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 70559 - Physical Therapy Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physical therapist shall have overall
				  responsibility for the physical therapy service.
(b) There shall be sufficient staff to meet
				  the needs of the patients and scope of the services offered. The staff shall
				  consist of physical therapists and may additionally consist of physical
				  therapist assistants, physical therapy aides and other supportive
				  personnel.
(c) The physical
				  therapist shall supervise treatment rendered by aides and assistants. When
				  physical therapy aides are providing treatment, a physical 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 70561 - Physical 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 and the services offered. In addition there
				  shall be:
(1) A telephone.
(2) A handwashing sink in the treatment
				  area.
(3) Equipment 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 70563 - Physical 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 physical therapy service. The
				  minimum floor area for physical 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) Floor finishes shall be of a nonslip
				  variety to minimize hazard.
(d)
				  Architectural barriers as defined in Specifications for Making Buildings and
				  Facilities Accessible and Usable by the Physically Handicapped, A-117.1 1961
				  (reaffirmed 1971) by the American National Standards Institute, Inc., 1430
				  Broadway, New York, NY 10018, shall have alternate means of access such as
				  ramps.
(e) A suitable waiting area
				  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 70565 - Podiatric Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Podiatric service means the diagnosis and treatment of
					 disorders of the foot by podiatrists 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 70567 - Podiatric 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 podiatric 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 podiatric patients.
(d) There shall be a record of all podiatric
				  services provided for the patient and this shall be made a part of the
				  patient's medical record.
(e)
				  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 70569 - Podiatric Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A podiatrist shall have overall responsibility for the
					 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 70571 - Podiatric Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be sufficient equipment, instruments, and
					 supplies for the scope of services 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 70573 - Podiatric Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be adequate space maintained to meet the needs
					 of the 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 70575 - Psychiatric Unit Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A psychiatric unit means a service, department or division
					 of a hospital which is organized, staffed and equipped to provide inpatient and
					 outpatient care for mentally disordered or other patients referred to in
					 Division 5 (commencing with Section
					 5000) or Division 6 (commencing
					 with 6000) of the Welfare and Institutions 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 70577 - Psychiatric Unit 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 psychiatric service to the medical staff and administration shall be
				  defined.
(c) The psychiatric unit
				  shall be used for patients with he diagnosis of a mental disorder requiring
				  hospital care. For purposes of these regulations "mental disorder" is defined
				  as any psychiatric illness or disease, whether functional or of organic
				  origin.
(d) Medical services.
(1) Psychiatrists or clinical psychologists,
				  acting within the scope of their licensure and subject to the rules of the
				  facility, shall be responsible for the diagnostic formulation for their
				  patients and the development and implementation of each patient's treatment
				  plan.
(2) Medical examinations
				  shall be performed as often as indicated by the medical needs of the patient.
				  Reports of all medical examinations shall be on file in the patient's medical
				  record.
(3) A psychiatrist shall be
				  available at all times for psychiatric emergencies.
(4) An appropriate committee of the medical
				  services shall:
(A) Identify and recommend to
				  administration the equipment and supplies necessary for emergency medical
				  problems.
(B) Develop a plan for
				  handling and/or referral of patients with emergency medical problems.
(C) Determine the circumstances under which
				  electroconvulsive therapy may be administered.
(D) Develop guidelines for the administration
				  of a drug when given in unusually high dosages or for purposes other than those
				  for which the drug is customarily used.
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 70579 - Psychiatric Unit Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) If
				  a psychiatrist is not the administrative director of the psychiatric unit, a
				  psychiatrist who is certified or eligible for certification in psychiatry by
				  the American Board of Psychiatry and Neurology, shall be responsible for the
				  medical care and services of the unit, including all those acts of diagnosis,
				  treatment, or prescribing or ordering of drugs which may only be performed by a
				  licensed physician.
(b) A clinical
				  psychologist shall be available on a full-time, part-time or consulting basis.
				  The clinical psychologist shall function on such terms and conditions as the
				  facility shall establish.
