reglab/statecodes huggingface dataset:
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-126 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
For the purposes of
				K.A.R.
				28-34-126,
				28-34-127, and
				28-34-129 through
				28-34-144, the following terms
				shall have the meanings specified in this regulation,
(a) "Admitting privileges" means permission
			 extended by a hospital to a physician to allow the physician to admit a patient
			 to that hospital either as active or courtesy staff.
(b) "Ancillary services" means laboratory,
			 radiology, or pharmacy services.
(c) "Ancillary staff member" means an
			 individual who performs laboratory, radiology, or pharmacy services at a
			 facility.
(d) "Applicant" means a
			 person who has applied for a license but who has not yet been granted a license
			 to operate a facility.
(e)
			 "Clinical privileges" means permission extended by a hospital to a physician to
			 allow the physician to provide treatment to a patient in that
			 hospital.
(f) "Health professional"
			 means an individual, other than a physician, who is one of the following:
(1) A nurse licensed by the Kansas state
			 board of nursing; or
(2) a
			 physician assistant licensed by the Kansas state board of healing
			 arts.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-127 - Application process

Current through Register Vol. 43, No. 28, July
			 11, 2024
(a) Any person
			 desiring to operate a facility shall apply for a license on forms provided by
			 the department.
(b) Each applicant
			 shall submit a fee of $500 for a license. The applicable fee shall be submitted
			 at the time of license application and shall not be refundable.
(c) Before initial licensing each applicant
			 shall submit to the department the following information:
(1) Written verification from the applicable
			 local authorities showing that the premises are in compliance with all local
			 codes and ordinances, including all building, fire, and zoning
			 requirements;
(2) written
			 verification from the state fire marshal showing that the premises are in
			 compliance with all applicable fire codes and regulations;
(3) documentation of the specific
			 arrangements that have been made for the removal of biomedical waste and human
			 tissue from the premises; and
(4)
			 documentation that the facility is located within 30 miles of an accredited
			 hospital.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-129 - Terms of a license

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 license shall be effective for one year following the date of
			 issuance.
(b) Each license shall be
			 valid for the licensee and the address specified on the license. When an
			 initial, renewed, or amended license becomes effective, all licenses previously
			 granted to the applicant or licensee at the same address shall become
			 invalid.
(c) Only one physical
			 location shall be described in each license.
(d) Any applicant may withdraw the
			 application for a license.
(e) Any
			 licensee may submit, at any time, a request to close the facility permanently
			 and to surrender the license.
(f)
			 If a facility is closed, any license granted for that facility shall become
			 void.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-130 - Renewals; amendments

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) No
			 earlier than 90 days before but no later than the renewal date, each licensee
			 wishing to renew the license shall submit the following:
(1) The nonrefundable license fee of $500;
			 and
(2) an application to renew the
			 license on the form provided by the department.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-131 - Operation of the facility

Current through Register Vol. 43, No.
			 28, July 11, 2024
(a)
			 Each applicant and each licensee shall be responsible for the operation of the
			 facility.
(b) Each applicant and
			 each licensee shall:
(1) Ensure compliance
			 with all applicable federal, state, and local laws;
(2) serve as or designate a medical director
			 who is a physician licensed by the Kansas state board of healing arts and who
			 has no limitations to the license that would prohibit the physician's ability
			 to serve in the capacity as a medical director of a facility; and
(3) ensure the following documents are
			 conspicuously posted at the facility:
(A) The
			 current facility license issued by the department; and
(B) the current telephone number and address
			 of the department.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-132 - Staff requirements

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 applicant and each licensee shall ensure that each physician performing surgery
			 in a facility is approved by the medical director, licensed to practice
			 medicine and surgery in the state of Kansas, and demonstrates competence in the
			 procedure involved in the physician's duties at the facility. Competence shall
			 be demonstrated through both of the following means and methods:
(1) Documentation of education and
			 experience; and
(2) observation by
			 or interaction with the medical director.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-133 - Facility environmental standards

