Mandating nurse staffing ratios
The final determination as to adequate staffing levels remains at the discretion of the facility or agency administration.
A shorter list of factors for consideration is required for lockups and community confinement facilities, specifically: At least annually, or more frequently if necessary, facilities must reassess, determine, and document whether adjustments to the staffing plan or resources devoted to supervision and monitoring are needed, making any necessary adjustments.
Recognizing the unique role of rape crisis center advocates in providing support, crisis intervention, information, and referrals to victims throughout the forensic medical exam process and ensuing investigation(s), Standard 115.21/115.221/115.321 requires facilities to attempt to secure advocacy services from rape crisis centers for victims of sexual abuse in confinement.Standard 115.313 requires a minimum staffing ratio of 1:8 for supervision during resident waking hours and during resident sleeping hours. Agencies may depart from these minimum ratios during limited and discrete exigent circumstances, which must be fully documented for audit purposes.Non-secure juvenile facilities are not required to maintain a minimum staffing ratio.The standard further requires facilities to use a developmentally appropriate protocol for youth.Since no national protocol for pediatric sexual assault exists, contact your local sexual assault or domestic violence coalitions to inquire about your state’s protocol.
For lockups, the requirement is slightly different.