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 6 - Supplemental Services › Section 70473 - Dental Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the dental service to the medical staff and administration shall be
				  defined.
(c) A physician member of
				  the medical staff shall be responsible for the care of any medical problem
				  arising during the hospitalization of dental patients.
(d) There shall be a well-defined plan for
				  oral health care, based on patient need, the size of the hospital and the type
				  of service provided.
(e) There
				  shall be a well-organized plan for emergency dental care.
(f) There shall be a record of all dental
				  services provided to the patient and this shall be made a part of the patient's
				  medical record.
(g) Periodically,
				  an appropriate committee of the medical staff shall evaluate the services
				  provided and make appropriate recommendations to the executive committee of the
				  medical staff and administration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70475 - Dental Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  dentist shall have overall responsibility for the dental service.
(b) The dental service shall be staffed by a
				  sufficient number of dentist members of the medical staff along with auxiliary
				  personnel to render proper dental care.
(c) If dental hygienists, dental assistants
				  or dental laboratory technicians are employed, they shall work under the
				  supervision of the director of the dental service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70477 - Dental Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment,
				  instruments and supplies maintained to meet the needs of the services
				  offered.
(b) There shall be
				  equipment for sterilization of instruments and supplies.
(c) The following materials shall be
				  available for immediate use wherever dental treatment is provided:
(1) Oxygen.
(2) Appropriate drugs.
(3) Resuscitation
				  equipment.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70479 - Dental Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  There shall be adequate space maintained for the dental service.
(b) There shall be facilities for dental
				  radiography.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70481 - Intensive Care Newborn Nursery Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An intensive care newborn nursery service means the
					 provision of comprehensive and intensive care for all contingencies of the
					 newborn infant. Infant transport services are an indispensable part of an
					 intensive care newborn nursery service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70483 - Intensive Care Newborn Nursery Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An intensive care newborn nursery service
				  shall provide:
(1) Comprehensive care for all
				  life-threatening or disability-producing situations.
(2) Consultation service to referring
				  perinatal units.
(3) Infant
				  transport services between perinatal units and the intensive care newborn
				  nursery.
(4) A transport team
				  consisting of at least a physician and registered nurse or respiratory care
				  practitioner.
(5) Continuing
				  education for staff of the intensive care newborn nursery as well as referring
				  perinatal units.
(6) Review and
				  evaluation of service programs of perinatal units.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70485 - Intensive Care Newborn Nursery Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. The physician shall be certified or eligible
				  for certification by the American Board of Pediatrics and have additional
				  training and experience in neonatology.
(1)
				  The pediatrician shall be responsible for:
(A)
				  Providing in-hospital pediatric service.
(B) Maintaining working relationships with
				  referring perinatal units.
(C)
				  Providing for joint staff conferences and continuing education of respective
				  medical specialties.
(D) Providing
				  transport team availability at all times.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70487 - Intensive Care Newborn Nursery Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The intensive care newborn nursery shall
				  include at least the following:
(1) A
				  separate bassinet or equivalent for each infant.
(2) Enclosed storage unit for clean
				  supplies.
(3) Diaper receptacles
				  with a cover, foot control and disposable liner.
(4) A hamper with a disposable liner for
				  soiled linen.
(5) A wall
				  thermometer and hygrometer.
(6)
				  Accurate beam scales or the equivalent.
(7) Thermostatically controlled incubators or
				  radiant heating devices to maintain proper ambient temperature.
(8) Two oxygen and one compressed air outlets
				  per infant station with regulating devices and administration
				  equipment.
(9) Resuscitation
				  equipment and supplies to include at least:
(A) Glass trap suction device with catheter
				  or a device which serves this function.
(B) Pharyngeal airways, assorted
				  sizes.
(C) Laryngoscope, including
				  a blade for premature infants.
(D)
				  Endotracheal catheters, assorted sizes with malleable stylets.
(E) Arterial catheters, assorted
				  sizes.
(F) Ventilatory assistance
				  bag and infant mask.
(G) Bulb
				  syringe.
(H) Stethoscope.
(I) Syringes, needles and appropriate
				  drugs.
(10) Suction
				  equipment.
(11) DC defibrillator
				  (within the hospital).
(12) Cardiac
				  monitor.
