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 3 - Basic Services › Section 70217 - Nursing Service Staff. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 and new section, and new NOTE filed 11-26-96; operative 12-26-96 (Register 96,
					 No. 48).
2. Amendment of section and NOTE filed 9-26-2003; operative
					 1-1-2004 (Register 2003, No. 39).
3. Amendment of subsections (a),
					 (a)(11) and (d), new subsections (e) and (s), subsection relettering and
					 amendment of newly designated subsection (r) filed 11-12-2004 as an emergency;
					 operative 11-12-2004 (Register 2004, No. 46). A Certificate of Compliance must
					 be transmitted to OAL by 3-14-2005 or emergency language will be repealed by
					 operation of law on the following day.
4. Amendment of subsections
					 (a), (a)(11) and (d), new subsections (e) and (s), subsection relettering and
					 amendment of newly designated subsection (r) refiled 3-10-2005 as an emergency;
					 operative 3-15-2005 (Register 2005, No. 10). A Certificate of Compliance must
					 be transmitted to OAL by 7-13-2005 or emergency language will be repealed by
					 operation of law on the following day.
5. Amendment of subsections
					 (a), (a)(11) and (d), new subsections (e) and (s), subsection relettering and
					 amendment of newly designated subsection (r) refiled 7-11-2005 as an emergency;
					 operative 7-14-2005 (Register 2005, No. 28). A Certificate of Compliance must
					 be transmitted to OAL by 11-14-2005 or emergency language will be repealed by
					 operation of law on the following day.
6. Addition of explanatory
					 NOTE (Register 2005, No. 33).
7. Repealed by operation of Government
					 Code section
					 11346.1(g)
					 (Register 2005, No. 47).
Note: Authority cited: Sections
						1275,
						1276.4
						and
						100275(a),
						Health and Safety Code. Reference: Sections
						1250(a),
						1276,
						1276.4,
						1797.58
						and
						1790.160,
						Health and Safety Code.
Amendments to section
						70217 were adopted on an emergency
						basis and became operative 11-12-2004. The emergency amendments were
						subsequently readopted twice, effective 3-15-2005 and 7-14-2005. These
						amendments were enjoined from implementation and enforcement by the Superior
						Court for Sacramento County in the case of California Nurses Association v.
						Schwarzenegger et al., Case No. 04CS01725. As a result of the injunction, the
						version of the regulation adopted on 9-26-2003 and operative 1-1-2004 remained
						in effect. California Nurses Association v. Schwarzenegger et al., has been
						resolved; no certificate of compliance was submitted for the emergency action
						and the emergency amendments were repealed by operation of law.
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 3 - Basic Services › Section 70219 - Nursing Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Space and components for nurses' stations and utility rooms shall comply with
				  the requirements set forth in California Code of Regulations, Title 24, Part 2,
				  Section 420 A.14, California Building
				  Code, 1995.
(b) Office space shall
				  be provided for the administrator of nursing services and for the other needs
				  of the service.
1. Repealer
					 and new section, and new NOTE filed 11-26-96; operative 12-26-96 (Register 96,
					 No. 48).
Note: Authority cited: Sections
						100275(a)
						and
						1275,
						Health and Safety Code. Reference: CCR, Title 24, Section
						420 A.14, California Building
						Code; and Sections
						1276,
						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 3 - Basic Services › Section 70221 - Surgical Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Surgical service means the performance of surgical
					 procedures with the appropriate staff, space, equipment and
					 supplies.
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 3 - Basic Services › Section 70223 - Surgical Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Hospitals shall maintain at least the
				  number of operating rooms in ratio to licensed bed capacity as follows:
Licensed Bed
							 Capacity
Number of Operating Rooms
Less than
							 25..........................
..........................One
25 to
							 99..........................
..........................Two
100 or
							 more..........................
..........................Three
For each additional 100 beds or major fractions thereof, at
					 least one additional operating room shall be maintained, unless approved to the
					 contrary by the Department.
(1)
				  Required operating rooms are in addition to special operating rooms, cystoscopy
				  rooms and fracture rooms which are provided by the hospital.