(c) A
				  registered nurse with two years experience in psychiatric nursing shall be
				  responsible for the nursing care and nursing management of the psychiatric
				  unit.
(d) There shall be registered
				  nurses with training and experience in psychiatric nursing on duty in the unit
				  at all times.
(e) There shall be
				  sufficient nursing staff, including registered nurses, licensed vocational
				  nurses, psychiatric technicians and mental health workers to meet the needs of
				  the patients.
(f) A qualified
				  therapist should be employed to conduct the therapeutic activity program.
				  Therapists that may be involved in the program include occupational, music,
				  art, dance and recreation therapist.
(g) A social worker shall be employed on a
				  full-time, regular part-time or consulting basis.
1. Amendment
					 filed 2-8-83; designated effective 3-2-83 (Register 83, No. 7).
2.
					 Change without regulatory effect amending subsection (e) and amending NOTE
					 filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1255,
						1276,
						1316.5,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70581 - Psychiatric Unit Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Sufficient equipment and supplies shall
				  be provided to meet the needs of the patients, including that necessary for the
				  rehabilitative therapy program.
(b)
				  Resuscitative and cardiac monitoring equipment shall be in or readily available
				  to the 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 70583 - Psychiatric Unit Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  psychiatric unit shall meet the following space requirements:
(1) Consultation room for interviewing
				  patients.
(2) Facilities for
				  physical examination and a treatment room for medical procedures.
(3) At least one observation room for acutely
				  disturbed patients. This room shall have facilities for visual observation and
				  be located near the nursing station and a bathroom.
(4) Separate dining room.
(5) Facilities for occupational
				  therapy.
(6) Indoor and outdoor
				  facilities for therapeutic activities.
(7) A separate nursing station for the
				  psychiatric unit. No beds for patients on the unit shall be located more than
				  90 feet away from the nursing station.
(8) Windows, modified to prevent patients
				  from leaving the unit by way of a window.
(9) There shall be a principal entrance to
				  the unit which could be locked if necessary.
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 70585 - Radiation Therapy Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Radiation therapy service means the use of external
					 ionizing radiation including X-rays and teletherapy and brachytherapy using
					 sealed sources of radioactive material in the treatment of human illnesses 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 70587 - Radiation 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 radiation therapy service to the medical staff and administration shall
				  be defined.
(c) Radiation therapy
				  shall be given only under the direction of a radiation therapist.
(d) All cancer cases accepted for curative
				  radiation shall have adequate histologic substantiation of diagnosis unless
				  convincing alternative evidence for diagnosis is presented.
(e) Documentation of the initial evaluation,
				  treatment plan, dosimetry, and clinical, technical and follow-up notes shall be
				  maintained.
(f) Adequate
				  communication shall be maintained with referring physicians.
(g) There should be periodic review of case
				  management, complications and treatment results.
(h) There shall be a tumor board, a tumor
				  registry, and/or cancer committee in which the radiation therapy staff shall
				  participate.
(i) There shall be
				  provided:
(1) Continuing radiological physics
				  support for radiation therapy in cancer management.
(2) Calibration and operation of radiation
				  therapy equipment according to California Radiation Control Regulations,
				  Subchapter 4, Chapter 5, Title 17, California Administrative Code.
(3) Appropriate radiation treatment
				  localization, simulation and verification.
(4) Isodose treatment planning with complex
				  analyses generated in appropriate cases.
(5) Treatment record quality control through
				  independent review of records of patients undergoing treatment. The record
				  shall be signed by the reviewer.
(6) Radiation protection for patients and
				  staff in accordance with requirements of California Radiation Control
				  Regulations, Subchapter 4, Chapter 5, Title 17, 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 70589 - Radiation Therapy Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician shall be certified or eligible
				  for certification in therapeutic radiology by the American Board of Radiology
				  or be certified or eligible for certification in radiology by the American
				  Board of Radiology and have two (2) years of additional full-time experience in
				  radiation therapy.
