reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70351 - Special Permit Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any
				  licensee desiring to establish or conduct, or who holds out, represents or
				  advertises by any means, the performance of a special service shall obtain a
				  special permit from the Department.
(b) The following supplemental services are
				  also special services for which a special permit is required:
(1) Basic emergency medical
				  service.
(2) Burn center.
(3) Cardiovascular surgery service.
(4) Chronic dialysis unit.
(5) Comprehensive emergency medical
				  service.
(6) Intensive care newborn
				  nursery service.
(7) Psychiatric
				  unit.
(8) Radiation therapy
				  service.
(9) Renal transplant
				  center.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70353 - Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Any licensee desiring to obtain a special permit shall file
					 with the Department an application on forms furnished by the Department. Such
					 other information or documents as may be required for the proper administration
					 and enforcement of the licensing law and requirements shall be submitted with
					 the application.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70355 - Renewal Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The licensee shall submit renewal applications as required
					 by the Department.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70357 - Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Upon verification of compliance with the
				  supplemental service requirements for any service which is a special service,
				  the Department shall issue a special permit except that no special permit shall
				  be issued for new special services for which there is no valid, subsisting, and
				  unexpired Certificate of Need or Certificate of Exemption.
1. Amendment
					 filed 11-12-76 as an emergency; effective upon filing (Register 76, No.
					 46).
2. Certificate of Compliance filed 3-8-77 (Register 77, No.
					 11).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70359 - Posting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The special permit, or a true copy thereof, shall be posted
					 conspicuously in a prominent location within the licensed premises and
					 accessible to public view.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70361 - Transferability

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Special permits are not transferable. The licensee shall
					 notify the Department in writing at least 30 days prior to the effective date
					 of any change of ownership. A new application for special permit shall be
					 submitted by the prospective new owner.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70363 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All hospitals shall maintain continuous compliance with the special permit
				  requirements. These requirements do not prohibit the use of alternate concepts,
				  methods, procedures, techniques, equipment, personnel qualifications or the
				  conducting of pilot projects provided such exceptions are carried out with the
				  prior written approval of the Department. Such approval shall provide for the
				  terms and conditions under which the exception is granted. A written request
				  plus supporting evidence shall be submitted by the applicant or licensee to the
				  Department.
(b) Any approval
				  granted by the Department pursuant to this section, or a true copy thereof,
				  shall be posted immediately adjacent to the facility's license required to be
				  posted by Section
				  70123.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70365 - Voluntary Suspension of Special Permit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Upon written request and good cause, a
				  licensee may request that a special permit be put in suspense. The Department
				  may approve the request for a period not to exceed 12 months.
(b) Any special permit which has been
				  temporarily suspended by the Department pursuant to this section shall remain
				  subject to all renewal requirements of an active special permit, including the
				  payment of renewal fees, during the period of temporary suspension.
(c) Any special permit suspended pursuant to
				  this section may be reinstated by the Department within 12 months of the date
				  of suspension upon receipt of an application and evidence showing compliance
				  with supplemental service requirements in effect at the time of reinstatement.
				  If the special permit is not reinstated within the 12-month period, the special
				  permit shall expire automatically.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70367 - Voluntary Cancellation of Special Permit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The licensee shall notify the Department
				  in writing as soon as possible and in all cases at least 30 days prior to the
				  effective date of cancellation of a special permit.
(b) Any special permit cancelled pursuant to
				  this section may be reinstated by the Department on receipt of an application
				  along with evidence showing compliance with supplemental service
				  requirements.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 5 - Special Permit › Section 70369 - Revocation or Involuntary Suspension of Special Permit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pursuant to provisions of Chapter 5
				  (commencing with Section
				  11500), Part I, Division 3, Title
				  2, Government Code, the Department may suspend or revoke any special permit
				  issued under the provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, upon any of the following grounds:
(1) Violation by the licensee of any
				  provisions of Chapter 2 (commencing with Section
				  1250), Division 2, Health and
				  Safety Code, or of the supplemental service regulations promulgated by the
				  Department.
(2) Aiding, abetting or
				  permitting the violation of any provisions of Chapter 2 (commencing with
				  Section 1250), Division 2, Health and
				  Safety Code, or supplemental service regulations promulgated by the
				  Department.