(2) Beds in a distinct part skilled nursing
				  service, intermediate care service or psychiatric unit shall be excluded from
				  calculating the number of operating rooms required.
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 3 - Basic Services › Section 70225 - Surgical Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  physician shall have overall responsibility for the surgical service. This
				  physician shall be certified or eligible for certification in surgery by the
				  American Board of Surgery. If such a surgeon is not available, a physician,
				  with additional training and experience in surgery shall be responsible for the
				  service.
(b) One or more surgical
				  teams consisting of physicians, registered nurses and other personnel shall be
				  available at all times.
(c) A
				  registered nurse with training and experience in operating room techniques
				  shall be responsible for the nursing care and nursing management of operating
				  room service.
(d) There shall be
				  sufficient nursing personnel so that one person is not serving as circulating
				  assistant for more than one operating room.
(e) There shall be evidence of continuing
				  education and training programs for the nursing staff.
1. Repealer
					 of subsection (g) filed 6-15-89 as an emergency; operative 6-15-89 (Register
					 89, No. 25). A Certificate of Compliance must be transmitted to OAL within 120
					 days or subsection (g) will be reinstated as it existed prior to the emergency
					 on 10-13-89.
2. Certificate of Compliance as to 6-15-89 order
					 transmitted to OAL on 10-13-89 and disapproved by OAL on 11-13-89 (Register 89,
					 No. 46).
3. Repealer of subsection (g) refiled 11-16-89 as an
					 emergency; operative 11-16-89 (Register 89, No. 46). A Certificate of
					 Compliance must be transmitted to OAL within 120 days or the section will be
					 reinstated as it existed prior to the emergency on 3-16-90.
4.
					 Certificate of Compliance as to 11-16-89 order transmitted to OAL 3-15-90 and
					 filed 4-16-90 (Register 90, No. 17).
5. Repealer of subsection (d),
					 subsection relettering and amendment of NOTE filed 9-26-2003; operative
					 1-1-2004 (Register 2003, No. 39).
Note: Authority cited: Sections
						1275,
						1276.4
						and
						100275(a),
						Health and Safety Code. Reference: Sections
						1276
						and
						1276.4,
						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 3 - Basic Services › Section 70227 - Surgical Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be adequate and appropriate
				  equipment and supplies maintained related to the nature of the needs and the
				  services offered, including at least the following monitoring equipment and
				  supplies:
(1) Cardiac monitor, with a pulse
				  rate meter, for each patient receiving a general anesthetic.
(2) D. C. defibrillator.
(3) Electrocardiographic machine.
(4) Oxygen and respiratory rate
				  alarms.
(5) Appropriate supplies
				  and drugs for emergency use.
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 3 - Basic Services › Section 70229 - Surgical Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Hospitals shall maintain operating rooms as follows:
(1) Operating rooms shall have a minimum
				  floor dimension of 5.4 meters (18 feet) and shall contain not less than 30
				  square meters (324 square feet) of floor area.
(2) Cast rooms, fracture rooms and
				  cystoscopic rooms, if provided, shall have a minimum floor area of 17 square
				  meters (180 square feet), no dimension of which shall be less than three (3)
				  meters (11 feet) net.
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 3 - Basic Services › Section 70231 - Anesthesia Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Anesthesia service means the provision of anesthesia of the
					 type and in the manner required by the patient's condition with appropriate
					 staff, space, equipment and supplies. A postanesthesia recovery unit is a
					 specific area in a hospital, staffed and equipped to provide specialized care
					 and supervision of patients during the immediate postanesthesia
					 period.
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 3 - Basic Services › Section 70233 - Anesthesia 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 provision for at least:
(1) Preanesthesia evaluation of the patient
				  by an individual qualified to administer anesthesia as a licensed practitioner
				  in accordance with his or her scope of licensure. Persons providing
				  preanesthesia evaluations shall appropriately document pertinent information
				  relative to the choice of anesthesia and the surgical or obstetrical procedure
				  anticipated.
(2) Review of the
				  patient's condition immediately prior to induction of anesthesia.
(3) Safety of the patient during the
				  anesthetic period.