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Each applicant and each licensee shall
			 ensure that the facility is designed, constructed, equipped, and maintained to
			 protect the health and safety of patients, staff members, volunteers, and
			 visitors.
(b) Each facility shall
			 include the following rooms and areas:
(1) At
			 least one room designated for patient interviews, counseling, and medical
			 evaluations, located and arranged to preserve patient privacy;
(2) at least one dressing room for patients
			 only and arrangements for storage of patient clothing and valuables;
(3) at least one dressing room for staff
			 members, including a toilet, hand washing station, and arrangements for storage
			 for staff member clothing and valuables;
(4) a toilet room and hand washing station
			 designated for patients;
(5) hand
			 washing stations for pre-procedure hand washing by staff members;
(6) private procedure rooms and doorways of
			 those rooms of sufficient size to accommodate the following:
(A) The equipment, supplies, and medical
			 staff members required for performance of an abortion procedure; and
(B) emergency equipment and personnel in the
			 event of a transfer, as described in K.A.R. 28-34-140 ;
(7) a recovery area that meets all of the
			 following requirements:
(A) Has a nurse
			 station with visual observation of each patient in the recovery area;
(B) provides privacy for each patient in the
			 recovery area with at least cubicle curtains around each patient gurney or bed;
			 and
(C) has sufficient space to
			 accommodate emergency equipment and personnel in the event of a transfer, as
			 described in K.A.R. 28-34-140 ;
(8) a waiting area for patients and
			 visitors;
(9) an administrative
			 area, including office space for the secure filing and storage of facility
			 patient records;
(10) a workroom
			 separate from the procedure rooms for cleaning, preparation, and sterilization
			 of instruments, arranged to separate soiled or contaminated instruments from
			 clean or sterilized instruments, including the following:
(A) A hand washing station;
(B) receptacles for waste and soiled
			 items;
(C) designated counter space
			 for soiled or contaminated instruments;
(D) a sink for cleaning soiled or
			 contaminated instruments;
(E)
			 designated counter space for clean instruments; and
(F) an area for sterilizing instruments, if
			 sterilization is completed at the facility;
(11) storage space for clean and sterile
			 instruments and supplies; and
(12)
			 at least one room equipped with a service sink or a floor basin and space for
			 storage of janitorial supplies and equipment.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-134 - Health and safety requirements

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Each applicant and each licensee shall
			 ensure that the facility meets the following health and safety requirements:
(1) The temperature in each procedure room
			 and in each recovery area shall be between 65 and 75 degrees Fahrenheit unless
			 otherwise ordered by a physician in order to meet the comfort or medical needs
			 of the patient.
(2) Fixed or
			 portable lighting units shall be present in each examination, procedure, and
			 recovery room or area, in addition to general lighting.
(3) Each emergency exit shall accommodate a
			 stretcher or a gurney.
(4) The
			 facility shall be maintained in a clean condition.
(5) The facility shall not be infested by
			 insects and vermin.
(6) A warning
			 notice shall be placed at the entrance to any room or area where oxygen is in
			 use.
(7) Soiled linen and clothing
			 shall be kept in covered containers in a separate area from clean linen and
			 clothing.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-135 - Equipment; supplies; drugs and medications

Current through
			 Register Vol. 43, No. 28, July 11, 2024
(a) Each applicant and each licensee shall
			 ensure that supplies, equipment, drugs, and medications are immediately
			 available for use or in an emergency.
(b) Equipment and supplies shall be
			 maintained in the amount required to assure sufficient quantities of clean and
			 sterilized durable equipment to meet the needs of each patient during any
			 abortion procedure and for monitoring each patient throughout the procedure and
			 recovery period.
(c) Each applicant
			 and each licensee shall ensure that the following equipment and supplies are
			 maintained in the facility for airway management:
(1) An oxygen source with
			 flowmeter;
(2) face masks, in child
			 and adult sizes for assisting ventilation;
(3) a non self-inflating bag with face
			 mask;
(4) suction, either wall or
			 machine;
(5) suction catheters, in
			 sizes 8, 10, 14F, and Yankauer;
(6)
			 oral airways, in child and adult sizes;
(7) nasal cannulas, in child and adult sizes;
			 and
(8) the following additional
			 equipment and supplies for airway management for any abortion procedure
			 performed when the gestational age of the unborn child is 22 weeks or more:
(A) A self-inflating bag with reservoir, 500
			 cc and 1000 cc;
(B) oral airways,
			 in infant sizes;
(C) a laryngoscope
			 handle with batteries;
(D) straight
			 blades or curved blades, in sizes 0, 1, 2, and 3;
(E) endotracheal tubes, uncuffed, in sizes
			 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, and 8.0;
(F) stylets, small and large; and
(G) adhesive tape to secure airway.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-136 - Ancillary services

