reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 90 - ASSISTED LIVING FACILITY › Section 11-90-8 - Range of services

Current through June, 2024
(a) Service plan.
(1) The assisted living facility staff shall
				conduct a comprehensive assessment of each resident's needs, plan and implement
				responsive services, maintain and update resident records as needed, and
				periodically evaluate results of the plan. The plan shall reflect the assessed
				needs of the resident and resident choices, including resident's level of
				involvement; support principles of dignity, privacy, choice, individuality,
				independence, and home-like environment; and shall include significant others
				who participate in the delivery of services;
(2) A service plan shall be developed and
				followed for each resident consistent with the resident's unique physical,
				psychological, and social needs, along with recognition of that resident's
				capabilities and preferences. The plan shall include a written description of
				what services will be provided, who will provide the services, when the
				services will be provided, how often services will be provided, and the
				expected outcome. Each resident shall actively participate in the development
				of the service plan to the extent possible;
(3) The initial service plan shall be
				developed prior to the time the resident moves into the facility and shall be
				revised if needed within 30 days. The service plan shall be reviewed and
				updated by the facility, the resident, and others as designated by the resident
				at least annually or more often as needed; and
(4) The facility shall designate a staff
				member to review, monitor, implement, and make appropriate modifications to the
				service plan for each resident.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 90 - ASSISTED LIVING FACILITY › Section 11-90-9 - Record and reports system

Current through June, 2024
(a) The facility
				shall establish policies and procedures to maintain a system of records and
				reports which shall include the following:
(1) Copy of a current physician or primary
				care provider's report of resident's physical examination which includes
				tuberculosis clearance and verification that the resident is free from other
				infectious or contagious diseases;
(2) Service plan;
(3) Contracts or other documents which set
				forth details of services to be delivered, charges, and other conditions agreed
				to between the resident and the facility; and
(4) Incident reports of any bodily injury or
				other unusual circumstances affecting a resident which occurs within the
				facility, on the premises, or elsewhere, shall be retained by the facility
				under separate cover, and be available to authorized personnel and the
				department. The resident's physician or primary care provider shall be called
				immediately if medical care is necessary or indicated,
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 90 - ASSISTED LIVING FACILITY › Section 11-90-10 - Admission and discharge

Current through June, 2024
(a) The facility
				shall develop admission policies and procedures which support the principles of
				dignity and choice. The admissions process shall include completion of or the
				providing of the following:
(1) A service
				listing which details the services available, the base rates, the services
				included in the base rate, and the fees for all other additional services. A
				service listing shall also describe services which the facility does not
				provide, but will assist to arrange or coordinate;
(2) Handbook or house rules which state the
				assisted living philosophy and clearly define the privileges and
				responsibilities of the resident and the conditions under which apartment units
				may be occupied by the residents;
(3) A service plan for the resident developed
				by facility staff with the resident and significant others, specifying care and
				services to be provided, based on resident needs and choices;
(4) A service contract which documents a
				completed agreement between the resident and the facility, describing services
				to be provided, rates charged, and conditions under which additional services
				or fees may be charged;
(5) The
				resident shall be informed of his or her rights, including steps for complaints
				and appeals upon admission; and
(6)
				Designation of alternative decision-maker or legal representative.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 90 - ASSISTED LIVING FACILITY › Section 11-90-11 - Severability

Current through June, 2024
If any provision of this chapter or the application thereof
				  to any person or circumstance is held invalid, the remainder of this chapter,
				  or the application of the provision to other persons or circumstances, shall
				  not be affected thereby.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-1 - Purpose

Current through June, 2024
The purpose of this chapter is to establish minimum
					 requirements for the protection of the health, welfare, and safety of patients,
					 hospital personnel, and the general public in hospitals. This subchapter shall
					 not be construed to lower standards established through rules adopted by other
					 agencies of government. In all instances the more stringent rules shall
					 apply.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-4 - Anesthesia services