(4) Recording of
				  all events taking place during the induction of, maintenance of and emergence
				  from anesthesia, including the amount and duration of all anesthetic agents,
				  other drugs, intravenous fluids and blood or blood fractions.
(5) Recording of postanesthetic visits that
				  include at least one note describing the presence or absence of complications
				  related to anesthesia.
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 3 - Basic Services › Section 70235 - Anesthesia Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the anesthesia service. His responsibility shall include at
				  least the:
(1) Availability of equipment,
				  drugs and parenteral fluids necessary for administering anesthesia and for
				  related resuscitative efforts.
(2)
				  Development of regulations concerning anesthetic safety.
(3) Operation of the postanesthesia
				  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 3 - Basic Services › Section 70237 - Anesthesia Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be adequate and appropriate
				  equipment for the delivery of anesthesia and postanesthesia recovery care.
(1) The anesthetist shall check the
				  readiness, availability, and cleanliness of all equipment used prior to the
				  administration of the anesthetic agents.
(2) At least the following equipment shall be
				  provided in the postanesthesia recovery room:
(A) Cardiac monitor, with pulse rate meter,
				  in the ratio of 1 monitor for each two (2) patients.
(B) D. C. defibrillator.
(C) Mechanical positive pressure breathing
				  apparatus.
(D) Stripchart
				  electrocardiographic recorder.
(E)
				  Sphygmomanometer.
(F) Crash cart,
				  or equivalent, with appropriate supplies and drugs for emergency
				  use.
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 3 - Basic Services › Section 70239 - Anesthesia Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Postanesthesia recovery unit shall
				  maintain the following spaces as required in Section T 17-314, Title 24,
				  California Administrative Code:
(1) Floor
				  area of at least 7.5 square meters (80 square feet) per bed exclusive of the
				  spaces listed below in (2) through (6).
(2) Space for a nurses' control desk,
				  charting space, locked medicine cabinet, refrigerator and handwashing lavatory
				  not requiring direct contact of the hands for operation.
(3) A utility space including a rim-flush
				  clinic sink and countertop work space at least one meter (3 feet) long. Clean
				  and dirty areas shall be separated.
(4) Storage space for clean linen.
(5) Storage space for soiled linen.
(6) Storage space for supplies and
				  equipment.
(7) Air
				  Conditioning.
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 3 - Basic Services › Section 70241 - Clinical Laboratory Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Clinical laboratory service means the performance of
					 clinical laboratory tests with appropriate staff, space, equipment and
					 supplies.
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 3 - Basic Services › Section 70243 - Clinical Laboratory Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Clinical laboratories shall be operated
				  in conformance with the California Business and Professions Code, Division 2,
				  Chapter 3 (Sections
				  1200 to
				  1322, inclusive) and the
				  California Administrative Code, Title 17, Chapter 2, Subchapter 1, Group 2
				  (Sections 1030 to
				  1057, inclusive).
(b) All hospitals shall maintain clinical
				  laboratory services and equipment for routine laboratory work, such as
				  urinalysis, complete blood counts, blood typing, cross matching and such other
				  tests as are required by these regulations.
(c) All hospitals shall maintain or make
				  provision for clinical laboratory services for performance of tests in
				  chemistry, microbiology, serology, hematology, pathology and such other tests
				  as are required by these regulations.
(d) 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.
(e) The responsibility and the accountability
				  of the clinical laboratory service to the medical staff and administration
				  shall be defined.
(f) The director
				  of the clinical laboratory shall assure that:
(1) Examinations are performed accurately and
				  in a timely fashion.
(2) Procedures
				  are established governing the provision of laboratory services for
				  outpatients.
(3) Laboratory systems
				  identify the patient, test requested, date and time the specimen was obtained,
				  the time the request reached the laboratory, the time the laboratory completed
				  the test and any special handling which was required.
(4) Procedures are established to ensure the
				  satisfactory collection of specimens.
(5) A communications system to provide
				  efficient information exchange between the laboratory and related areas of the
				  hospital is established.
(6) A
				  quality control system within the laboratory designed to ensure medical
				  reliability of laboratory data is established. The results of control tests
				  shall be readily available in the hospital.