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 applicant and each licensee shall document that the facility maintains a
			 certificate of compliance from the centers for medicare and medicaid services
			 pursuant to section 353 of the public health services act, 42 U.S.C. 263a, as
			 revised by the clinical laboratory and current clinical laboratory improvement
			 amendments for the purpose of performing examinations or procedures.
(b) Each applicant and each licensee shall
			 ensure that the facility meets the following requirements for radiology
			 services:
(1) Allow only trained and
			 qualified individuals to operate radiology equipment;
(2) document annual checks and calibration of
			 radiology equipment and maintain records of the annual checks and
			 calibrations;
(3) ensure that all
			 radiology and diagnostic procedures are provided only on the order of a
			 physician; and
(4) maintain signed
			 and dated clinical reports of the radiological findings in each patient's
			 record.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-137 - Patient screening and evaluation

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Each applicant and each licensee shall
			 ensure written policies and procedures are developed and implemented for the
			 medical screening and evaluation of patients. A medical screening and
			 evaluation shall be completed on each patient before an abortion procedure is
			 performed.
(b) The medical
			 screening and evaluation shall consist of the following:
(1) A medical history shall be completed,
			 including the following:
(A) Reported
			 allergies to medications, antiseptic solution, or latex;
(B) obstetric and gynecologic
			 history;
(C) past
			 surgeries;
(D) medication currently
			 being taken by the patient; and
(E)
			 any other medical conditions.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-138 - Abortion procedure

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 applicant and each licensee shall ensure that written policies and procedures
			 are developed and implemented for the following procedures:
(1) Safe conduct of abortion procedures that
			 conform to obstetric standards in keeping with established standards of care
			 regarding the estimated gestational age of the unborn child;
(2) the appropriate use of local anesthesia,
			 analgesia, and sedation if ordered by the physician; and
(3) the use of appropriate precautions,
			 including the establishment of intravenous access for any patient undergoing a
			 second or third trimester abortion, unless the physician determines that
			 establishing intravenous access is not appropriate for the patient and
			 documents that fact in the medical record of the patient.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-139 - Recovery procedures; discharge

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Each applicant and each licensee shall
			 ensure that written policies and procedures are developed and implemented for
			 the post-procedure care of patients who are administered local anesthesia,
			 analgesia, or sedation, including the following:
(1) Immediate post-procedure care for each
			 patient shall consist of observation in a supervised recovery area.
(2) The vital signs and bleeding of each
			 patient shall be monitored by a physician or a health professional.
(3) Each patient shall remain in the recovery
			 area following the abortion procedure for the following time periods, based on
			 the gestational age of the unborn child:
(A)
			 For a gestational age of 12 weeks or less, a minimum of 30 minutes;
(B) for a gestational age of 13 to 15 weeks,
			 a minimum of 45 minutes; and
(C)
			 for a gestational age of 16 weeks or more, a minimum of 60 minutes. The patient
			 shall remain in the recovery area for a longer period of time when necessary
			 based on the physician's evaluation of the patient's medical
			 condition.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-140 - Transfers

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each applicant
			 and each licensee shall ensure that written policies and procedures are
			 developed and implemented for the transfer of patients and newborn children to
			 a hospital.
(b) Each licensee shall
			 ensure that a physician arranges the transfer of a patient to a hospital if any
			 complications beyond the medical capability of the health professionals of the
			 facility occurs or is suspected.
(c) Each licensee shall ensure that a
			 physician arranges the transfer of a newborn child to a hospital if the child
			 requires emergency care.
(d) A
			 physician or a nurse who is certified in advanced cardiovascular life support
			 shall remain on the premises of the facility to facilitate the transfer of an
			 emergency case if hospitalization of a patient or a newborn child is
			 required.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-141 - Follow-up contact and care

Current through Register Vol. 43, No.
			 28, July 11, 2024
Each applicant and each licensee shall ensure that written
				policies and procedures are developed and implemented for follow-up and
				aftercare for each patient receiving an abortion procedure in the facility,
				including the following:
(a) With the
			 consent of the patient, a health professional from the facility shall make a
			 good faith effort to contact the patient by telephone within 24 hours after the
			 procedure to assess the patient's recovery.
(b) Each patient shall be offered a follow-up
			 visit and, if requested by the patient, shall be scheduled no more than four
			 weeks after completion of the procedure. The follow-up visit shall include the
			 following:
(1) A physical
			 examination;
(2) a review of all
			 laboratory tests performed as required in K.A.R. 28-34-137 ; and
(3) a urine pregnancy test.
If a continuing pregnancy is suspected, a physician who
				performs abortion procedures shall be consulted.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-142 - Risk management