Current through June, 2024
(a) There shall be
				  available in any hospital which provides surgical or obstetrical services an
				  anesthesia service.
(b) The
				  anesthesia service shall be directed by a physician member of the medical
				  staff. The anesthesia service shall comply with the provisions of the N.F.P.A
				  Code 99 as it existed at the time of the adoption of this chapter.
(c) Appropriate physical facilities including
				  a recovery room shall be provided.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-5 - Arrangement for services

Current through June, 2024
Where the facility does not employ a qualified person to
					 render a required or necessary service, it shall contract in writing with a
					 qualified person or provider. Written contracts shall include, but not be
					 limited to:
(1) The responsibilities
				  and scope of employment of parties, objectives of agreement, and terms of
				  agreement.
(2) Signatures of the
				  administrator and provider, or authorized representative of the provider and
				  administrator authorizing the contract.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-6 - Construction requirements

Current through June, 2024
(a) The hospital
				  shall be accessible to and functional for physically handicapped patients,
				  hospital personnel, and the general public.
(b) Accessibility to living and service
				  areas.
(1) There shall be adequate space to
				  allow free movement of persons using wheelchairs, walkers, canes, and crutches
				  to bed, bathroom, closet, and common hallway areas.
(2) Areas used for recreation, cooking,
				  dining, storage, bathrooms, laundries, foyers, corridors, lanais, libraries,
				  and other areas not suitable for sleeping shall not be used as
				  bedrooms.
(3) Access from each
				  bedroom to a bathing facility, toilet, corridor, central utility or other areas
				  of the hospital shall not require passing through a sleeping, cooking, dining,
				  or recreation area.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-7 - Dental services

Current through June, 2024
(a) Where a dental
				  service is provided, the governing body shall appoint a dentist, or dentist, to
				  the medical staff and grant appropriate privileges.
(b) A dentist shall be appointed as head of
				  the service.
(c) Patients admitted
				  for dental care shall be given an appropriate medical appraisal by a medical
				  staff member.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-8 - Dietetic service

Current through June, 2024
(a) The food and
				  nutrition needs of patients shall be met through a nourishing, well-balanced
				  diet in accordance with the recommended dietary allowances of the Food and
				  Nutrition Board of the National Research Council and adjusted for age, sex,
				  activity, and disability.
(b) At
				  least three meals shall be served daily, at regular times with:
(1) Not more than a fourteen hour span
				  between a substantial evening meal and breakfast on the following
				  day.
(2) Between meal nourishments
				  consistent with need shall be offered routinely to all patients.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-9 - Disaster plan

Current through June, 2024
(a) The facility shall establish a written
				  external disaster plan for the reception, treatment, and disposition of mass
				  casualties. The plan should be developed in conjunction with other emergency
				  facilities and services in the county, and appropriate civil authorities, and
				  shall address disaster relief pursuant to chapter 127, HRS. Disaster drills
				  shall be held at least once yearly.
(b) The facility shall have a written
				  internal disaster plan which incorporates general evacuation procedures,
				  emergency procedures in the event of fire, disruption of electrical power, or
				  water supply, and any special procedures to be observed in the event of a
				  hurricane, earthquake, tsunami or any other disaster which might affect the
				  facility.
(c) Copies of all
				  disaster plans shall be made available to the director.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-10 - Emergency services

Current through June, 2024
(a) An appraisal,
				  advice and initial emergency treatment, shall be rendered to any ill or injured
				  person who requests treatment at a hospital which has an emergency service
				  department.
(b) Emergency patient
				  care shall be provided and guided by written policies and shall be directed by
				  a physician staff member. Adequate facilities and equipment shall be provided.
				  A medical record shall be kept for each patient receiving emergency services.
				  The record shall become an official hospital record.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-11 - Engineering and maintenance