(b) In remote
				  communities where the population and number of cancer cases are insufficient to
				  require a full-time radiation therapist, a general radiologist may provide
				  radiation treatment of limited scope for those patients whose transportation to
				  larger centers would be undesirable. He shall have an established mechanism to
				  provide the consultation, physics and treatment planning support and referral
				  availability of a radiation therapist.
(c) Other personnel who shall be available
				  full-time, part-time or on a consultative basis, depending upon the activity of
				  the department are:
(1) A radiological
				  physicist who is either certified in radiological physics or in therapeutic
				  radiological physics by the American Board of Radiology.
(2) A dosimetrist (treatment plan
				  technologist) who is a qualified and experienced radiation therapy technologist
				  with a minimum of one year of additional clinical training in dosimetry under
				  the direction of an experienced dosimetrist and a physicist.
(3) A certified therapeutic radiological
				  technologist.
(4) Appropriate
				  support personnel including licensed nurses, where patient load
				  requires.
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 70591 - Radiation Therapy Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment and supplies shall include:
(1) Megavoltage (supervoltage) treatment unit
				  capable of delivering x or gamma rays of effective energy 500 KeV or more and
				  conforming to the requirements of California Radiation Control Regulations,
				  Subchapter 4, Chapter 5, Title 17, California Administrative Code.
(2) Access to medium voltage or superficial
				  treatment unit delivering 500 KeV or less, but otherwise having the same
				  functional characteristics as the above megavoltage units and conforming to the
				  requirements of California Radiation Control Regulations, Subchapter 4, Chapter
				  5, Title 17, California Administrative Code.
(3) Access to brachytherapy equipment which
				  shall meet the requirements of California Radiation Control Regulations,
				  Subchapter 4, Chapter 5, Title 17, California Administrative Code.
(4) Appropriate examination room
				  equipment.
(5) Emergency trays and
				  medications.
(6) Access to
				  radiation measurement and calibration equipment including a calibration
				  constancy instrument and access to a secondary standard dose
				  meter.
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 70593 - Radiation Therapy Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Rooms accommodating radiation therapy
				  machines shall be of adequate size to permit easy use of stretcher patients.
				  Shielding of the rooms shall meet the requirements of California Radiation
				  Control Regulations, Subchapter 4, Chapter 5, Title 17, California
				  Administrative Code.
(b) Sufficient
				  examination rooms of adequate size.
(c) Patient reception, waiting and dressing
				  areas with conveniently located toilets shall be provided.
(d) Space sufficient for medical and physics
				  staff functions shall be provided.
Rehabilitation center means a functional unit for the
					 provision of those rehabilitation services that restore an ill or injured
					 person to the highest level of self-sufficiency or gainful employment of which
					 he is capable in the shortest possible time, compatible with his physical,
					 intellectual and emotional or psychological capabilities and in accord with
					 planned goals and objectives.
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 70595 - Rehabilitation Center Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Rehabilitation center means a functional unit for the
					 provision of those rehabilitation services that restore an ill or injured
					 person to the highest level of self-sufficiency or gainful employment of which
					 he is capable in the shortest possible time, compatible with his physical,
					 intellectual and emotional or psychological capabilities and in accord with
					 planned goals and objectives.
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 70597 - Rehabilitation Center General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate. These
				  policies and procedures shall include but not be limited to:
(1) Goals and objectives.
(2) General eligibility and admission
				  criteria.
(3) Geographic area to be
				  served.
(4) Scope of services to be
				  provided.
(5) Rehabilitation staff
				  eligibility requirements.
(6)
				  Relationships between the hospital and other health facilities in the
				  community.
(7) Sources and forms
				  used for referral of 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 70599 - Rehabilitation Center Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A physician experienced in rehabilitation medicine shall have overall
				  responsibility for the service.
(b)
				  A registered nurse with training and at least one year of experience in
				  rehabilitation nursing shall be responsible for nursing care and nursing
				  management of rehabilitation services.