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 applicant and each licensee shall develop and implement a written risk
			 management plan.
(b) The risk
			 management plan shall be reviewed and approved annually by the
			 licensee.
(c) Findings,
			 conclusions, recommendations, actions taken, and results of actions taken shall
			 be documented and reported through procedures established within the risk
			 management plan.
(d) All patient
			 services, including those services provided by outside contractors or
			 consultants, shall be periodically reviewed and evaluated in accordance with
			 the risk management plan.
(e) Each
			 risk management plan shall include the following:
(1) Section I. A description of the system
			 implemented by the facility for investigation and analysis of the frequency and
			 causes of reportable incidents within the facility;
(2) Section II. A description of the measures
			 used by the facility to minimize the occurrence of reportable incidents and the
			 resulting injuries within the facility;
(3) Section III. A description of the
			 facility's implementation of a reporting system based upon the duty of all
			 medical staff members staffing the facility and all agents and staff members of
			 the facility directly involved in the delivery of health care services to
			 report reportable incidents; and
(4) Section IV. A description of the
			 organizational elements of the plan, including the following:
(A) Name and address of the
			 facility;
(B) name and title of the
			 facility's risk manager; and
(C)
			 description of involvement and organizational structure of medical staff
			 members as related to the risk management program, including names and titles
			 of medical staff members involved in investigation and review of reportable
			 incidents.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-143 - Reporting requirements

Current through Register Vol. 43, No. 28,
			 July 11, 2024
In addition to the reporting requirements for risk management
				required in
				K.A.R.
				28-34-142, each licensee shall ensure that
				the following incidents are reported to the department, on a form provided by
				the department:
(a) Each incident
			 resulting in serious injury of a patient or a viable unborn child shall be
			 reported to the department within 10 days after the incident.
(b) The death of a patient, other than the
			 death of an unborn child, shall be reported to the department not later than
			 the next department business day.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-144 - Records

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each applicant
			 and each licensee shall maintain an organized recordkeeping system that
			 provides for identification, security, confidentiality, control, retrieval, and
			 preservation of all staff member and volunteer records, patient medical
			 records, and facility information.
(b) Each applicant and each licensee shall
			 ensure that only individuals authorized by the applicant or licensee have
			 access to patient medical records.
(c) All records shall be available at the
			 facility for review by the secretary or the authorized agent of the
			 secretary.
(d) For staff member and
			 volunteer records, each applicant and each licensee shall ensure that an
			 individual record is maintained at the facility. The record shall include all
			 of the following information:
(1) The staff
			 member's or volunteer's name, position, title, and the first and last date of
			 employment or volunteer service;
(2) verification of qualifications, training,
			 or licensure, if applicable;
(3)
			 documentation of cardiopulmonary resuscitation certification, if
			 applicable;
(4) if a physician,
			 documentation of verification of competence, as required in K.A.R. 28-34-132,
			 signed and dated by the medical director;
(5) if an individual who performs
			 ultrasounds, documentation of ultrasound training required in K.A.R. 28-34-132
			 ;
(6) if a surgical assistant,
			 documentation of training required in K.A.R. 28-34-132 ; and
(7) if a volunteer, documentation of training
			 required in K.A.R. 28-34-132 .
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-145 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in
				K.A.R.
				28-34-145 through
				28-34-152, each of the following
				terms shall have the meaning specified in this regulation:
(a) "Accrediting survey" means an inspection
			 conducted by an accrediting organization approved by the centers for medicare
			 and medicaid services.
(b)
			 "Administrator" means an individual who is appointed by the governing body to
			 act on behalf of a rural emergency hospital in the overall management of a
			 rural emergency hospital.
(c)
			 "Applicant" means a person who has applied for a license but who has not yet
			 been granted a license to operate a rural emergency hospital.
(d) "Change of ownership" means any
			 transaction that results in a change of control over the capital assets of a
			 rural emergency hospital.
(e)
			 "Critical access hospital" has the meaning specified for "critical access
			 hospital" in K.S.A. 2022 Supp.
			 65-468, and amendments
			 thereto.
(f) "General hospital" has
			 the meaning specified for "general hospital" in
			 K.S.A.
			 65-425, and amendments thereto.
(g) "Governing body" means the individual or
			 individuals who comprise the legal administrative structure of a rural
			 emergency hospital and direct how business shall be conducted.
(h) "Licensee" means a person that has been
			 granted a license to operate a rural emergency hospital.
(i) "Licensing agency" means Kansas
			 department of health and environment.
(j) "Licensure survey" means an inspection
			 conducted by surveyors of the licensing agency of any licensee to verify each
			 rural emergency hospital's compliance with state statutes and the requirements
			 specified in
			 K.A.R.
			 28-34-146 through
			 28-34-152.
(k) "Person" means any individual, firm,
			 partnership, corporation, company, association, or joint-stock association, and
			 the legal successor of the individual, firm, partnership, corporation, company,
			 association, or joint-stock association.
(l) "Rural emergency hospital" and "REH" have
			 the meaning specified for "rural emergency hospital" in K.S.A. 2022 Supp.
			 65-483, and amendments
			 thereto.
(m) "Rural emergency
			 hospital services" has the meaning specified for "rural emergency hospital
			 services" in K.S.A. 2022 Supp.
			 65-483, and amendments
			 thereto.
(n) "Secretary" has the
			 meaning specified for "secretary" in
			 K.S.A.
			 65-483, and amendments thereto.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-146 - Application process