Current through June, 2024
(a) The hospital
				  shall have an appropriate preventive maintenance program.
(b) There shall be sufficiently trained and
				  experienced personnel to accomplish the required engineering and maintenance
				  functions within the facility or available through contract with appropriate
				  community resources.
(c) Inspection
				  and testing of those devices determined to be essential to the health and
				  safety of patients and personnel shall be carried out in accordance with the
				  manufacturer's instructions, regulatory agencies' requirements and as
				  determined by operational experience, to ensure effective operational
				  performance.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-12 - Fees for licensing

Current through June, 2024
Appropriate fees, if any, as determined by the director,
					 shall be charged by the department for obtaining a new license or obtaining a
					 license renewal. Prior notice of the amount of the fee will be provided the
					 licensee.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-13 - General policies and practices

Current through June, 2024
(a) There shall be
				  written policies and procedures available to staff, patients and the public
				  which govern all areas of service provided by the facility. They shall assure
				  that the hospital buildings are constructed and equipped to protect the health
				  and assure the safety of patients, personnel and visitors.
(b) The policies shall ensure that the
				  facility shall not deny admission to any individual on account of race, color,
				  religion, ancestry, or national origin.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-14 - Governing body and management

Current through June, 2024
(a) Each hospital
				  shall have an organized governing body or designated persons with overall
				  responsibility for the conduct of all activities.
(b) The governing body or designated persons
				  shall adopt by-laws in accordance with legal requirements and with the
				  community responsibility of the hospital, and shall identify through its
				  by-laws the purposes of the hospital and the means of fulfilling
				  them.
(c) The governing body shall:
(1) Provide for the election of officers and
				  for the appointment of committees as necessary to discharge its
				  responsibilities. In addition, it shall adopt a schedule of meetings,
				  attendance requirements, and methods of recording minutes of
				  proceedings.
(2) Provide an
				  administrator whose qualifications, authority, and duties shall be defined in a
				  written statement.
(3) Designate in
				  writing a suitable employee to act on the administrator's behalf in the
				  administrator's absence.
(4)
				  Approve, deny, revoke, and suspend staff privileges.
(5) Delegate to the medical staff authority
				  to evaluate the professional competence of staff members and applicants for
				  staff privileges.
(6) Delegate to
				  the medical staff responsibility for making recommendations concerning staff
				  appointments, reappointments, and the assignment or curtailment of
				  privileges.
(7) Approve medical
				  staff by-laws.
(8) Require the
				  medical staff to establish controls to ensure the achievement and maintenance
				  of high standards of professional practices.
(9) Require and establish an ongoing quality
				  assurance program that includes effective mechanisms for reviewing and
				  evaluating patient care, as well as an appropriate response to
				  findings.
(10) Not enter into any
				  contract or agreement with a person or persons limiting the governing body's
				  responsibility.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-15 - Housekeeping

Current through June, 2024
(a) A plan shall be made for routine periodic
				  cleaning of the entire building and premises.
(b) After discharge of any patient, the
				  patient's unit and equipment shall be thoroughly cleaned prior to
				  re-use.
(c) Floors, lavatories,
				  toilets, and showers in patient areas shall be cleaned at least once
				  daily.
(d) The facility shall be
				  kept free of unreasonable accumulation of personal possessions.
(e) All floors, walls, ceilings, windows and
				  fixtures shall be kept clean and in good repair.
(f) All safety procedures shall be in
				  accordance with the rules of the department of labor and industrial relations,
				  State of Hawaii.
(g) All areas
				  which have contained infectious patients and material shall be thoroughly
				  cleaned with appropriate sanitizing methods.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-16 - Infection control