(7) Reports of all laboratory examinations
				  are made a part of the patient's medical record as soon as is
				  practical.
(8) No laboratory
				  procedures are performed except on the order of a person lawfully authorized to
				  give such an order.
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 3 - Basic Services › Section 70245 - Clinical Laboratory Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the clinical laboratory service. This physician shall be
				  certified or eligible for certification in clinical pathology and/or pathologic
				  anatomy by the American Board of Pathology. If such a pathologist is not
				  available on a full-time or regular part-time weekly basis, a physician or a
				  licensed clinical laboratory bioanalyst who is available on a full-time or
				  regular part-time basis may administer the clinical laboratory. In this
				  circumstance, a pathologist, qualified as above, shall provide consultation at
				  suitable intervals to assure high quality service.
(b) There shall be a physician, clinical
				  laboratory bioanalyst or clinical laboratory technologist on duty or on call at
				  all times to assure the availability of emergency laboratory
				  services.
(c) There shall be
				  sufficient staff with adequate training and experience to meet the needs of the
				  service being offered.
1. Repealer
					 of subsection (d) filed 6-15-89 its an emergency; operative 6-15-89 (Register
					 89, No. 25). A Certificate of Compliance must be transmitted to OAL within 120
					 days or subsection (d) will be reinstated as it existed prior to the emergency
					 on 10-13-89.
2. Certificate of Compliance as to 6-15-89 order
					 transmitted to OAL on 10-13-89 and disapproved by OAL on 11-13-89 (Register 89,
					 No. 46).
3. Repealer of subsection (d) refiled 11-16-89 as an
					 emergency; operative 11-16-89 (Register 89, No. 46). A Certificate of
					 Compliance must be transmitted to OAL within 120 days or the section will be
					 reinstated as it existed prior to the emergency on 3-16-90.
4.
					 Certificate of Compliance as to 11-16-89 order transmitted to OAL 3-15-90 and
					 filed 4-16-90 (Register 90, No. 17).
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						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 3 - Basic Services › Section 70247 - Clinical Laboratory Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment and
				  supplies maintained to perform the laboratory services being offered.
(b) The hospital shall maintain blood storage
				  facilities in conformance with the provisions of Section
				  1002(g), Article
				  10, Group 1, Subchapter 1, Chapter 2, Title 17, California Administrative Code.
				  Such facilities shall be inspected at appropriately short intervals each day of
				  the week to assure these requirements are being fulfilled.
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 3 - Basic Services › Section 70249 - Clinical Laboratory Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adequate laboratory space a determined by
				  the Department shall be maintained.
(b) If tests on outpatients are to be
				  performed, outpatient access to the laboratory shall not traverse a nursing
				  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 3 - Basic Services › Section 70251 - Radiological Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Radiological service means the use of X-ray, other external
					 ionizing radiation, and/or thermography, and/or ultra sound in the detection,
					 diagnosis and treatment of human illnesses and injuries with appropriate staff,
					 space, equipment and supplies. Ultra sound although properly the province of
					 physical medicine, may be considered part of the radiological
					 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 3 - Basic Services › Section 70253 - Radiological Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All hospitals shall maintain a diagnostic
				  radiological service.
(b) 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.
(c) The
				  responsibility and the accountability of the radiological service to the
				  medical staff and administration shall be defined.
(d) The use, storage and shielding of all
				  radiation machines and radioactive materials shall comply with the California
				  Radiation Control Regulations, Subchapter 4, Chapter 5, Title 17, California
				  Administrative Code.
(e) All
				  persons operating or supervising the operation of X-ray machines shall comply
				  with the requirements of the Radiologic Technology Regulations, Subchapter 4.5,
				  Chapter 5, Title 17, California Administrative Code.
(f) Diagnostic radiological services may be
				  performed on the order of a person lawfully authorized to give such an
				  order.
(g) Reports of radiological
				  service examinations shall be filed in the patient's medical record and
				  maintained in the radiology unit.
(h) X-ray films or reproductions thereof,
				  shall be retained for the same period of time as is required for other parts of
				  the patient's medical record.