(c) Sufficient registered nurses experienced
				  in rehabilitation nursing shall be employed to meet the needs of the
				  service.
(d) Other personnel
				  experienced in rehabilitation shall be provided to meet the needs of the
				  service and shall include but not be limited to the following:
(1) Full-time physical therapists.
(2) Full-time occupational
				  therapists.
(3) Speech
				  pathologists.
(4) The following
				  personnel shall be available on a consultation or referral basis:
(A) Audiologist.
(B) Orthotist.
(C) Prosthetist.
(D) Vocational rehabilitation
				  counselor.
(E) Recreational
				  therapist.
(F)
				  Psychiatrist.
(G)
				  Psychologist.
(H) Registered nurse
				  with public health nursing certificate.
(I) Learning disability specialist.
(J) Social
				  worker.
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 70601 - Rehabilitation Center Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient equipment and
				  supplies to fulfill the needs of the services provided.
(b) The equipment shall be of a type,
				  quantity and quality that will provide safe and effective patient
				  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 70605 - Renal Transplant Center Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Renal transplant center means a specialized unit of a
					 hospital for the treatment of patients with end-stage renal disease who
					 manifest the accumulation of excessive nitrogenous waste products. The scope of
					 services offered is comprehensive and includes acute dialysis, renal
					 transplantation and may include peritoneal dialysis or other means for removing
					 toxic or excessive waste products from the blood.
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 70607 - Renal Transplant Center General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and the
				  administration. Policies shall be approved by the governing body. Procedures
				  shall be approved by the administration and medical staff where such is
				  appropriate.
(b) The responsibility
				  and the accountability of the renal transplant center to the medical staff and
				  administration shall be defined.
(c) The hospital shall:
(1) Perform a sufficient number of
				  transplants per annum to demonstrate a capability to perform with high quality.
				  Fifteen (15) transplants should be performed per annum.
(2) Offer both living related donor and
				  cadaver donor transplant services.
(3) Contribute to a coordinated system of
				  care by arrangements with other facilities providing care for patients with
				  end-stage renal disease.
(4) Make
				  renal transplant services available to patients with end-stage renal disease
				  referred from facilities that do not provide renal transplant
				  services.
(5) Participate in the
				  development and use of a registry of prospective recipient patients.
(6) Participate in kidney procurement,
				  preservation and transport program.
(7) Cooperate with other facilities for the
				  timely transfer of medical data on patients with end-stage renal
				  disease.
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 70609 - Renal Transplant Center Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A physician shall have overall responsibility for the center. This physician
				  shall be certified or eligible for certification by the American Board of
				  Surgery, American Board of Urology, American Board of Internal Medicine or
				  American Board of Pediatrics and shall have a minimum of one year's training or
				  experience in the care of patients with renal transplantation.
(b) The surgeons performing the
				  transplantation procedures shall be certified or eligible for certification by
				  the American Board of Surgery or American Board of Urology and shall have at
				  least one year's training or experience in renal transplantation.
(c) Children (13 years of age or under)
				  receiving transplant services shall be under the care of a physician who is
				  certified or eligible for certification by the American Board of
				  Pediatrics.
(d) Where appropriate,
				  the hospital shall provide timely evaluation and consultation for its patients
				  with renal transplants by the following specialists:
(1) Physicians certified or eligible for
				  certification in cardiology, endocrinology, hematology, or infectious disease
				  by the American Board of Internal Medicine.
(2) A physician certified or eligible for
				  certification in neurology by the American Board of Psychiatry and
				  Neurology.
(3) A physician
				  certified or eligible for certification in psychiatry by the American Board of
				  Psychiatry and Neurology.
(4) A
				  physician certified or eligible for certification in orthopaedic surgery by the
				  American Board of Orthopaedic Surgery.
(5) A physician certified or eligible for
				  certification by the American Board of Pathology.