(3) Conduct inimical to
				  the public health, morals, welfare or safety of the people of the State of
				  California in the maintenance and operation of a supplemental
				  service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70401 - Acute Respiratory Care Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Acute Respiratory Care Service means an intensive care unit
					 in which there are specially trained nursing and supportive personnel and the
					 necessary diagnostic, monitoring and therapeutic equipment to provide
					 specialized medical and nursing care to patients with acute respiratory
					 problems.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70403 - Acute Respiratory Care Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and accountability of
				  the acute respiratory care service to the medical staff and administration
				  shall be defined.
(c) The unit
				  shall be used primarily for the care of patients with acute respiratory
				  failure. The unit should contain at least four (4) beds and should treat 100 or
				  more patients per year.
(d) Data
				  relating to admissions, mortality and morbidity shall be kept and reviewed by
				  an appropriate committee of the medical staff at least quarterly.
(e) The hospital shall have the capability to
				  perform blood gas analysis and electrolyte determinations at all
				  times.
(f) The unit shall be
				  located to prevent through traffic.
(g) Periodically, an appropriate committee of
				  the medical staff shall evaluate the services provided and make appropriate
				  recommendations to the executive committee of the medical staff and
				  administration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70405 - Acute Respiratory Care Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the acute respiratory care service. When possible this
				  physician shall be certified or eligible for certification in pulmonary disease
				  by the American Board of Internal Medicine or be certified or eligible for
				  certification by the American Board of Anesthesiology. If such specialists are
				  not available, a physician who is certified or eligible for certification as an
				  internist by the American Board of Internal Medicine with interest and
				  experience in acute respiratory care may direct and coordinate the
				  service.
(b) A minimum of one other
				  physician experienced in acute respiratory care shall be available to the
				  unit.
(c) Consultants in the
				  specialties of medicine and surgery shall be available to the unit.
(d) A registered nurse with at least six
				  months nursing experience in the care of acute respiratory failure patients
				  shall be responsible for the nursing care and nursing management of the
				  unit.
(e) A registered
				  nurse:patient ratio shall be 1:4 or fewer on all shifts.
(f) Sufficient other licensed nursing
				  personnel who have experience in acute respiratory care nursing shall provide
				  additional support in a total nurse:patient ratio of 1:2 or fewer on each
				  shift.
(g) Sufficient respiratory
				  care practitioners and/or respiratory care technicians shall provide support
				  for resuscitation and maintenance of the mechanical ventilators in a ratio of
				  1:4 or fewer on each shift.
(h) A
				  physical therapist and a social worker should be available on a regular
				  basis.
1. Change
					 without regulatory effect amending subsections (c) and (g) and adding new NOTE
					 filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70407 - Acute Respiratory Care Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment and
				  supplies shall include at least:
(1)
				  Vertically adjustable beds with immediately removable headboards with
				  trendelenburg position capability.
(2) Bed scales.
(3) One pressure cycle respirator for each
				  bed and one volume-cycle respirator for each four beds.
(4) Endotracheal tubes and tracheostomy
				  sets.
(5) Patient lift.
(6) Respiratory and cardiac monitoring for
				  each bed.
(7) Crash cart or
				  equivalent.
(8) Spriometry
				  equipment.
(9) Resuscitative
				  equipment.
(10) DC
				  defibrillator.
(11) Self-inflating
				  bag and attached mask at each bed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70409 - Acute Respiratory Care Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to the construction
				  requirements in Section T17-316, Title 24, California Administrative Code, the
				  following shall be met:
(1) Beds in the acute
				  respiratory care service shall be included in the total licensed bed capacity
				  of the hospital.
(2) Each bed area
				  shall contain at least 12.2 square meters (132 square feet) of floor space with
				  no dimension less than 3.3 meters (11 feet) and with 1.2 meters (4 feet) of
				  clearance at both sides and at the foot of the bed with a minimum of 2.4 meters
				  (8 feet) between beds.
(3) 1.2
				  meters (4 feet) of floor space shall be provided around nurses' desks and
				  utility areas.