(13) Blanket
				  warmer.
(14) Blood gas analyzer
				  (within the hospital).
(15)
				  Umbilical blood vessel catheterization tray.
(16) Portable incubator with power pack to
				  provide continuous temperature control and monitoring.
(17) Ventilatory equipment designed for the
				  care of newborn infants.
(18) Ten
				  or more electrical outlets for each infant bed equivalent.
(19) One handwashing sink with controls not
				  requiring direct contact of the hand for operation (wrist or elbow blade handle
				  are not acceptable) for each four bassinets.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70489 - Intensive Care Newborn Nursery Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Sufficient floor area shall be provided
				  so that there is at least 7.2 square meters (80 square feet) per
				  bassinet.
(b) A work room or
				  control station shall be maintained which shall provide for handwashing,
				  gowning and charting.
(c) There
				  shall be 100 foot candles of light at each bassinet.
(d) A waiting room shall be maintained
				  adjacent to the intensive care newborn nursery.
(e) A treatment area with temperature
				  control.
(f) Bassinets in the
				  intensive care newborn nursery shall be included in the total licensed bed
				  capacity 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 6 - Supplemental Services › Section 70491 - Intensive Care Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An intensive care service is a nursing unit in which there
					 are specially trained nursing and supportive personnel and diagnostic,
					 monitoring and therapeutic equipment necessary to provide specialized medical
					 and nursing care to critically ill patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70493 - Intensive Care Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate. Policies and
				  procedures shall include, but not be limited to:
(1) Admission, discharge and transfer
				  policies.
(2) Staffing
				  requirements.
(3) Routine
				  procedures.
(4) Emergency
				  procedures.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70495 - Intensive Care Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician with training in critical
				  care medicine shall have overall responsibility for the intensive care service.
				  This physician or his designated alternate shall be responsible for:
(1) Implementation of established policies
				  and procedures.
(2) Development of
				  a system for assuring physician coverage.
(3) Final decision regarding admissions to
				  and discharges from the unit.
(4)
				  Assuring there is continuing education for the medical staff and nursing
				  personnel.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70497 - Intensive Care Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to the construction
				  requirements of Section T17-316, Title 24, California Administrative Code, the
				  following requirements shall be met:
(1)
				  Individual bed area lighting which is controlled by a dimmer in the patient
				  care unit shall be provided. Special lights should be provided for patient
				  examinations.
(2) Isolated power
				  systems, if installed, shall be provided with a continuously operating line
				  isolation monitor to warn of possible leakage or faulty current. The monitor
				  shall contain a red signal lamp and audible warning signal activated when total
				  current reaches a value of two (2) milliamperes. All other receptacles shall be
				  located at least 2.4 meters (8 feet) away.
(3) A minimum of four (4) duplex or eight (8)
				  single receptacles shall be provided at the head of each bed and served by at
				  least two separate circuits used for no other purpose.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70499 - Intensive Care Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to the construction
				  requirements in Section T17-316, Title 24, the following requirement shall be
				  met:
(1) An intensive care unit shall consist
				  of not less than four (4) nor more than twelve (12) patient beds, including at
				  least one isolation room. Multiple, interconnected units may be approved by the
				  Department.
(2) Beds in the
				  intensive care unit shall be included in the total licensed bed
				  capacity.
(3) Each patient bed area
				  shall contain at least 11.9 square meters (132 square feet) with no dimension
				  less than 3.3 meters (11 feet) and with 1.2 meters (4 feet) of clearance at
				  each side and the foot of the bed and with a minimum 2.4 meters (8 feet)
				  between beds.
(4) 1.2 meters (4
				  feet) shall be provided around the nurses' desk.
(5) All beds shall be placed in relation to
				  the nurses' station or work area to obtain maximum observation of
				  patients.
(6) A visitor's waiting
				  area nearby to the unit shall be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70501 - Intermediate Care Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Intermediate care service means the provision of inpatient
					 care to patients who have need for skilled nursing supervision and supportive
					 care but who do not require continuous skilled nursing care.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70503 - Intermediate Care Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The regulations for Intermediate Care
				  Facilities, Chapter 4, Division 5, Title 22, California Administrative Code,
				  shall be met with the following exceptions:
(1) The administrator of the hospital does
				  not need to possess a license as a nursing home administrator and his services
				  may be shared between the hospital and the intermediate care service.