Current through June, 2024
(a) There shall be
				  an active hospital-wide infection control program to prevent, identify, and
				  control infections acquired in the hospital or brought into the hospital from
				  the community, with specific written infection control policies and procedures
				  for all services throughout the hospital.
(b) A system for reporting, evaluating and
				  maintaining records of infection among patients and personnel shall be
				  established.
(c) Policies and
				  procedures shall be written defining the specific indications for isolation in
				  relation to the medical condition involved.
(d) There shall be written procedures which
				  outline proper isolation techniques and practices.
(e) Isolation facilities shall be available
				  for all services.
(f) Isolation
				  rooms shall have accommodations for one patient only and shall have:
(1) An adjoining toilet room with nurses'
				  call system, a washbasin and toilet.
(2) The washbasin shall be provided with
				  controls not requiring direct contact of the hands for operation.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-17 - Inservice education

Current through June, 2024
(a) There shall be
				  a staff inservice education program that includes:
(1) Orientation for all new employees to
				  acquaint them with the philosophy, organization, program, policies and
				  procedures, practices, and goals of the facility.
(2) Inservice training for employees who have
				  not achieved the desired level of competence, and continuing inservice
				  education to update and improve the skills and competencies of all
				  employees.
(3) Annual training in
				  the prevention and control of infections, fire prevention safety, and accident
				  prevention and training of persons handling hazardous and infectious
				  waste.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-18 - Laundry service

Current through June, 2024
(a) Laundry service
				  shall be managed so that daily clothing and linen needs are met without
				  delay.
(b) Provisions shall be made
				  for the handling, storage, and transportation of soiled and clean
				  laundry.
(c) Procedures shall be
				  established for the satisfactory cleaning of all laundry.
(1) Provisions may be made for contract
				  service outside the facility in a laundry approved by the department.
(2) Laundry soiled with infectious waste
				  shall be handled in accordance with provisions of section
				  11-93-16(i) and (j),
				  or any other method approved by the director relating to potentially infectious
				  laundry.
(3) Clean linen shall be
				  stored in enclosed areas or covered carts.
(4) Hampers shall be provided for soiled
				  linen.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-19 - Life safety

Current through June, 2024
(a) Facilities
				  licensed under this chapter shall be inspected at least annually by appropriate
				  fire authorities for compliance with state and county rules and
				  ordinances.
(b) Smoking regulations
				  shall be adopted. No smoking signs shall be posted where flammable liquids,
				  combustible gases or oxygen are used or stored.
(c) Every building shall have an electrically
				  supervised, manually operated fire alarm system installed to transmit an alarm
				  automatically to the fire department or to an approved central
				  station.
(d) Evacuation floor plans
				  or signage shall be posted in prominent locations as recommended by the
				  National Fire Protection Association.
(e) Fire drills shall include the
				  transmission of a fire alarm signal and be held at least quarterly for each
				  shift under varied conditions. At least twelve drills shall be held every year
				  and reports filed.
(f) All
				  employees shall be instructed and kept informed in regard to their duties under
				  the fire and disaster programs.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-20 - Maternity and obstetrical services

Current through June, 2024
(a) If maternity
				  and obstetrical services are provided by the hospital, maternity patient
				  bedrooms, labor rooms, and delivery rooms shall be physically separated from
				  all other sections of the hospital.
(b) Maternity facilities shall not be used
				  for any other purpose other than maternity-related functions except as follows:
				  in the interest of proper bed utilization these facilities may be used for
				  clean surgery or clean gynecology in the event of an emergency.
(c) Maternity suites shall be located to
				  prevent through traffic, except for emergency exit.
(d) Delivery rooms shall have a minimum of
				  two hundred fifty square feet.
(e)
				  Scrub sinks shall be provided for each delivery room on the basis of two sinks
				  for the first delivery room, and one additional sink for each delivery room
				  over one. Scrub sinks shall be located outside of delivery rooms.
(f) Each delivery area shall provide a
				  separate clean-up room separated from the sterilizing facilities.
(g) Well-ventilated or air conditioned labor
				  rooms shall be provided in conjunction with the delivery rooms.
(h) Birthing rooms:
(1) There shall be specific written
				  guidelines available for the use of birthing rooms. The guidelines shall at a
				  minimum include statements about the following:
(A) Prerequisites for use of the birthing
				  room.
(B) Screening of children and
				  other participants in the birthing room.
(C) Handling of the newborn infant by
				  participants.
(D) Special dress
				  requirements.
(E) Availability of
				  equipment for medical emergencies.
(F) Infection control measures.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-21 - Medical record system