(6) A physician certified or eligible for
				  certification by the American Board of Urology.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70611 - Renal Transplant Center Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment and supplies shall include at
				  least the following if chronic dialysis is provided:
(1) A dialysis machine or equivalent (with
				  appropriate monitoring equipment) for each bed or station.
(2) Dialysis equipment appropriate for
				  pediatric patients, if treated.
(3)
				  Cardiac monitoring equipment.
(4)
				  Resuscitative 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 70613 - Renal Transplant Center Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  There shall be a minimum of 10 square meters (110 square feet) of floor space
				  per bed. Beds in the renal transplant center shall be included in the total
				  licensed bed capacity of the hospital.
(b) The following areas shall be provided and
				  maintained if chronic dialysis is provided:
(1) Patient waiting area.
(2) Conference room.
(3) Nurses' station.
(4) Isolation room.
(5) Segregated area for home dialysis
				  training.
(6) Machine storage
				  room.
(7) Supplies storage
				  room.
(8) Utility
				  room.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70615 - Respiratory Care Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Respiratory care service means those
				  diagnostic and therapeutic procedures for ventilatory support and associated
				  services to patients with appropriate staff, space, equipment and supplies.
				  These diagnostic and therapeutic procedures include but are not limited to:
(1) Measurement of pulmonary function testing
				  and blood gas analyses.
(2)
				  Procedures to reverse or prevent further physiological abnormalities.
(3) Treatment or prevention of airway
				  problems of respiratory therapy origin.
(4) Positive pressure ventilatory
				  therapy.
(5) Respiratory
				  monitoring.
(6) Cardiopulmonary
				  resuscitation.
(7) Physical therapy
				  of the chest including bronchial drainage and percussion.
(8) Patient instruction.
(9) Care of the intubated and tracheostomy
				  patient.
(10) Constant
				  consideration of infection control.
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 70617 - Respiratory Care Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability
				  of the respiratory care service to the medical staff and administration shall
				  be defined.
(c) There shall be
				  clear delineation as to who may perform the various procedures, under what
				  circumstances and under whose supervision, with the important undesirable side
				  effects noted if an emergency arises.
(d) All services shall be provided on the
				  order of a person lawfully authorized to give such an order and shall specify
				  the type, frequency of treatment, the dose and type of medication, appropriate
				  dilution ratios and which diagnostic procedures are requested.
(e) A copy of the order shall be available
				  within the respiratory care files in addition to the patient's health
				  record.
(f) Diagnostic studies and
				  treatment modalities shall be recorded in the patient's medical record
				  including the type of diagnostic or therapeutic procedures, the dates and times
				  of their occurrence and their effects including any adverse
				  reactions.
(g) Normal range and
				  acceptable deviations from normal will be clearly delineated. Reactions outside
				  the acceptable usual disease range shall be brought to the attention of the
				  referring physician and the nursing service.
(h) Respiratory care staff shall be involved
				  in orientation and in-service training of hospital employees.
(i) Periodically, an appropriate committee of
				  the medical staff shall evaluate the services provided and make appropriate
				  recommendations to the executive committee of the medical staff and
				  administration.
1. Amendment
					 of subsections (d) and (e) 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.
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 70619 - Respiratory Care Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician shall have overall
				  responsibility for the service. This physician should be certified or eligible
				  for certification by the American Board of Internal Medicine or the American
				  Board of Anesthesiology. His responsibilities shall include:
(1) Coordinating with other
				  services.
(2) Making services
				  available.
(3) Assuring the quality
				  of respiratory care personnel.
(4)
				  Developing measures to control nosocomial infections.
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 70621 - Respiratory Care Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient types and
				  quantity of equipment to provide the appropriate inhalation of the several
				  gases, aerosols and such other modalities required for the anticipated nature
				  and variety of procedures.
(b)
				  Equipment shall be calibrated in accordance with manufacturer's instructions
				  and records of such calibrations shall be kept.
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 70623 - Respiratory Care Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be sufficient space
				  maintained for:
(1) Storage of necessary
				  equipment.
(2) Work areas for
				  cleaning, sterilizing and repairing equipment.