(2) The functions of the director of nurses
				  may be shared between the hospital and the intermediate care service. The
				  registered nurse requirement, referred to as the director of the nursing
				  service in Section
				  73323 of the regulations for
				  Intermediate Care Facilities, shall be met.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70505 - Nuclear Medicine Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nuclear medicine service means those measures using
					 internal radionuclides for the diagnosis and treatment of patients, employing
					 specially trained personnel and providing appropriate 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 6 - Supplemental Services › Section 70507 - Nuclear Medicine General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the nuclear medicine service to the medical staff and administration shall
				  be defined.
(c) The storage, use
				  and disposal of radionuclides shall meet the safety standards of California
				  Radiation Control Regulations, Subchapter 4, Chapter 5, Title 17, California
				  Administrative Code.
(d) Nuclear
				  medicine patients shall be subject to periodic followup on completion of their
				  treatment in coordination with the referring physician.
(e) Periodically, an appropriate committee of
				  the medical staff shall evaluate the services provided and make recommendations
				  to the executive committee of the medical staff and administration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70509 - Nuclear Medicine Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician shall be certified or eligible
				  for certification by the appropriate specialty board, as follows: the conjoint
				  American Board of Nuclear Medicine or one of its parent boards: American Board
				  of Radiology, American Board of Pathology or American Board of Internal
				  Medicine.
(b) Where appropriate,
				  technologists with training and experience in handling radionuclides in either
				  of the three disciplines of radiology, nuclear medicine or pathology shall be
				  employed in sufficient number to accomplish the mission of the
				  service.
(c) A radiological
				  physicist should be available to the nuclear medicine service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70511 - Nuclear Medicine Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Equipment and supplies shall be sufficient to meet the
					 needs of the patients and the scope of services offered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70513 - Nuclear Medicine Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The space required will be dependent upon services offered.
					 Where radiotherapy is provided from a radionuclide source, construction
					 requirements shall meet the standards of Subchapter 4, Chapter 5, Title 17,
					 California Administrative Code and Part 6, Division T17, Part 6, Subchapter 4,
					 Chapter 5, Title 24, California Administrative Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70515 - Occupational Therapy Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Occupational therapy services means those
				  services provided to a patient by or under the supervision of an occupational
				  therapist with appropriate staff, space, equipment and supplies. These services
				  are used to restore the functional capacity of those individuals whose
				  abilities to cope with tasks of daily living are threatened or impaired by
				  developmental deficits, the aging process, physical illness or injury or
				  psychosocial disabilities. Occupational therapy services include but are not
				  limited to:
(1) Providing the physician with
				  an initial evaluation of the patient's level of function by diagnostic and
				  prognostic testing.
(2)
				  Intervention in acute stages of illness or injury to minimize or prevent
				  disfunction.
(3) Use of
				  professionally selected self-care skills, daily living tasks and tests and
				  therapeutic exercises to improve function.
(4) Training in the performance of tasks
				  modified to the patient's level of physical and emotional tolerance.
(5) Provision of preventive and corrective
				  equipment to promote function and to prevent deformity.
(6) Reevaluating the patient as changes occur
				  and modifying treatment goals consistent with these changes.
(7) Psychological conditioning of the patient
				  to prepare him for reentry and integration into his community.
(8) Use of tests to determine patient's
				  ability in areas of concentration, attention, thought organization, preception
				  and problem solving.
(9)
				  Prevocational evaluation through the use of specific tasks to determine the
				  patient's potential for vocational performance.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70517 - Occupational Therapy Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the occupational therapy service to the medical staff and administration
				  shall be defined.
(c) Occupational
				  therapy shall be given only on the signed order of a person lawfully authorized
				  to give such an order.
(d) Patients
				  shall be evaluated by the occupational therapist and a treatment program shall
				  be established to include the modalities, the frequency and duration of
				  treatments. This program and any modifications shall be approved in writing by
				  the referring physician.
(e) Signed
				  notes shall be entered into the record each time occupational therapy service
				  has been performed.