Current through June, 2024
(a) There shall be
				  available sufficient, appropriately qualified staff and necessary supporting
				  personnel to facilitate the accurate processing, checking, indexing, filing,
				  and prompt retrieval of records and record data.
(b) If the director of the medical record
				  system is not a registered record administrator or accredited record
				  technician, there shall be regularly scheduled visits by a qualified consultant
				  who provides reports to the administrator at least quarterly.
(c) The medical records shall clearly and
				  accurately document a patient's identity, the diagnosis of the patient's
				  illness, treatment, orders by medical staff, observations, and conclusion
				  concerning the patient.
(d) When a
				  patient is transferred to another facility or discharged, there shall be a
				  complete medical summary including current status and care, and final
				  diagnosis.
(e) There shall be a
				  master alphabetical index of all patients admitted to the facility.
(f) Patient records shall be completed on a
				  timely basis and retained in accord with existing state laws governing
				  retention of medical records.
(g)
				  All information contained in a patient's record, including information
				  contained in an automated data bank, shall be considered
				  confidential.
(h) The patient's
				  record shall be the property of the hospital whose responsibility shall be to
				  secure the information against loss, destruction, defacement, tampering, or use
				  by unauthorized persons.
(i) There
				  shall be written policies prepared by the hospital administration which shall
				  govern access to, duplication of, and dissemination of information from the
				  patient's record.
(j) Written
				  consent of the patient, if competent, or otherwise the patient's guardian,
				  shall be required for the release of information to persons not otherwise
				  authorized by hospital policy to receive it. Appropriate consent forms shall
				  include:
(1) Use for which requested
				  information is to be released.
(2)
				  Specific sections or elements of information to be released.
(3) Name and appropriate identification of
				  the individual or organization desiring the information.
(4) Dated signature of patient, or legal
				  guardian, approving the release of medical record information.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-22 - Medical staff

Current through June, 2024
(a) There shall be an organized medical staff
				  that has overall responsibility for the quality of medical care provided to
				  patients, and for the ethical conduct and professional practices of its
				  members.
(b) The medical staff
				  shall develop and adopt by-laws and rules to:
(1) Establish a framework for self government
				  and a means of accountability to the governing body.
(2) Provide for the election or appointment
				  of officers, executive committees, department heads and service
				  chiefs.
(3) Specifically define and
				  delineate medical staff clinical privileges of all individuals who are
				  permitted by law and by the hospital to provide patient care independently in
				  the hospital and review and evaluate each member's clinical
				  activities.
(4) Hold regular staff
				  and departmental meetings to review administrative and clinical duties. Minutes
				  of all meetings shall be kept.
(5)
				  Promote a continuing program of professional education.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-23 - Nuclear medicine service

Current through June, 2024
(a) Nuclear
				  medicine services, when provided, shall be under the direction of a physician
				  qualified in nuclear medicine. Appropriate space and facilities shall be
				  provided for this activity.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-24 - Nursing services