(i)
				  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 3 - Basic Services › Section 70255 - Radiological Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the radiological service. This physician shall be certified
				  or eligible for certification by the American Board of Radiology. If such a
				  radiologist is not available on a full-time or regular part-time basis, a
				  physician, with training and experience in radiology, may administer the
				  service. In this circumstance, a radiologist, qualified as above, shall provide
				  consultation services at suitable intervals to assure high quality
				  service.
(b) Sufficient certified
				  radiologic technologists shall be employed to meet the needs of the service
				  being offered.
(c) There shall be
				  at least one person on duty or on call at all times capable of operating
				  radiological 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 3 - Basic Services › Section 70257 - Radiological Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment and
				  supplies maintained to adequately perform the radiological services that are
				  offered in the hospital. As a minimum, the following equipment shall be
				  available:
(1) At least one radiographic and
				  fluoroscopic unit. On and after January 1, 1977, fluoroscopic units shall be
				  equipped with image intensifiers.
(2) Film processing
				  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 3 - Basic Services › Section 70259 - Radiological Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient space
				  maintained to adequately provide radiological services. This shall include but
				  not be limited to the following:
(1) A
				  separate X-ray room large enough to accommodate the necessary radiographic
				  equipment and to allow easy maneuverability of stretchers and
				  wheelchairs.
(2) Toilet facilities
				  located adjacent to or in the immediate vicinity.
(3) Dressing room facilities for
				  patients.
(4) Film processing
				  area.
(5) Sufficient storage space
				  for all the necessary X-ray equipment, supplies and for exposed X-ray film and
				  copies of reports.
(6) Suitable
				  area for viewing and reporting of radiographic
				  examinations.
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 3 - Basic Services › Section 70261 - Pharmaceutical Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pharmaceutical service means the procuring, manufacturing,
					 compounding, dispensing, distributing, storing and administering of drugs,
					 biologicals and chemicals by appropriate staff which has adequate space,
					 equipment and supplies. Pharmaceutical services also include the provision of
					 drug information to other health professionals and 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 3 - Basic Services › Section 70263 - Pharmaceutical Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All hospitals having a licensed bed
				  capacity of 100 or more beds shall have a pharmacy on the premises licensed by
				  the California Board of Pharmacy. Those hospitals having fewer than 100
				  licensed beds shall have a pharmacy license issued by the Board of Pharmacy
				  pursuant to Section
				  4029
				  or
				  4056
				  of the Business and Professions Code.
(b) The responsibility and the accountability
				  of the pharmaceutical service to the medical staff and administration shall be
				  defined.
(c) A pharmacy and
				  therapeutics committee, or a committee of equivalent composition, shall be
				  established. The committee shall consist of at least one physician, one
				  pharmacist, the director of nursing service or his or her representative and
				  the administrator or his or her representative.
(1) The committee shall develop written
				  policies and procedures for establishment of safe and effective systems for
				  procurement, storage, distribution, dispensing and use of drugs and chemicals.
				  The pharmacist in consultation with other appropriate health professionals and
				  administration shall be responsible for the development and implementations of
				  procedures. Policies shall be approved by the governing body. Procedures shall
				  be approved by the administration and medical staff where such is
				  appropriate.
(2) The committee
				  shall be responsible for the development and maintenance of a formulary of
				  drugs for use throughout the hospital.
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 3 - Basic Services › Section 70265 - Pharmaceutical Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A pharmacist shall have overall responsibility for the
					 pharmaceutical service. He shall be responsible for the procurement, storage
					 and distribution of all drugs as well as the development, coordination,
					 supervision and review of pharmaceutical services in the hospital. Hospitals
					 with a limited permit shall employ a pharmacist on at least a consulting basis.
					 Responsibilities shall be set forth in a job description or agreement between
					 the pharmacist and the hospital. The pharmacist shall be responsible to the
					 administrator and shall furnish him written reports and recommendations
					 regarding the pharmaceutical services within the hospital. Such reports shall
					 be provided no less often than quarterly.
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 3 - Basic Services › Section 70267 - Pharmaceutical Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be adequate equipment and
				  supplies for the provision of pharmaceutical services within the
				  hospital.