(f) Progress
				  notes shall be written and signed at least weekly by the occupational therapist
				  and summarized upon completion of the treatment program.
(g) Occupational therapy staff shall be
				  involved in orientation and in-service training of hospital
				  employees.
(h) There shall be staff
				  representation at the multidisciplinary conferences in order to plan and review
				  patient treatment.
(i) Procedures
				  shall be established for outpatient treatment, home visits and referrals to
				  appropriate community agencies.
(j)
				  Periodically, an appropriate committee of the medical staff shall evaluate the
				  services provided and make appropriate recommendations to the executive
				  committee of the medical staff and administration.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70519 - Occupational Therapy Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An occupational therapist shall have
				  overall responsibility for the service.
(b) The occupational therapy director shall
				  be responsible for the coordination of activity therapies which may include but
				  not be limited to recreation, dance, art, music, poetry and drama.
(c) There shall be sufficient staff to meet
				  the needs of the patients and scope of the services offered. The staff shall
				  consist of occupational therapist(s) and may additionally consist of
				  occupational therapy assistants, occupational therapy aides and other
				  supportive personnel.
(d) The
				  occupational therapist shall supervise treatment rendered by aides and
				  occupational therapy assistants. When occupational therapy aides are providing
				  treatment, an occupational therapist shall provide direct supervision of the
				  treatment rendered.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70521 - Occupational Therapy Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment and
				  supplies appropriate to the needs of the services offered. In addition there
				  shall be:
(1) A telephone.
(2) A handwashing sink in the treatment
				  area.
(3) Equipment made accessible
				  to patients in wheelchairs, on crutches, or when using other adaptive
				  equipment. This shall include but not be limited to:
(A) Adequate width of door
				  openings.
(B) Toilets with grab
				  bars on both sides of the commode.
(C) Over-sink mirrors.
(D) Drinking fountains.
(E) Adjustable
				  tables.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70523 - Occupational Therapy Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adequate space shall be maintained for
				  the equipment and supplies necessary to provide occupational therapy service.
				  The minimum floor area for occupational therapy service shall be 28 square
				  meters (300 square feet), no dimension of which shall be less than 4 meters (12
				  feet).
(b) Office space, separate
				  from the treatment area, shall be provided.
(c) There shall be adequate ventilation and
				  lighting, and sufficient power outlets, both 110 V and 220 V, for
				  equipment.
(d) Floor finishes shall
				  be of a nonslip variety to minimize hazard.
(e) Architectural barriers, as defined by the
				  American National Standards, A117.1, 1961 (reaffirmed 1971), including
				  thresholds and stairways shall be provided with alternate means of access such
				  as ramps.
(f) Suitable waiting
				  space shall be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70525 - Outpatient Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Outpatient service means the rendering of nonemergency
					 health care services to patients who remain in the hospital less than 24 hours
					 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 6 - Supplemental Services › Section 70527 - Outpatient Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the outpatient service to the medical staff and administration shall be
				  defined.
(c) If outpatient surgery
				  is performed, the written policies and procedures shall make provision for at
				  least the following:
(1) The types of
				  operative procedures that may be performed.
(2) Types of anesthesia that may be
				  used.
(3) Preoperative evaluation
				  of the patient, meeting the same standards as apply to inpatient
				  surgery.
(4) Informed operative
				  consent.
(5) The delivery of all
				  anatomical parts, tissues and foreign objects removed to a pathologist
				  designated by the hospital and a report of findings to be filed in the
				  patient's medical record.
(6)
				  Written preoperative instructions to patients covering:
(A) Applicable restrictions upon food and
				  drugs before surgery.
(B) Any
				  special preparations to be made by the patient.
(C) Any postoperative requirements.
(D) An understanding that admission to the
				  hospital may be required in the event of an unforeseen
				  circumstance.
(7)
				  Examination of each patient by a licensed practitioner whose scope of licensure
				  permits prior to discharge.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70529 - Outpatient Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The outpatient service shall have a
				  person designated to direct and coordinate the service.
(b) All physicians, dentists and podiatrists
				  providing services in the outpatient unit shall be members of the organized
				  medical staff. All other health care professionals providing services in
				  outpatient settings shall meet the same qualifications as those professionals
				  providing services in inpatient services.