(4) All beds shall
				  be placed in relation to the nurses' station or work area to obtain maximum
				  observation of the patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70411 - Basic Emergency Medical Service, Physician on Duty, Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Basic emergency medical service, physician on duty, means
					 the provision of emergency medical care in a specifically designated area of
					 the hospital which is staffed and equipped at all times to provide prompt care
					 for any patient presenting urgent medical problems.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70415 - Basic Emergency Medical Service, Physician on Duty, Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician trained and experienced in
				  emergency medical services shall have overall responsibility for the service.
				  He or his designee shall be responsible for:
(1) Implementation of established policies
				  and procedures.
(2) Providing
				  physician staffing for the emergency services 24 hours a day who are
				  experienced in emergency medical care.
(3) Development of a roster of specialty
				  physicians available for consultation at all times.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70417 - Basic Emergency Medical Service, Physician on Duty, Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All equipment and supplies necessary for life support shall
					 be available, including but not limited to, airway control and ventilation
					 equipment, suction devices, cardiac monitor defibrillator, pacemaker
					 capability, apparatus to establish central venous pressure monitoring,
					 intravenous fluids and administration devices.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70419 - Basic Emergency Medical Service, Physician on Duty, Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following space provisions and
				  designations shall be provided:
(1) Treatment
				  room.
(2) Cast room.
(3) Nursing station.
(4) Medication room.
(5) Public toilets.
(6) Observation room.
(7) Staff support rooms including toilets,
				  showers and lounge.
(8) Waiting
				  room.
(9) Reception
				  area.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70421 - Burn Center Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Burn center means an intensive care unit in which there are
					 specially trained physicians, nursing and supportive personnel and the
					 necessary monitoring and therapeutic equipment needed to provide specialized
					 medical and nursing care to burned patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70423 - Burn Center General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the burn center service to the medical staff and administration shall be
				  defined.
(c) The burn center shall
				  be used solely for the care of patients with burns or similar and related
				  conditions. The center shall contain at least four (4) beds and should treat
				  fifty (50) or more patients per year.
(d) If clinical or laboratory research
				  projects are conducted, they shall be reviewed annually by an appropriate
				  research committee.
(e) Data
				  relating to admission, morbidity and mortality shall be kept and reviewed by an
				  appropriate committee of the medical staff at least quarterly.
(f) The hospital shall have the capability to
				  perform necessary laboratory studies including blood gas analysis and
				  electrolyte determinations twenty-four (24) hours a day.
(g) A photograph shall be taken of all burns
				  upon admission and upon discharge of the patient.
(h) The center shall be located to prevent
				  through traffic.
(i) Respiratory
				  care service and rehabilitation service shall be available to and associated
				  with the burn center.
(j)
				  Periodically, an appropriate committee of the medical staff shall evaluate the
				  services provided and make appropriate recommendations to the executive
				  committee of the medical staff and administration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70425 - Burn Center Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  physician shall have responsibility for the burn service. This physician shall
				  be certified or eligible for certification by the American Board of Surgery or
				  American Board of Plastic Surgery and should be a member of the American Burn
				  Association.
(b) At least two (2)
				  surgeons, experienced in burn therapy and certified or eligible for
				  certification by the American Board of Surgery or the American Board of Plastic
				  Surgery shall be responsible for the supervision and performance of burn
				  care.
(c) Continuous in-house
				  physician coverage shall be provided.
(d) Consultants in the specialties of
				  medicine and surgery shall be available to the center. These specialties shall
				  include, but not be limited to: anesthesia, dermatology, pediatrics,
				  psychiatry, orthopedics, otolaryngology, ophthalmology, nephrology, pulmonary
				  medicine and pathology.
(e) A
				  registered nurse with at least six months' nursing experience in the treatment
				  of burn patients in a burn center, and with evidence of continuing education in
				  burn care, shall be responsible for the nursing care and nursing management of
				  the burn center.
(f) A registered
				  nurse with at least three months' nursing experience in the treatment of burn
				  patients in a burn center shall be on duty on each shift.
(g) Sufficient other nursing personnel shall
				  be provided.
(h) Psychiatrists,
				  physical therapists, occupational therapists and social workers shall be
				  available on a regular basis to provide needed care and consultation.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70427 - Burn Center Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment and supplies available to the
				  burn center shall include at least:
(1)
				  Vertically adjustable beds.
(2)
				  Circular rotating electric beds or equivalent.
(3) A suitable patient weighing
				  device.
(4) Ventilators.
(5) Respiratory and cardiac monitoring
				  equipment.