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Any person
			 wanting to operate a rural emergency hospital shall meet the eligibility
			 requirements pursuant to K.S.A. 2022 Supp.
			 65-484, and amendments thereto,
			 and shall file an application on a form provided by the licensing agency at
			 least 90 days before the admission of patients.
(b) Each applicant for a license to operate a
			 rural emergency hospital shall submit all of the following information to the
			 licensing agency:
(1) An action plan for
			 initiating rural emergency hospital services, including a transition plan that
			 lists the specific services that the rural emergency hospital transitioning
			 from a critical access hospital shall retain, modify, add, or
			 discontinue;
(2) a description of
			 services the rural emergency hospital may provide on an outpatient
			 basis;
(3) a description of how the
			 rural emergency hospital will use payments provided to the rural emergency
			 hospital by the centers for medicare and medicaid services;
(4) a written verification from county and
			 municipal authorities showing that the rural emergency hospital complies with
			 all local codes and ordinances, including all building, fire, and zoning
			 requirements;
(5) a written
			 verification from the Kansas office of the state fire marshal showing that the
			 rural emergency hospital building complies with all applicable fire codes and
			 regulations;
(6) a plan for the
			 removal of biomedical waste and human tissue from the rural emergency hospital;
			 and
(7) a transfer agreement with a
			 medicare certified level I or level II trauma center.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-147 - Licensing procedure; renewals

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a)
(1) No earlier than 90 days before but not
			 later than 30 days before the renewal date, each licensee wishing to renew a
			 license shall submit an application to renew the license to the licensing
			 agency on a form provided by the licensing agency.
(2) The licensing agency shall approve the
			 application for renewal after the licensing agency has verified that the
			 licensee is in compliance with the requirements specified in
			 K.A.R.
			 28-34-146 through
			 28-34-152.
(3) A license previously issued shall be
			 renewed after the licensee has fled an annual report. The annual report shall
			 be fled not later than 60 days after the beginning of each calendar year. The
			 annual report shall include information regarding the following:
(A) Administration and ownership;
(B) classification;
(C) special care services;
(D) outpatient and emergency room services;
			 and
(E) staff
			 personnel.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-148 - Terms of a license; amendments

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each rural
			 emergency hospital license shall be effective for one year following the date
			 of issuance.
(b) Each license shall
			 be valid for the licensee and the address specified on the license. When an
			 initial, renewed, or amended license becomes effective, all previous rural
			 emergency hospital licenses granted to licensee at the same address shall
			 become invalid.
(c) Only one
			 physical location shall be described in each license.
(d) Any applicant may withdraw the
			 application for a license.
(e) Any
			 licensee may submit, at any time, a request to close the rural emergency
			 hospital permanently and to surrender the license. Unless notified by the
			 licensee in writing, if a licensee closes a rural emergency hospital and
			 surrenders the license, any state general hospital license or state critical
			 access hospital license that the licensee also holds shall be surrendered to
			 the licensing agency.
(f) If a
			 rural emergency hospital is closed, any license granted for that rural
			 emergency hospital shall become void.
(g) Each licensee shall submit a request for
			 an amended license to the licensing agency within 30 days after either of the
			 following:
(1) A change of ownership by
			 purchase or by lease; or
(2) a
			 change in the name or address.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-150 - Conditions of participation

