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PUBLIC HEALTH DIVISION, Center for Health Protection Health Care Regulation and Quality Improvement Section Health Facility Licensing and Certification Program Kate Brown, GovernorSurvey & Certification
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01
Start by accessing the nurse staffing waiver request form.
02
Fill in your personal information such as your name, contact details, and job title.
03
Provide details about the facility or organization that requires the nurse staffing waiver.
04
Specify the start date and duration of the staffing waiver request.
05
Explain the reasons for requesting the nurse staffing waiver, providing details on the staffing needs and any extenuating circumstances.
06
Attach any supporting documents or evidence that support your request.
07
Review the completed form to ensure accuracy and completeness.
08
Submit the nurse staffing waiver request form through the designated submission process, following any additional instructions or requirements.

Who needs nurse staffing waiver request?

01
Healthcare facilities or organizations that are experiencing staffing shortages or require temporary changes to nurse staffing levels may need to submit a nurse staffing waiver request.
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A nurse staffing waiver request allows facilities to temporarily deviate from the minimum nurse staffing requirements in certain situations.
Facilities that are unable to meet the minimum nurse staffing requirements due to extenuating circumstances are required to file a nurse staffing waiver request.
Facilities can fill out a nurse staffing waiver request by providing detailed information about the situation that warrants the waiver and submitting it to the appropriate regulatory body.
The purpose of a nurse staffing waiver request is to allow facilities to address staffing shortages or other unexpected situations that prevent them from meeting the minimum nurse staffing requirements.
Facilities must report detailed information about the staffing shortage or extenuating circumstances that warrant the waiver, as well as their plan to address the situation.
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