Current through June, 2024
(a) Each hospital
				  shall have nursing staff sufficient in number and qualifications to meet the
				  nursing needs of the patients.
(b)
				  The hospital shall maintain an organized nursing staff which will be
				  responsible to the hospital administrator for the professional performance of
				  its members.
(c) The nursing
				  department shall be under the direction of a registered nurse who shall
				  administer the nursing program on a full time basis.
(d) There shall be a written plan for the
				  nursing department which includes objectives, administrative authority,
				  staffing patterns, as well as job descriptions for each category of nursing
				  personnel.
(e) There shall be
				  appropriate written nursing policies and procedures specifying the scope of
				  services.
(f) There shall be a
				  registered nurse or registered nurses with current licensure on duty at all
				  times to render safe and therapeutic nursing care.
(g) Nursing services shall include, as a
				  minimum, the following:
(1) Adequate care to
				  keep patients clean, comfortable, well-groomed, and protected from accident and
				  nosocomial infection.
(2) A nursing
				  care plan for each patient shall be developed upon admission by a registered
				  nurse and be based on the patient's medical and nursing care needs. The plan
				  shall reflect current standards of nursing practice and shall be appropriately
				  documented.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-25 - Anatomic pathology and clinical laboratory

Current through June, 2024
(a)
				  Anatomical pathology and clinical laboratory services shall be available at all
				  times to meet patient needs, either within the hospital or by contract with a
				  laboratory approved by the department. Pathology services shall be directed and
				  supervised by a physician certified, or eligible for certification, by the
				  American Board of Pathology or the American Osteopathic Board of Pathology, and
				  is a member of the hospital's medical staff.
(b) The medical staff shall determine which
				  tissue or surgical specimens are to be sent to the laboratory for processing
				  and examination by a pathologist. Such specimens shall be properly labeled,
				  packaged in preservative as designated, and accompanied by pertinent clinical
				  information. Reports of all examinations shall be made a part of the patient's
				  medical record.
(c) Autopsy
				  services shall be available. Hospitals shall provide adequate morgue and
				  autopsy facilities or make arrangements for such services with other sources.
				  Gross and microscopic reports of autopsy performed within or outside the
				  hospital, shall be made part of the patient's completed medical
				  record.
(d) In the event that
				  anatomic and clinical pathology are separate departments, clinical laboratory
				  services shall be directed and supervised by a physician, a doctoral scientist,
				  or a clinical scientist with equivalent training and experience, and holds a
				  valid clinical laboratory director's license. If the hospital provides blood
				  transfusion services, each service shall be rendered under the technical
				  supervision of a pathologist or other physician who is qualified in
				  immunohematology and hemotherapy.
(e) For emergency situations, the hospital
				  shall ensure that there are provisions for procurement, safe storage, and
				  transfusion of blood and blood products.
(f) There shall be a sufficient number of
				  licensed clinical laboratory technologists and supportive technical staff to
				  perform, promptly and proficiently, the laboratory tests required.
(g) The clinical laboratory shall comply with
				  the licensing requirements of chapter 11-110 Administrative Rules.
(h) There shall be a written description of
				  the services available and the location of those services within the
				  organization of the hospital. The clinical laboratory director shall be
				  responsible for the laboratory tests performed; and shall assure that the tests
				  and procedures are properly performed, recorded, and reported.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-27 - Pediatric

Current through June, 2024
(a) When a hospital has a pediatric unit, it
				  shall be maintained as follows:
(1) The
				  facilities for the care and treatment of children shall be designated and set
				  apart from all other services including the newborn service.
(2) Pediatric bedrooms shall have a maximum
				  of four patients.
(3) Pediatric
				  bedrooms shall have a minimum floor area, exclusive of toilet rooms, closets,
				  lockers, vestibules, of one hundred square feet for single-bed rooms and eighty
				  square feet for multi-bed rooms.
(4) Each pediatric nursing unit shall have at
				  least one bedroom to be used as an isolation room.
(5) The pediatric unit shall be directed by a
				  physician member of the medical staff who has special training, experience, and
				  demonstrated competence in pediatrics.
(6) This unit shall have a licensed and
				  ancillary nursing staff who have had the education, experience and demonstrated
				  competence to meet the nursing needs of children.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-28 - Pharmaceutical services