(b) Reference materials
				  containing monographs on all drugs in use in the hospital shall be available in
				  each nursing unit. Such monographs must include information concerning generic
				  and brand names, if applicable, available strengths and dosage forms and
				  pharmacological data including indications, side effects, adverse effects and
				  drug interactions.
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 3 - Basic Services › Section 70269 - Pharmaceutical Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adequate space shall be available at each
				  nursing station for the storage of drugs and preparation of medication
				  doses.
(b) All spaces and areas
				  used for the storage of drugs shall be lockable and accessible to authorized
				  personnel only.
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 3 - Basic Services › Section 70271 - Dietetic Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Dietetic service means providing safe, satisfying and
					 nutritionally adequate food for patients with appropriate staff, space,
					 equipment and supplies.
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 3 - Basic Services › Section 70273 - Dietetic Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The dietetic service shall provide food
				  of the quality and quantity to meet the patient's needs in accordance with
				  physicians' orders and, to the extent medically possible, to meet the
				  Recommended Daily Dietary Allowances, 1974 Edition, adopted by the Food and
				  Nutrition Board of the National Research Council of the National Academy of
				  Sciences, 2107 Constitution Avenue, Washington, DC 20418, and the following:
(1) Not less than three meals shall be served
				  daily.
(2) Not more than 14 hours
				  shall elapse between the evening meal and breakfast of the following
				  day.
(3) Nourishment or between
				  meal feedings shall be provided as required by the diet prescription and shall
				  be offered to all patients unless counterordered by the physician.
(4) Patient food preferences shall be
				  respected as much as possible and substitutes shall be offered through use of a
				  selective menu or substitutes from appropriate food groups.
(5) When food is provided by an outside food
				  service, all applicable requirements herein set forth shall be met. The
				  hospital shall maintain adequate space, equipment and staple food supplies to
				  provide patient food service in emergencies.
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 3 - Basic Services › Section 70275 - Dietetic Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  registered dietitian shall be employed on a full-time, part-time or consulting
				  basis. Part-time or consultant services shall be provided on the premises at
				  appropriate times on a regularly scheduled basis and of sufficient duration and
				  frequency to provide continuing liaison with medical and nursing staffs, advice
				  to the administrator, patient counseling, guidance to the supervisor and staff
				  of the dietetic service, approval of all menus and participation in development
				  or revision of dietetic policies and procedures and in planning and conducting
				  in-service education programs.
(b)
				  If a registered dietitian is not employed full-time, a full-time person who
				  meets the training requirements to be a dietetic services supervisor specified
				  in section
				  1265.4(b)
				  of the Health and Safety Code shall be employed to be responsible for the
				  operation of the food service.
(c)
				  Sufficient dietetic service personnel shall be employed, oriented, trained and
				  their working hours scheduled to provide for the nutritional needs of the
				  patients and to maintain the dietetic service areas. If dietetic service
				  employees are assigned duties in other service areas, those duties shall not
				  interfere with the sanitation, safety or time required for dietetic work
				  assignments.
(d) Current work
				  schedules by job titles and weekly duty schedules shall be posted in the
				  dietetic service area.
(e) A record
				  shall be maintained of the number of persons by job title employed full or
				  part-time in dietetic services and the number of hours each works
				  weekly.
(f) Hygiene of Dietetic
				  Service Staff.
(1) Dietetic service personnel
				  shall be trained in basic food sanitation techniques, shall be clean, wear
				  clean clothing, including a cap and/or a hair net and shall be excluded from
				  duty when affected by skin infection or communicable diseases. Beards and
				  mustaches which are not closely cropped and neatly trimmed shall be
				  covered.
(2) Employee's street
				  clothing stored in the kitchen area shall be in a closed area.
(3) Kitchen sinks shall not be used for
				  handwashing. Separate handwashing facilities with soap, running water and
				  individual towels shall be provided.
(4) Persons other than dietetic personnel
				  shall not be allowed in the kitchen area unless required to do so in the
				  performance of their duties.
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 3 - Basic Services › Section 70277 - Dietetic Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment of the type and in the amount
				  necessary for the proper preparation, serving and storing of food and for
				  proper dishwashing shall be provided and maintained in good working order.