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The following
			 sections of 42 C.F.R., part 485 , subpart E, as in effect on January 1, 2023,
			 are hereby adopted by reference:
(1)
			 485.508;
(2) 485.510;
(3) 485.512;
(4) 485.514;
(5) 485.516;
(6) 485.520;
(7) 485.522;
(8) 485.524;
(9) 485.526;
(10) 485.528;
(11) 485.530;
(12) 485.532;
(13) 485.534;
(14) 485.536;
(15) 485.538; and
(16) 485.540.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-151 - Construction standards

Current through Register Vol. 43, No. 28, July 11,
			 2024
Each rural emergency hospital construction, including new
				buildings and additions or alterations to existing buildings, shall be in
				accordance with the requirements specified in
				K.A.R.
				28-34-32b.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-133 - Persons protected

Current through Register Vol. 43, No. 28, July 11,
			 2024
These regulations state the requirements that shall be applied
				in the use of all radiation, radiation machines, and radioactive materials to
				ensure the maximum protection of the public health and the maximum safety to
				all persons at, or in the vicinity of, the place of use, storage, or disposal
				of sources of radiation. These regulations are intended to be consistent with
				the best use of radiation machines and radioactive materials, and to encourage
				the constructive uses of radiation.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-134 - Persons regulated and exempted