(c) A registered nurse shall be responsible
				  for the nursing service in the outpatient service.
(d) There shall be sufficient nursing and
				  other personnel to provide the scope of services offered.
1. Amendment
					 of subsection (b) and adoption of NOTE filed 4-15-93; operative 5-17-93
					 (Register 93, No. 16).
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 6 - Supplemental Services › Section 70531 - Outpatient Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be sufficient and appropriate equipment and
					 supplies related to the scope and nature of the anticipated needs and
					 services.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70533 - Outpatient Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The number of examination and treatment
				  rooms shall be adequate in relation to the volume and nature of work
				  performed.
(b) Waiting areas shall
				  be readily accessible to patients and personnel. Rest rooms, drinking fountain
				  and a public telephone shall be provided.
(c) Laboratory, radiology and pharmacy
				  services shall be readily available to the outpatient service.
(d) If outpatient surgery is performed in the
				  outpatient service area, the basic facilities shall include:
(1) Appropriately equipped and staffed
				  operating room and postanesthesia recovery area.
(2) Appropriate means of control against the
				  hazards of infection, electrical or mechanical failure, fire and
				  explosion.
(3) Provision for
				  sterilizing equipment and supplies and for maintaining sterile
				  technique.
(4) Appropriate
				  equipment and instrumentation for anesthesia, emergency cardiopulmonary
				  resuscitation and other life support systems.
(5) The operating room shall be so located
				  that it does not directly connect with a corridor used for general through
				  traffic. Entry and exit shall be controlled with respect to personnel, patients
				  and materials handling.
(6)
				  Construction of the operating room shall be in conformity with provisions of
				  Division T17, Title 24, California Administrative Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70535 - Pediatric Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pediatric service means the observation, diagnosis and
					 treatment (including preventive treatment) of children and their illnesses,
					 injuries, diseases and disorders by 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 6 - Supplemental Services › Section 70537 - Pediatric Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be written policies and
				  procedures developed and maintained by the person responsible for the service
				  in consultation with other appropriate health professionals and administration.
				  These policies and procedures shall be based upon the standards and
				  recommendations of the American Academy of Pediatrics (Care of Children in
				  Hospitals, 1971). Policies shall be approved by the governing body. Procedures
				  shall be approved by the medical staff and administration where such is
				  appropriate. These policies and procedures shall include but not be limited to:
(1) Admission policies.
(2) Visiting privileges and parent
				  participation.
(3)
				  Accidents.
(4) Patient
				  emergencies.
(5) Reporting of child
				  abuse or neglect.
(6) Consultation
				  requirements.
(7) Infection control
				  and isolation procedures.
(8) Drug
				  reactions and 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 6 - Supplemental Services › Section 70539 - Pediatric Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the pediatric service. This physician shall be certified or
				  eligible for certification by the American Board of Pediatrics. If such a
				  pediatrician is not available, a physician with training and experience in
				  pediatrics may administer the service. In this circumstance, a pediatrician,
				  qualified as above, shall provide consultation at a frequency which will assure
				  high quality service.
(b) A
				  registered nurse who has had training and experience in pediatric nursing shall
				  be responsible for the nursing care and nursing management in the pediatric
				  service.
(c) In addition to the
				  above, there shall be a registered nurse present on each shift with
				  responsibility for patient care.
(d) There shall be sufficient other staff to
				  provide adequate care.
(e) There
				  shall be evidence of continuing education and training for the nursing staff in
				  pediatric nursing.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70541 - Pediatric Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Sufficient equipment and supplies shall be provided to
					 adequately care for pediatric patients. This shall include a full range of
					 sizes and modifications suitable for use with infants and small
					 children.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70543 - Pediatric Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Beds in the pediatric unit, including
				  bassinets, cribs and youth beds, shall be included in the total licensed bed
				  capacity of the hospital.
(b) The
				  rooms for pediatric patients shall be located to provide adequate observation
				  by nursing and other personnel.
(c)
				  Rooms for infants under the age of three years shall be separate from those of
				  older children.
(d) A private room
				  shall be available for any pediatric patient in need of physical separation as
				  defined by the infection control committee.
(e) An examination and treatment room shall
				  be located in or adjacent to the pediatric unit.
