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 11-93-2 - Definitions

Current through June, 2024
As used in this subchapter: "Administrator" is the person
					 to whom is delegated the responsibility for the interpretation and
					 implementation of the policies and programs established by the governing
					 body.
"Birthing room" means a "labor delivery recovery" (LDR)
					 room or "labor delivery recovery postpartum" (LDRP) room designed, equipped and
					 arranged to provide for the care of a woman and her newborn child and to
					 accommodate her support persons during the process of vaginal birth and
					 immediate recovery thereafter.
"Broad service hospital" means a hospital which is staffed
					 and equipped to provide inpatient medical or surgical care, or both, for acute
					 and chronic illness, injury, or obstetrics.
"Clinical privileges" means permission to provide medical
					 and other patient care services in the granting institution, within
					 well-defined limits, based on the individual grantee's professional license,
					 experience, competence, ability and judgment.
"Department" means the department of health, State of
					 Hawaii.
"Dentist" means any person holding a valid license to
					 practice dentistry in the State of Hawaii, pursuant to chapter 448, HRS.
"Dietetic service supervisor" is a person who:
(1) Is a qualified dietitian; or
(2) Is a graduate of a training program for dietetic
					 technicians approved by the American Dietetic Association, or is a dietary
					 manager approved by a Dietary Managers Association; or
(3) Is a graduate of a state approved course that provided
					 ninety or more hours of classroom or correspondence instructions in food
					 service supervision and has had experience as a supervisor in a health care
					 institution with consultation from a dietitian; or
(4) Is a graduate of a college or university with a
					 baccalaureate degree after majoring in studies of food and nutrition,
					 dietetics, or food service management and has had one year of supervisory
					 experience in providing dietetic services of a health care institution;
					 or
(5) Has training and experience in food service supervision
					 and management in a military service equivalent in content to the programs in
					 paragraphs (2), (3), and (4) of this definition.
"Dietitian" means a person who:
(1) Is registered by the American Dietetic Association
					 Commission for Dietetic Registration; or
(2) Has eligibility for registration approved by the
					 American Dietetic Association and is working with consultation from or under
					 the supervision of a registered dietitian.
"Director" means the director of health, State of
					 Hawaii.
"Drug administration" means the act in which a single dose
					 of a prescribed drug or biological substance is given to a patient by an
					 authorized person in accordance with all existing laws and regulations
					 governing such acts. The entire act of administration entails:
(1) Removing an individual dose from a previously dispensed
					 properly labeled container (unit dose);
(2) Giving the specified dose to the proper patient;
(3) Promptly recording the time, dose, and route given to
					 the patient; and
(4) Signing the record.
Only licensed personnel may administer medications.
"Drug dispensing" means the act which involves the
					 interpretation of a physician's order and, pursuant to that order, the proper
					 selection, measurement, packaging, labeling and issuance of the drug or
					 biological for a patient or a specified unit of the facility.
"Governing body" means the policy making authority,
					 whether an individual or a group, who exercises general direction over the
					 affairs of a facility and establishes policies concerning its operation and the
					 welfare of the individuals it serves.
"Hospital" means any institution with an organized medical
					 staff which admits patients for inpatient care, diagnosis, observation, and
					 treatment.
"License" means a license issued by the department
					 certifying the compliance with all existing Hawaii state laws and rules
					 relative to the operation of a hospital.
"Licensed nurse" means either a registered nurse or a
					 licensed practical nurse.
"Licensed practical nurse" means a person licensed as such
					 by the State of Hawaii, pursuant to chapter 457, HRS.
"Licensed psychologist" means a person who has a doctoral
					 degree in psychology and is licensed by the state Board of Psychology under
					 chapter
					 465, HRS or is eligible for licensure
					 and obtains licensure within two years of employment as provided for in chapter
					 465, HRS.
"Medical staff" means physicians, dentists, podiatrists
					 and other individuals licensed by the state, who are permitted by law and who
					 have been authorized by the governing body to provide patient care services
					 within the facility. All medical staff members and other individuals who are
					 permitted by law and by the hospital to provide patient care services
					 independently in the hospital shall have delineated clinical privileges that
					 allow them to provide patient care services within the scope of their clinical
					 privileges.
"Nurse aide" means a person who is certified as such by
					 the State of Hawaii, or a person who is not so certified but has successfully
					 completed a nurse aide training program in the tasks to be performed and who
					 works under the supervision of a licensed nurse.
"Occupational therapist" means a person currently
					 registered or eligible for registration by the American Occupational Therapy
					 Association, and meets the qualifications under chapter 457G, HRS.
"Pathologist" means a physician certified or eligible to
					 be certified by the American Board of Pathologists.
"Pharmacist" means a person who is licensed as a
					 "registered pharmacist" by the State of Hawaii, pursuant to chapter 461,
					 HRS.
"Physical therapist" means a person who has a license to
					 practice as a physical therapist issued by the State of Hawaii, pursuant to
					 chapter
					 461J, HRS.
"Physician" means a doctor of medicine or osteopathy who
					 has a valid license to practice medicine and surgery issued by the State of
					 Hawaii in accordance with chapter 453, or 460, HRS.
"Psychiatrist" means a person licensed to practice
					 medicine in the State of Hawaii and who is certified or is eligible to be
					 certified in psychiatry by the American Board of Psychiatry or
					 Neurology.
"Radiologist" means a physician certified or eligible to
					 be certified by the American Board of Radiology.
"Registered professional nurse" means a person who is
					 licensed as a registered nurse in the State of Hawaii, under chapter 457,
					 HRS.
"Seclusion room" means a room reserved for use by
					 individual patients who require security and protection from either themselves
					 or others. It shall be a single room constructed to minimize the patient's
					 hiding, escape, injury, or suicide. Doors shall have provisions for staff
					 observation while maintaining privacy from public and other patients.
"Social worker" means a person who:
(1) Has a master's degree from a school of social work
					 accredited by the Council on Social Work Education or
(2) Has a bachelor's degree from a school of social work
					 accredited by the Council on Social Work Education and two years of social work
					 supervised experience in a health care setting working directly with
					 individuals.
"Social work designee" means a staff person other than a
					 social worker but with similar professional qualifications (such as nursing,
					 psychology, psychiatry, counseling, and human development) and two years of
					 social work supervised experience in a health care setting working directly
					 with individuals and who is supervised by means of consultation with a social
					 worker.
"Speech pathologist or audiologist" means a person who is
					 licensed by the State pursuant to chapter 468E, HRS, and:
(1) Is eligible for a certificate of clinical competence in
					 the appropriate area of speech pathology, or audiology granted by the American
					 Speech and Hearing Association under its requirements in effect on the
					 publication of this provision; or
(2) Meets the educational requirements for certification
					 and is in the process of accumulating the supervised experience required for
					 examination for certification; or
(3) Is already clinically certified.
"Tuberculin skin test" means an intradermal injection of
					 .0001 mg (5 tuberculin units) of purified protein derivative in 0.1 cc of
					 sterile diluent.
"Waiver" means an exemption from a specific rule or
					 regulation which may be granted to a facility for a specified period of time at
					 the discretion of the director. A waiver may be renewed at the discretion of
					 the director.