Current through June, 2024
(a) The hospital
				  shall either employ sufficient licensed pharmacists or have a written contract
				  with a licensed pharmacist to provide services necessary to meet patients'
				  medication needs, to provide consultation on methods and procedures for
				  ordering, monitoring and assessment, storage, administration, disposal, and
				  record keeping of pharmaceuticals and drugs.
(b) There shall be a current pharmacy policy
				  manual developed and approved by the pharmacist, physicians, and professional
				  nursing staff which:
(1) Includes policies,
				  procedures, functions, and responsibilities of the pharmacy service.
(2) Provides for regular periodic
				  revision.
(3) Governs the safe
				  administration, preparation, handling and storage of all drugs.
(4) Includes policies regarding
				  self-administration of drugs.
(5)
				  Includes a formulary appropriate to the hospital.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-29 - Psychiatric services

Current through June, 2024
(a) If individuals
				  suffering from mental illness or substance abuse are cared for in the hospital,
				  the requirements of this section, in addition to the basic rules contained in
				  this subchapter, shall be required in order to provide the psychiatric
				  services. This section shall apply to either an entire hospital or a distinct
				  part of a hospital.
(b) As used in
				  this section:
"Psychiatric facility" means a public or private hospital
					 or a distinct part thereof which provides inpatient care, custody, diagnosis,
					 treatment or rehabilitation services for mentally ill persons or persons
					 habituated to the excessive use of drugs or alcohol. A distinct part of a
					 hospital means a physically identifiable unit designated as the psychiatric
					 inpatient facility where the beds are reserved for such patients.
(c) Program requirements. The
				  following shall be met by the psychiatric facility in addition to those
				  requirements enumerated under section
				  11-93-14, governing
				  body and management, and section
				  11-93-22, medical
				  staff.
(1) The facility shall develop,
				  maintain, and update at least annually, a comprehensive written program plan
				  which serves as the basis for the overall administration of its functions.
(A) The purpose, functions, activities, and
				  services shall be clearly described in the plan.
(B) The plan shall include a clear statement
				  of program goals and objectives as well as procedures for achieving these goals
				  and objectives.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-30 - Radiology services

Current through June, 2024
(a) Radiology
				  consultation and services shall be regularly and conveniently available to meet
				  the needs of the patients.
(b)
				  Radiology services shall be directed by a radiologist and be staffed by
				  qualified technical personnel. Space, equipment and supplies shall be made
				  available for radiology services.
(c) There shall be written policies governing
				  all radiological procedures.
(d)
				  Reports of all procedures shall be made a part of the patient's
				  record.
(e) All procedures and
				  policies shall be compliance with chapter 11-40, Administrative Rules, entitled
				  "Radiation".
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-31 - Rehabilitative services

Current through June, 2024
(a) If the facility
				  provides specialized and supportive rehabilitation services (e.g., occupational
				  therapy, physical therapy, or speech therapy), either directly or through
				  arrangements, the services shall be organized and shall be directed by an
				  appropriately qualified physician, therapist, or member of the medical
				  staff.
(b) There shall be
				  appropriate policies, procedures, and job descriptions which delineate the
				  scope, organization, and method for implementation of services.
(1) A written rehabilitative plan of care
				  shall be provided for each patient which is based on the attending member of
				  the medical staff's and interdisciplinary team's assessment of patient's
				  needs.
(2) The patient's progress
				  shall be reviewed regularly, and the rehabilitative plan of care shall be
				  altered as necessary.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-32 - Sanitation

Current through June, 2024
(a) Sanitation shall comply with all
				  applicable laws of the State of Hawaii and rules of the department relating to
				  sanitation.
(b) Written summary
				  reports of inspections by state or local health authorities, records of action
				  taken to correct deficiencies, and to follow recommendations shall be kept on
				  file at the facility.
(c) Every
				  facility shall provide a sufficient number of watertight receptacles of metal,
				  or other materials acceptable to the department, for rubbish, garbage, refuse,
				  and other discarded matter.
(1) In kitchen
				  and food preparation areas, receptacles shall be kept closed by tight fitting
				  covers except during peak hours of food preparation.
(2) An area shall be provided for the washing
				  and cleaning of garbage containers and for the storing of garbage, trash, and
				  solid waste.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-33 - Social work services