(f) A play area of sufficient size should be
				  provided.
1. Amendment
					 of subsection (d) 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 emergency language will be repealed 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.
					 Amendment 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 6 - Supplemental Services › Section 70545 - Perinatal Unit Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A perinatal unit means a maternity and newborn service of
					 the hospital for the provision of care during pregnancy, labor, delivery,
					 postpartum and neonatal periods 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 6 - Supplemental Services › Section 70547 - Perinatal Unit General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A perinatal unit shall provide:
(1) Care for the patient during pregnancy,
				  labor, delivery and the postpartum period.
(2) Care for the normal infant and the infant
				  with abnormalities which usually do not impair function or threaten
				  life.
(3) Care for mothers and
				  infants needing emergency or immediate life support measures to sustain life up
				  to 12 hours or to prevent major disability.
(4) Formal arrangements for consultation
				  and/or transfer of an infant to an intensive care newborn nursery, or a mother
				  to a hospital with the necessary services, for problems beyond the capability
				  of the perinatal unit.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70549 - Perinatal Unit Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  physician shall have overall responsibility of the unit. This physician shall
				  be certified or eligible for certification by the American Board of Obstetrics
				  and Gynecologists or the American Board of Pediatrics. If a physician with one
				  of the above qualifications is not available, a physician with training and
				  experience in obstetrics and gynecology or pediatrics may administer the
				  service. In this circumstance, a physician with the above qualifications shall
				  provide consultation at a frequency which will assure high quality service. He
				  shall be responsible for:
(1) Providing
				  continuous obstetric, pediatric, anesthesia, laboratory and radiologic
				  coverage.
(2) Maintaining working
				  relationships with intensive care newborn nursery.
(3) Providing for joint staff conferences and
				  continuing education of respective medical specialities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70551 - Perinatal Unit Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) General equipment shall include at least
				  the following:
(1) Amniocentesis
				  tray.
(2) DC defibrillator
				  immediately available.
(3) Blanket
				  warmer.
(4) Solutions and supplies
				  for intravenous fluids, blood, plasma and blood substitutes or
				  fractions.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70553 - Perinatal Unit Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  General:
(1) A storage room for supplies and
				  equipment used in labor and delivery areas shall be maintained.
(2) Dressing room for staff personnel should
				  be provided.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70555 - Physical Therapy Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physical therapy service means those
				  services to a patient by or under the supervision of a physical therapist to
				  achieve and maintain the highest functional level with appropriate staff,
				  space, equipment and supplies. Physical therapy services include but are not
				  limited to:
(1) Providing the physician with
				  an initial written evaluation of the patient's rehabilitation
				  potential.
(2) Applying muscle,
				  nerve, joint and functional ability tests.
(3) Treating patients to relieve pain,
				  develop or restore function.
(4)
				  Assisting patients to achieve and maintain maximum performance using physical
				  means such as exercise, massage, heat, sound, water, light, ice, and
				  electricity.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70557 - Physical Therapy Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the physical therapy service to the medical staff and administration shall
				  be defined.
(c) Physical therapy
				  shall be given only on the signed order of a person lawfully authorized to give
				  such an order.
(d) When physical
				  therapy is ordered, the patient shall be evaluated by the physical therapist
				  and a treatment program shall be established to include the modalities,
				  frequency and duration of treatments. This program and any modifications shall
				  be approved by the person who signed the order for service.
(e) Signed notes shall be entered into the
				  record each time physical therapy service has been performed.
(f) Progress notes shall be written and
				  signed at least weekly by the physical therapist and summarized upon completion
				  of the treatment program.
(g)
				  Physical therapy service staff shall be involved in orientation and in-service
				  training of hospital employees.
(h)
				  There shall be written techniques for cleaning and culturing of hydrotherapy
				  equipment.
(i) Procedures shall be
				  established for outpatient treatment, home visits and referrals to appropriate
				  community agencies.
(j)
				  Periodically, an appropriate committee of the medical staff shall evaluate the
				  services provided and make appropriate recommendations to the executive
				  committee of the medical staff and administration.
1. Amendment
					 of subsections (c) and (d) filed 3-13-80; effective thirtieth day thereafter
					 (Register 80, No. 11).
Note: Authority cited: Section
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.