Current through Register Vol. 43, No. 28, July 11,
			 2024
Except as otherwise specified, these regulations shall apply to
				all persons who receive, possess, use, transfer, own or acquire any source of
				radiation. However, nothing in these regulations shall apply to any person to
				the extent that the person is subject to regulation by the United States
				nuclear regulatory commission. Regulation by the secretary of source material,
				by-product material, and special nuclear material in quantities not sufficient
				to form a critical mass is subject to the provisions of the agreement between
				the department and the U.S. nuclear regulatory commission and to part 150 of
				the commission's regulations (10 CFR Part 150), as in effect on January 29,
				1982. The provisions of part 4 of these regulations shall not limit the
				exposure of patients to radiation for the purpose of diagnosis or therapy, by
				persons licensed to practice one or more of the healing arts within the
				authority granted to them by the Kansas healing arts statutes, or by persons
				licensed to practice dentistry or podiatry within the authority granted to them
				by Kansas licensing laws applying to dentists and podiatrists.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135a - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms
				shall have the meaning specified in this regulation:
(a)"A1 " means the maximum activity of
			 special form radioactive material permitted in a type A package.
(b)"A2 " means the maximum activity of
			 radioactive material, other than special form radioactive material, permitted
			 in a type A package. These values are listed in or may be derived as specified
			 in 10 C.F.R. part 71, appendix A, which is adopted by reference in K.A.R.
			 2835-221b.
(c)"Absorbed dose" means
			 the energy imparted to matter by ionizing radiation per unit mass of irradiated
			 material at the place of interest. The units of absorbed dose are the rad and
			 the gray (Gy).
(d)"Absorbed dose
			 rate" means the absorbed dose per unit of time or, for linear accelerators, the
			 dose monitor unit per unit of time.
(e)"Accelerator-produced material" means any
			 material made radioactive by exposing it in a particle accelerator.
(f)"Accessible surface" means the surface of
			 equipment or of an equipment part that can be easily or accidentally touched by
			 persons without the use of a tool.
(g)"Accident" means an unintended event,
			 including an operating error, equipment failure, and other mishap, that could
			 result in either of the following:
(1) A dose
			 in excess of regulatory limits on site or for the public; or
(2) consequences or potential consequences
			 that cannot be ignored from the point of view of protection or safety,
			 including an actual or potential substantial degradation of the level of
			 protection or safety of the facility or the release of radioactive material in
			 sufficient quantity to warrant consideration of protective actions.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135b - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning assigned in this regulation:
(a)
(1)
			 "Background radiation" means the following:
(A) Radiation from cosmic sources;
(B) naturally occurring radioactive
			 materials, including radon, except for those radioactive materials that are a
			 decay product of source material or special nuclear material; and
(C) global fallout as it exists in the
			 environment from the testing of nuclear explosive devices.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135c - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning specified in this regulation:
(a)"Cabinet radiography using radiation
			 machines" means industrial radiography that is conducted in an enclosed,
			 interlocked cabinet that prevents the radiation machine from operating unless
			 all openings are securely closed and that is sufficiently shielded so that
			 every location on the cabinet's exterior meets the conditions for an
			 unrestricted area as specified in K.A.R. 28-35-214a.
(b)"Cabinet X-ray system" means an X-ray
			 system with the X-ray tube installed in an enclosure, called a cabinet," that
			 is independent from existing architectural structures except the floor on which
			 the cabinet could be placed. The cabinet is intended for the following
			 purposes:
(1) To contain at least that portion
			 of a material being irradiated;
(2)
			 to provide radiation attenuation; and
(3) to exclude personnel from the interior of
			 the cabinet during the generation of X-rays.
This term shall include all X-ray systems designed primarily
				for the inspection of carry-on baggage at airline, railroad, and bus terminals,
				and in similar facilities. An X-ray tube that is used within a shielded part of
				a building, or X-ray equipment that may temporarily or occasionally incorporate
				portable shielding, shall not be considered a cabinet X-ray
				system.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135d - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning assigned in this regulation:
(a) "Deadman switch" means a switch
			 constructed so that circuit closure can be maintained only by continuous
			 pressure by the operator.
(b)
			 "Declared pregnant woman" means a woman who has voluntarily informed her
			 employer, in writing, of her pregnancy and the estimated date of delivery. The
			 written declaration shall remain in effect until the declared pregnant woman
			 withdraws the declaration in writing or is no longer pregnant.
(c) "Decommission" means to remove a facility
			 or site safely from service and reduce residual radioactivity to a level that
			 permits either of the following:
(1) The
			 release of the property for unrestricted use and the termination of the
			 license; or
(2) the release of the
			 property under restricted conditions and the termination of the license.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135f - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning specified in this regulation:
(a)"Facility" means the specific location at
			 which a person is licensed or registered to use radioactive material or
			 radiation-producing devices. Separate physical locations shall be considered to
			 be separate facilities.
(b)"Fail-safe characteristic" means a design
			 feature that causes beam port shutters to close, or otherwise prevents
			 emergence of the primary beam, upon the failure of a safety or warning
			 device.
(c)"Field emission
			 equipment" means equipment that uses an X-ray tube in which electron emission
			 from the cathode is due solely to the action of an electric field.
(d)"Field-flattening filter" means a filter
			 used to provide dose uniformity over the area of a useful beam of X-rays at a
			 specified depth.
(e)"Field size"
			 means the dimensions along the major axes of an area in a plane perpendicular
			 to the specified direction of the beam of incident radiation at the normal
			 treatment distance. Field size is defined by the intersection of the major axes
			 and the 50 percent isodose line. Material shall be placed in the beam so that
			 the maximum dose is produced at the normal treatment distance when the field
			 size is being determined.
(f)"Field
			 station" means a facility where radioactive sources or radiation-processing
			 devices are stored or used and from which equipment is dispatched to temporary