(3) Pulmonary function studies and blood gas
				  analysis, if performed in the unit.
(4) Office space.
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 70625 - Skilled Nursing Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Skilled nursing service means the provision of skilled
					 nursing care and supportive care to patients whose primary need is for the
					 availability of skilled nursing care on a long-term basis. There is provision
					 for 24-hour inpatient care and as a minimum includes medical, nursing, dietary,
					 pharmaceutical services and an activity program.
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 70627 - Skilled Nursing Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The regulations for Skilled Nursing
				  Facilities, Chapter 3, 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 skilled nursing service.
(2) The functions of the director of nurses
				  may be shared between the hospital and the skilled nursing service. The
				  registered nurse requirement, referred to as director of the nursing service,
				  in Section
				  72323 of regulations for Skilled
				  Nursing Facilities.
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 70629 - Social Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Social service means assisting patients and their families
					 to understand and cope with the emotional and social problems which affect
					 their health status, with appropriately organized staff, space, equipment and
					 supplies. problems of 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 70631 - Social Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The social service to be provided shall
				  be planned and developed in consultation with the administration, medical
				  staff, nursing staff and other staff as appropriate.
(b) The responsibility and the accountability
				  of the social service to administration and medical staff shall be
				  defined.
(c) 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.
(d) When the patient
				  receives social service appropriate entries and progress notes shall be
				  included in the patient's medical record.
(e) Social service staff shall be involved in
				  orientation and in-service training of the staff to assist in identifying
				  social and emotional problems of patients.
(f) Periodically, an appropriate committee of
				  the medical staff shall evaluate the service 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 70633 - Social Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  social worker shall have overall responsibility for the service.
(b) The social service staff shall be
				  sufficient in number and qualifications to effectively provide the service
				  needed. Such personnel may include social work assistants, social work aides
				  and support staff.
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 70635 - Social Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Equipment and supplies shall be provided as needed for
					 performance of social 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 70637 - Social Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
There shall be sufficient office space and privacy for
					 interviewing and conducting social 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 70639 - Speech Pathology and/or Audiology Service Definition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Speech pathology and/or audiology service means diagnostic
					 evaluation, screening, testing and rehabilitation services for individuals with
					 speech, hearing and/or language disorders 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 70641 - Speech Pathology and/or Audiology Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Written policies and procedures shall be
				  developed and maintained by the person responsible for the service in
				  consultation with other appropriate health professionals and administration.
				  Policies shall be approved by the governing body. Procedures shall be approved
				  by the administration and medical staff where such is appropriate.
(b) The responsibility and accountability of
				  the speech pathology and/or audiology service to the medical staff and
				  administration shall be defined.
(c) 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 70643 - Speech Pathology and/or Audiology Service Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A speech pathologist, audiologist or
				  otolaryngologist shall have overall responsibility for the service.
(b) There shall be sufficient trained staff
				  to meet the needs of the patients and the scope of the services
				  provided.
(c) All unlicensed
				  personnel shall work under the direct supervision of a speech pathologist or
				  audiologist.
(d) There shall be
				  arrangements for consultation with the patient's physician, a physician who is
				  certified or eligible for certification by the American Board of Otolaryngology
				  or other physician specialists as deemed appropriate.
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 70645 - Speech Pathology and/or Audiology Service Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At least the
				  following equipment shall be provided:
(1) An
				  appropriate clinical audiometer.
(2) Diagnostic tests and materials.
(3) Other equipment and materials deemed
				  necessary by the person having overall responsibility for the
				  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 70647 - Speech Pathology and/or Audiology Service Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be at least one two-room
				  testing suite that meets Standard S-3.1, 1960 (R-1971), Criteria for Background
				  Noise in Audiometer Rooms, of the American National Standards Institute, Inc.,
				  1430 Broadway, New York, NY 10018.
(b) There shall be the space necessary for
				  the tables and chairs to conduct interviews, consultations, treatment and to
				  accommodate patients in wheelchairs or on stretchers.