Inpatient rehabilitation facilities providing services to persons with traumatic brain injuries shall meet the requirements in this Rule in addition to those identified in this Section.

(1)           Direct-care nursing personnel staffing ratios established in Rule .5408 of this Section shall not be applied to nursing services for traumatic brain injury patients in the inpatient, rehabilitation facility or unit.  The minimum nursing hours per traumatic brain injury patient in the unit shall be 6.5 nursing hours per patient day.  At no time shall direct care nursing staff be less than two full-time equivalents, one of which shall be a registered nurse.

(2)           The inpatient rehabilitation facility or unit shall employ or provide by contractual agreements physical, occupational or speech therapists in order to provide a minimum of 4.5 hours of specific or combined rehabilitation therapy services per traumatic brain injury patient day.

(3)           The facility shall provide special facility or special equipment needs for patients with traumatic brain injury, including specially designed wheelchairs, tilt tables and standing tables.

(4)           The medical director of an inpatient traumatic brain injury program shall have two years management in a brain injury program, one of which may be in a clinical fellowship program and board eligibility or certification in the medical specialty of the physician's training.

(5)           The facility shall provide the consulting services of a neuropsychologist.

(6)           The facility shall provide continuing education in the care and treatment of brain injury patients for all staff.

(7)           The size of the brain injury program shall be adequate to support a comprehensive, dedicated ongoing brain injury program.


History Note:        Authority G.S. 131E-79;

RRC Objection due to lack of statutory authority Eff. January 18, 1996;

Eff. May 1, 1996.