			 job sites.
(g)"Filter" means
			 material placed in the path of the useful beam of X-rays to selectively absorb
			 the less penetrating radiation.
(h)"Fixed contamination" means contamination
			 that cannot be removed from a surface during normal conditions of
			 transport.
(i)"Fluoroscopic imaging
			 assembly" means a component that comprises a reception system in which X-ray
			 photons produce a fluoroscopic image. This term shall include equipment
			 housings, any electrical interlocks, the primary protective barrier, and
			 structural material providing linkage between the image receptor and the
			 diagnostic source assembly.
(j)"Focal spot" means the area projected on
			 the anode of the X-ray tube by the electrons accelerated from the cathode and
			 from which the useful beam originates.
(k)"Full-cost reimbursement" means
			 reimbursement of the total cost of staff time and any contractual support
			 services expended.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135h - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning assigned in this regulation:
(a) "Half-life" means the time required for
			 the activity of any given radioisotope to decay to one-half of its original
			 activity.
(b) "Half-value layer
			 (HVL)" means the thickness of specified material that attenuates the beam of
			 radiation to an extent that the exposure rate is reduced to one-half of its
			 original value.
(c) "Hands-on
			 experience," as applied to industrial radiology, means experience in all areas
			 considered to be directly involved in the radiography process. This term shall
			 include taking radiographs, the calibration of survey instruments, operational
			 and performance testing of survey instruments and devices, film development,
			 the posting of radiation areas, transporting radiography equipment, the posting
			 of records and radiation area surveillance, and other areas as applicable. A
			 disproportionate amount of time spent in only one or two of these areas shall
			 not be counted toward the 2,000 hours of hands-on experience required for a
			 radiation safety officer or a radiographer.
(d) "Hazardous waste" shall have the meaning
			 assigned in K.A.R. 28-31-3.
(e)
			 "Healing arts" means the activities authorized in
			 K.S.A.
			 65-2801 et seq., and amendments thereto.
(f) "Healing arts screening" means
			 the testing of human beings using X-ray machines for the detection or
			 evaluation of health indications when the test is performed without any prior
			 examination and without any specific and individual order by a licensed
			 practitioner of the healing arts who is legally authorized to perform
			 examinations and to prescribe X-ray tests for the purpose of diagnosis or
			 treatment.
(g) "Heat unit" means a
			 unit of energy equal to the product of the peak kilovoltage, milliamperes, and
			 seconds (kVp * mA * second).
(h)
			 "High dose-rate remote afterloader" means a brachytherapy device that remotely
			 delivers a dose rate in excess of 12 grays (1,200 rads) per hour at the point
			 or surface where the dose is prescribed.
(i) "High-radiation area" means any area that
			 is accessible to individuals, in which there exists radiation at such levels
			 that a major portion of the body could receive, in any one hour and at 30
			 centimeters from the source of the radiation or any surface that the radiation
			 penetrates, a dose to the whole body in excess of 100 millirems. For purposes
			 of these regulations, rooms or areas in which diagnostic X-ray systems are used
			 for healing arts purposes shall not be considered high-radiation areas.
(j) "Human use" means the
			 intentional internal or external administration of radiation or radioactive
			 material to any individual.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135i - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning specified in this regulation:
(a)"Image intensifier" means a device that
			 instantaneously converts, by means of photoemissive surfaces and electronic
			 circuitry, an X-ray pattern into a light pattern of greater intensity than
			 would have been provided by the original X-ray pattern.
(b)"Image receptor" means any device,
			 including a fluorescent screen and radiographic film, that transforms incident
			 X-ray photons into a visible image or into another form that can be made into a
			 visible image by further transformations.
(c)"Image receptor support," for mammographic
			 systems, means that part of the system designed to support the image receptor
			 in a horizontal plane during a mammographic examination.
(d)"Immediate" means within not more than 15
			 minutes or as otherwise defined in a license condition.
(e)"Incident" means an individual event or
			 series of related events that caused or threatened to cause any violation of
			 these regulations or license conditions. For the purposes of part 13,"incident"
			 shall mean any unintended event involving radioactive material for which the
			 public dose is a fraction of regulatory limits and safety provisions are
			 sufficient, but further degradation of safety systems could lead to an
			 accident.
(f)"Independent
			 certifying organization" means an independent organization that meets all of
			 the criteria specified in K.A.R. 28-35-293.
(g)"Indian tribe" and tribe" mean an Indian
			 or Alaska native tribe, band, nation, pueblo, village, or community that the
			 secretary of the United States department of the interior acknowledges to exist
			 as an Indian tribe pursuant to the federally recognized Indian tribe list act
			 as specified by 25 U.S.C. 513, as amended.
(h)"Indian tribal official" and "tribal
			 official" mean the highest-ranking individual who represents tribal leadership,
			 including the chief, president, and tribal council leader.
(i)"Individual" means any human
			 being.
(j)"Individual monitoring"
			 means the assessment of either of the following:
(1) A dose equivalent by the use of
			 individualmonitoring devices or by the use of survey data; or
(2) a committed effective dose equivalent
			 determined by bioassay or by computation of the number of DAC-hours to which an
			 individual is exposed.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135k - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning assigned in this regulation:
(a) "Kilovolts (kV)" means the energy equal
			 to that acquired by a particle with one electron charge in passing through a
			 potential difference of 1,000 volts in a vacuum.
(b) "Kilovolts peak (kVp)" has the meaning
			 assigned to "peak tube potential."
(c) "kWs" means kilowatt second. This term is
			 calculated using the following equation:
For Equation see Agency.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 35 - RADIATION › Section 28-35-135l - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
As used in these regulations, each of the following terms shall
				have the meaning specified in this regulation:
(a)"Lead equivalent" means the thickness of
			 lead affording the same attenuation, under specified conditions, as the
			 material in question.
(b)"Leakage
			 radiation" means radiation emanating from the device source assembly, except
			 for the following:
(1) The useful beam;
			 and
(2) radiation produced when the
			 exposure switch or timer is not activated for diagnosis or therapy.