(6) Cardiopulmonary
				  resuscitation cart.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70429 - Burn Center Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  following spaces, services and equipment shall be provided:
(1) Nurses' station as defined in Title 24,
				  California Administrative Code, Section T17-306.
(2) Utility rooms as defined in Title 24,
				  California Administrative Code, Section T17-308.
(3) Storage space for clean linen.
(4) Storage space for soiled linen.
(5) Air conditioning system as required in
				  Section T17-104.
(6) A piped
				  air/oxygen system and a piped suction system providing outlets at each
				  bed.
(7) Window area sufficient to
				  provide patients with an awareness of the outdoors.
(8) Cubicle curtains or other means of
				  assuring visual privacy for each patient.
(9) A treatment room.
(10) A fully equipped operating room within
				  the hospital.
(11) Bathing
				  facilities for patients.
(12)
				  Storage space for equipment and supplies.
(13) Waiting area adjacent to the
				  center.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70431 - Cardiovascular Surgery Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Cardiovascular surgery service means the performance of
					 laboratory procedures for obtaining physiologic, pathologic and angiographic
					 data on patients, and cardiovascular operative procedures, each supported by
					 appropriate staff, space, equipment and supplies. It is the intent of this
					 definition that the two aspects of this service shall not exist
					 separately.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70433 - Cardiovascular Surgery Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate. These
				  policies and procedures shall include provision for at least:
(1) Definitions of qualifications of
				  physicians for privileges to perform cardiovascular laboratory catheterization
				  procedures and/or surgery.
(2)
				  Regular review of case management, both preoperatively and
				  postoperatively.
(3) Collection,
				  processing and retrieval of data on all patients to include at least:
				  diagnosis, procedure performed, pathophysiologic, angiographic, morbidity and
				  mortality data.
(4) Recommendations
				  regarding equipment used, procedures performed and staffing patterns in the
				  catheterization laboratory and cardiovascular surgery
				  units.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70435 - Cardiovascular Surgery Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Cardiovascular catheterization
				  laboratory.
(1) A physician shall have
				  overall responsibility for the service. This physician shall be certified or
				  eligible for certification in cardiology by either the American Board of
				  Internal Medicine or the American Board of Pediatrics or have equivalent
				  experience and training. He shall be responsible for:
(A) Implementing established policies and
				  procedures.
(B) Supervision and
				  training of all personnel, including in-service training and continuing
				  education.
(C) Assuring proper
				  safety, function, maintenance and calibration of all equipment.
(D) Maintaining a record of all angiographic
				  procedures performed.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70437 - Cardiovascular Surgery Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Cardiovascular catheterization laboratory
				  equipment and supplies shall include but not be limited to:
(1) X-ray machine
(2) Image intensifier.
(3) Pulse generator.
(4) Camera.
(5) Spot film device.
(6) Videotape viewing equipment of
				  fluoroscopic procedures.
(7)
				  Magnetic tape recording and playback equipment.
(8) Motor driven cardiac table.
(9) Cinefluorography and radiography
				  equipment.
(10) Monitoring and
				  recording equipment.
(11) Pressure
				  transducers.
(12) Equipment for
				  determining cardiac output.
(13)
				  Equipment for exercising patients during procedures.
(14) Equipment for determining oxygen
				  saturation, hemoglobin, blood gas analysis and pH.
(15) Appropriate cardiac catheters and
				  accessory equipment.
(16)
				  Resuscitation equipment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70438 - Cardiac Catheterization Laboratory Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Cardiac catheterization laboratory service shall be
					 organized to perform laboratory procedures for obtaining physiologic,
					 pathologic and angiographic data on patients with cardiovascular
					 disease.
1. New
					 section filed 8-2-85 as an emergency; effective upon filing (Register 85, No.
					 31). A Certificate of Compliance must be transmitted to OAL within 120 days or
					 emergency language will be repealed on 12-2-85.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1255
						and
						1255.5,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70438.1 - Cardiac Catheterization Laboratory Service-General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The cardiac catheterization laboratory service may be
					 approved in a general acute care hospital which does not provide cardiac
					 surgery provided the following requirements are met:
(a) The hospital shall maintain a current
				  written transfer agreement as specified in Section
				  1255
				  of the Health and Safety Code, which shall include all of the following:
(1) Provisions for emergency and routine
				  transfer of patients.
