedures, treatment protocols, and other procedures are listed. Any changes in these documents that are made during the year must be reviewed, signed, and dated by each nurse on the individual documents.
(8) An annual review of all Facility Operating Procedures and treatment protocols is required. This is demonstrated by the signature and date of the DHA, facility Superintendent.
(9) Facility-operating procedures shall be facility-specific. Corporate policies and procedures shall include language that articulates how the individual facility shall implement the corporate policy or procedure.
Rulemaking Authority Florida Statutes § 985.64(2). Law Implemented 985.64(2), 985.145, 985.18 FS. History-New 3-16-14.
(3) Treatment protocols shall be specifically developed for:
(a) Registered Nurses;
(b) Licensed Practical Nurses; and,
(c) Non-licensed staff.
(4) When utilizing treatment protocols, the Designated Health Authority or Physician Designee, PA or ARNP shall be contacted when deemed necessary based upon clinical judgment.
(5) Documentation of the implemented treatment protocol shall be recorded by one of the following:
(a) On the treatment protocol copy;
(b) Sick Call Request Form (HS 032, February 2010);
(c) For non-licensed staff, the Report of Onsite Health Care by Non-Health Care Staff Form (HS 049, December 2006), which is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-03796, or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.
(d) Chronological Progress Notes.
(6) The Designated Health Authority, the Psychiatrist (if applicable), and the Dentist (if applicable), must sign and date all of their respective written treatment protocols, each time a new protocol is developed and/or an existing one is changed at a time other than the annual review.
(7) Nursing staff must review, sign and date a cover page on which all Facility Operating Procedures, treatment protocols, and other procedures are listed. Any changes in these documents that are made during the year must be reviewed, signed, and dated by each nurse on the individual documents.
(8) An annual review of all Facility Operating Procedures and treatment protocols is required. This is demonstrated by the signature and date of the DHA, facility Superintendent.
(9) Facility-operating procedures shall be facility-specific. Corporate policies and procedures shall include language that articulates how the individual facility shall implement the corporate policy or procedure.
Rulemaking Authority Florida Statutes § 985.64(2). Law Implemented 985.64(2), 985.145, 985.18 FS. History-New 3-16-14.