(1) The dietetic service area shall be
				  ventilated in a manner that will maintain comfortable working conditions,
				  remove objectionable odors and fumes and prevent excessive
				  condensation.
(2) Equipment
				  necessary for preparation and maintenance of menus, records and references
				  shall be provided.
(3) Fixed and
				  mobile equipment in the dietetic service area shall be located to assure
				  sanitary and safe operation and shall be of sufficient size to handle the needs
				  of the hospital.
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 3 - Basic Services › Section 70279 - Dietetic Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Adequate space for the preparation and serving of food shall be provided.
				  Equipment shall be placed so as to provide aisles of sufficient width to permit
				  easy movement of personnel, mobile equipment and supplies.
(b) Well ventilated food storage areas of
				  adequate size shall be provided.
(c) A minimum of .057 cubic meters (two cubic
				  feet) of usable refrigerated space per bed shall be maintained for the storage
				  of frozen and chilled foods.
(d)
				  Adequate space shall be maintained to accommodate equipment, personnel and
				  procedures necessary for proper cleaning and sanitizing of dishes and other
				  utensils.
(e) Where employee dining
				  space is provided, a minimum of 1.4 square meters (15 square feet) of floor
				  area per person served, including serving area, shall be maintained.
(f) Office or other suitable space shall be
				  provided for the dietitian or dietetic service supervisor for privacy in
				  interviewing personnel, conducting other business related to dietetic service
				  and for the preparation and maintenance of menus and other necessary reports
				  and records.
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 4 - Supplemental Service Approval › Section 70301 - Supplemental Service Approval 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 provision
				  of a supplemental service, shall obtain prior approval from the Department or a
				  special permit if required by Section
				  70351.
(b) The provisions of this Article shall
				  apply only to any supplemental service for which a special permit is not
				  required.
(c) Any licensee who
				  offers a supplemental service for which approval is now required under these
				  regulations is authorized to continue furnishing such service without obtaining
				  approval until the Department inspects and evaluates the quality of the service
				  and determines whether such service meets the requirements for the service
				  contained in these regulations. If the Department determines that the service
				  meets such requirements, it shall notify the licensee in writing. If the
				  Department determines that the service does not meet the requirements, it shall
				  so notify the licensee of all deficiencies of compliance with these regulations
				  and the hospital shall agree with the Department upon a plan of corrections
				  which shall give the hospital a reasonable time to correct such deficiencies.
				  If at the end of the allotted time, as revealed by repeat inspection, the
				  hospital has failed to correct the deficiencies, the licensee shall cease and
				  desist all holding out, advertising or otherwise representing that it furnishes
				  such recognized 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 4 - Supplemental Service Approval › Section 70303 - Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Any licensee desiring approval for a supplemental service
					 shall file with the Department an application on forms furnished 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 4 - Supplemental Service Approval › Section 70305 - Issuance, Expiration and Renewal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department shall list on the hospital
				  license each supplemental service for which approval is granted.
(b) If the applicant is not in compliance
				  with the laws and regulations, the Department shall deny the applicant approval
				  and shall immediately notify the applicant in writing. Within 20 days of
				  receipt of the Department's notice, the applicant may present his written
				  petition for a hearing to the Department. The Department shall set the matter
				  for hearing within 30 days after receipt of the petition in proper form. The
				  proceedings shall be conducted in accordance with Chapter 5 (commencing with
				  Section 11500) of Part 1 of Division 3 of
				  Title 2 of the Government Code.
(c)
				  Each supplemental service approval shall expire on the date of expiration of
				  the hospital license. A renewal of the approval may be issued for a period not
				  to exceed two years if the holder of the approval has been found not to have
				  been in violation of any statutory requirements, regulations or standards
				  during the preceding approval period.
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 4 - Supplemental Service Approval › Section 70307 - Program Flexibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  All hospitals shall maintain continuous compliance with the supplemental
				  service 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 4 - Supplemental Service Approval › Section 70309 - Revocation or Involuntary Suspension of Approval

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,
				  Government Code, the Department may suspend or revoke the approval of a
				  supplemental service 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 of any 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.