(2)
				  Provisions which specify that cardiac surgery staff and facilities shall be
				  immediately available to the patient upon notification of an
				  emergency.
(3) Provisions which
				  specify that the cardiac catheterization laboratory staff shall have
				  responsibility for arranging transportation to the receiving
				  hospitals.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70438.2 - Cardiac Catheterization Laboratory Service - Expanded

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) As used in this section, the following
				  definition applies:
(1) "Expanded cardiac
				  catheterization laboratory space" means a catheterization laboratory space, as
				  provided for in Section
				  70439(a), that is
				  located in a building connected to a general acute care hospital, as described
				  in subdivision (b).
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70439 - Cardiovascular Surgery Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Catheterization laboratory space shall
				  include:
(1) A minimum floor area of 40
				  square meters (450 square feet) for the procedure room.
(2) A minimum floor area of 9 square meters
				  (100 square feet) for each of the following:
(A) Control, monitoring and recording
				  equipment.
(B) X-ray power and
				  controls.
(C) Work room.
(D) Dressing rooms for doctors and
				  nurses.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70441 - Chronic Dialysis Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Chronic dialysis service means a specialized unit of a
					 hospital for the treatment of patients with end-stage renal disease who
					 manifest the accumulation of excessive nitrogenous waste products. The scope of
					 services includes hemodialysis per se and may include peritoneal dialysis or
					 other means for removing toxic or excessive waste products from the blood. The
					 service includes supervision of patients undergoing home
					 dialysis.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70443 - Chronic Dialysis Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and the
				  administration. Policies shall be approved by the governing body. Procedures
				  shall be approved by the administration and medical staff where such is
				  appropriate.
(b) The responsibility
				  and the accountability of the chronic dialysis service to the medical staff and
				  administration shall be defined.
(c) The hospital shall:
(1) Have two or more dialysis stations. A
				  minimum of five dialysis sessions per week should be performed at each
				  station.
(2) Work in cooperation
				  with other facilities providing care for patients with end-stage renal
				  disease.
(3) Make chronic dialysis
				  services available to patients with end-stage renal disease referred from other
				  facilities which do not provide chronic dialysis serviced.
(4) Participate in the development and use of
				  a registry of prospective recipient patients.
(5) Participate in kidney procurement,
				  preservation and transport program.
(6) Review all patients with end-state renal
				  disease to determine the appropriateness of their treatment modality, including
				  self-dialysis, home dialysis and renal transplantation and cooperate with other
				  facilities for the timely transfer of medical data.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70445 - Chronic Dialysis Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician shall be certified or eligible
				  for certification by the American Board of Internal Medicine or the American
				  Board of Pediatrics and shall have a minimum of one year's training or
				  experience in the care of patients with end-stage renal disease.
(b) Surgeons performing the vascular access
				  procedures shall be certified or eligible for certification by the American
				  Board of Surgery and shall have a minimum of one year's training or experience
				  in vascular surgery.
(c) Children
				  being treated for end-stage renal disease shall be under the care of a
				  physician who is certified or eligible for certification by the American Board
				  of Pediatrics.
(d) Where
				  appropriate, the hospital shall provide timely evaluation and consultation by
				  the following specialists:
(1) Physicians
				  certified or eligible for certification in cardiology, endocrinology,
				  infectious disease or hematology by the American Board of Internal
				  Medicine.
(2) A physician certified
				  or eligible for certification in neurology by the American Board of Psychiatry
				  and Neurology.
(3) A physician
				  certified or eligible for certification in psychiatry by the American Board of
				  Psychiatry and Neurology.
(4) A
				  physician certified or eligible for certification in orthopaedic surgery by the
				  American Board of Orthopaedic Surgery.
(5) A physician certified or eligible for
				  certification by the American Board of Pathology.
(6) A physician certified or eligible for
				  certification by the American Board of Urology.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70447 - Chronic Dialysis Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment and supplies shall include at
				  least:
(1) A dialysis machine or equivalent
				  (with appropriate monitoring equipment) for each bed or station.
(2) Dialysis equipment appropriate for
				  pediatric patients, if treated.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70449 - Chronic Dialysis Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be a minimum of 10 square
				  meters (110 square feet) of floorspace per bed or station.