Current through June, 2024
(a) Staffing:
(1) If the facility offers social services, a
				  member of the staff of the facility shall be designated as responsible for
				  social services;
(2) The director
				  of the social work department, or a social worker consultant shall be licensed,
				  certified, or registered in accordance with applicable federal and state laws.
				  In the event such laws provide for voluntary licensure, registration or
				  certification, the director of the social work department or the consultant
				  shall meet eligibility requirements of those federal and state laws. If the
				  designated person is not a social worker, the facility shall have a written
				  agreement with a social worker for consultation and assistance as frequently as
				  necessary but at least on a quarterly basis;
(3) The social work staff shall be sufficient
				  in number to meet the needs of the patients;
(4) The social work staff shall have
				  appropriate facilities to provide for privacy during interviews and
				  counseling;
(5) Inservice training
				  appropriate to the staff and patient needs shall be provided at least quarterly
				  for all social work staff, and shall be documented.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-34 - Special care units

Current through June, 2024
(a) The scope of
				  services provided in each special care unit shall be specified in
				  writing.
(b) Each special care unit
				  shall have policies and procedures which relate to the care provided in the
				  unit and shall be reviewed annually.
(c) The special care unit shall be directed
				  by a physician member of the medical staff who has special training,
				  experience, and demonstrated competence in a specialty related to the care
				  provided in the unit.
(d)
				  Supervision of nursing care in the unit shall be provided by a registered
				  professional nurse with relevant education, training, experience, and
				  demonstrated current competence.
(e) A planned orientation program shall be
				  required for all employees who perform patient care services in the
				  unit.
(f) Relevant inservice
				  education programs or activities shall be provided on a regular basis to all
				  staff members.
(g) A sufficient
				  number of permanently assigned qualified registered nurses shall be on duty
				  within the unit at all times when patients are in the unit.
(h) Special care units shall be designed and
				  equipped to facilitate the safe and effective care of patients.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-35 - Surgical department

Current through June, 2024
(a) If surgical
				  services are provided, the surgical department shall:
(1) Be directed by an appropriately qualified
				  physician.
(2) Have effective
				  policies and procedures regarding surgical privileges, maintenance of the
				  operating rooms and evaluation of the surgical patient.
(3) Have a registered professional nurse in
				  charge of the operating room suite.
(4) Have a roster of physicians specifying
				  the surgical privileges of each.
(5) Have an operating room register which is
				  complete and current.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-36 - Transfer agreement

Current through June, 2024
The facility shall establish transfer agreements which
					 make feasible the transfer of patients and transfer summaries between
					 hospitals, skilled nursing, and intermediate care facilities.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-37 - Penalty

Current through June, 2024
Every person who violates any of the provisions of this
					 chapter shall be penalized as provided in chapter 321, HRS.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 1 - BROAD SERVICE HOSPITALS › Section 11-93-49 - Severability

Current through June, 2024
If any provision of this chapter or the application
					 thereof to any person or circumstances is held invalid, the remainder of this
					 chapter, or the application of the provision to other persons or circumstances
					 shall not be affected thereby."
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 93 - HOSPITALS FREESTANDING BIRTHING FACILITIES › Subchapter 2 - FREESTANDING BIRTHING FACILITIES › Section 11-93-50 - Purpose

Current through June, 2024
The provisions of this subchapter are to establish minimum
					 requirements for the protection of the health, welfare and safety of patients,
					 newborns, personnel and the public in freestanding birthing facilities. These
					 shall not be construed as lowering standards, ordinances, or regulations
					 established by other divisions or subdivisions of government. In all instances
					 the more stringent rules shall apply.