(b) The following areas shall be provided and
				  maintained:
(1) Patient waiting
				  area.
(2) Conference
				  room.
(3) Nurses'
				  station.
(4) Segregated area for
				  home dialysis training, if provided.
(5) Machine storage room.
(6) Supplies storage room.
(7) Utility room.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70451 - Comprehensive Emergency Medical Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Comprehensive Emergency medical service means the provision
					 of diagnostic and therapeutic services for unforeseen physical and mental
					 disorders which, if not promptly treated, would lead to marked suffering,
					 disability or death. The scope of services is comprehensive with in-house
					 capabilities for managing all medical situations on a definitive and continuing
					 basis.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70455 - Comprehensive Emergency Medical Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A full-time physician trained and
				  experienced in emergency medical service shall have overall responsibility for
				  the service. The physician or her or his designee shall be responsible for:
(1) Implementation of established policies
				  and procedures.
(2) Providing
				  continuous staffing with physicians trained and experienced in emergency
				  medical service. Such physicians shall be assigned to and be located in the
				  emergency service area 24 hours a day.
(3) Providing experienced physicians in
				  specialty categories to be available in-house 24 hours a day. Such specialities
				  include but are not limited to medicine, surgery, anesthesiology, orthopedics,
				  neurosurgery, pediatrics and obstetrics-gynecology.
(A) The most senior resident in any of the
				  specialities may be considered an experienced physician.
(4) Maintenance of a roster of specialty
				  physicians immediately available for consultation and/or assistance.
(5) Assurance of continuing education for all
				  emergency service staff including physicians, nurses and other
				  personnel.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70457 - Comprehensive Emergency Medical Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All equipment and supplies necessary for life support shall
					 be available, including but not limited to: airway control and ventilation
					 equipment, suction devices, cardiac monitor, defibrillators, pacemaker
					 capability, apparatus to establish central nervous system monitoring and
					 administration devices.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70459 - Comprehensive Emergency Medical Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The following space provisions and
				  designations shall be provided:
(1) Treatment
				  rooms.
(2) Cast rooms.
(3) Operating room fully equipped.
(4) Intensive care in or adjoining the
				  emergency medical service area.
(5)
				  Nursing station.
(6) Medication
				  room.
(7) Clean and dirty utility
				  room.
(8) X-ray spaces.
(9) Laboratory facilities.
(10) Staff support rooms including toilets,
				  showers, lounge and sleeping area.
(11) Public toilets.
(12) Observation room.
(13) Police and press room.
(14) Waiting room.
(15) Reception area.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70461 - Coronary Care Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Coronary care service means an intensive care unit in which
					 there are specially trained nursing and supportive personnel with necessary
					 diagnostic, monitoring and therapeutic equipment needed to provide specialized
					 medical and nursing care to patients suspected of or having significant
					 coronary artery disease, heart failure or dysrhythmia.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70463 - Coronary Care Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate. The policies
				  and procedures shall include but not be limited to:
(1) Admission, transfer and discharge
				  policies.
(2) Staffing
				  requirements.
(3) Routine
				  procedures.
(4) Emergency
				  procedures.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70465 - Coronary Care Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician shall be certified or eligible
				  for certification in cardiovascular disease by the American Board of Internal
				  Medicine. If such a cardiologist is not available, a physician certified or
				  eligible for certification in internal medicine by the American Board of
				  Internal Medicine, with training and experience in cardiovascular disease, may
				  administer the service. In this circumstance, a cardiologist, qualified as
				  above, shall provide consultation at such frequency as to assure high quality
				  service. The physician in charge shall be responsible for:
(1) Implementation of established policies
				  and procedures.
(2) Development of
				  a system for assuring physician coverage.
(3) Conducting education programs in coronary
				  care for physicians.
(4) Assuring
				  there is a continuing education program for nursing personnel in coronary
				  care.
(5) Final decision regarding
				  admissions to and discharges from unit.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70467 - Coronary Care Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The equipment and supplies required in Section
					 70497 for intensive care units
					 shall be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70469 - Coronary Care Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The space requirements in Section
					 70499 for intensive care units
					 shall be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70471 - Dental Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Dental services means the provision of diagnostic,
					 preventive or corrective procedures performed by dentists with appropriate
					 staff, space, equipment and supplies.