reglab/statecodes huggingface dataset:
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-9a - Medical records services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. Each hospital shall maintain medical records for each patient
			 admitted for care. The records shall be documented and readily retrievable by
			 authorized persons.
(b)
			 Organization and staffing.
(1) Each hospital
			 shall have a medical records service that is directed, staffed, and equipped to
			 enable the accurate processing, indexing, and filing of all medical records.
			 The medical records service shall be under the direction of a person who is a
			 registered health information administrator or a registered health information
			 technician as certified by the American health information management
			 association, or who meets the educational or training requirements for this
			 certification.
(2) If the
			 employment of a full-time registered health information administrator or
			 registered health information technician is impossible, the hospital shall
			 employ a registered records administrator or an accredited records technician
			 on a part-time consultant basis. The consultant shall organize the department,
			 train full-time personnel, and make periodic visits to evaluate the records.
			 There shall be a written contract between the hospital and the consultant that
			 specifies the consultant's duties and responsibilities.
(3) At least one full-time employee shall
			 provide regular medical records service.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-10a - Pharmacy services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. Each hospital shall provide pharmaceutical services which are
			 administered in accordance with accepted ethical and professional practices.
(b) Organization and staffing. The
			 pharmaceutical service shall be directed by a licensed pharmacist. If the
			 hospital has a pharmacy, it shall be directed by a licensed pharmacist. If the
			 hospital does not have a pharmacy or a full-time staff pharmacist, a pharmacist
			 employed on a part-time or consultant basis shall be responsible for control
			 and dispensing of drugs and for operation of the pharmacy or the pharmaceutical
			 functions of nursing stations. In addition to meeting the standards in this
			 regulation, services shall be provided in accordance with K.A.R. 68-7-11 and
			 amendments thereto.
(c) Pharmacy
			 facilities. Each hospital that maintains a pharmacy on its premises shall
			 provide adequate equipment, supplies and facilities for the storage,
			 safeguarding, preparation and dispensing of drugs. Drugs and biologicals must
			 be kept in locked storage areas. Drugs requiring refrigeration shall be stored
			 in conveniently located refrigerators which shall be used for drug storage
			 only.
(d) Pharmacy and
			 therapeutics committee. Each hospital shall establish a pharmacy and
			 therapeutics committee or its equivalent. The committee shall consist of at
			 least physicians, nurses and pharmacists. This committee shall assist in the
			 formulation of broad professional policies regarding evaluation, appraisal,
			 selection, procurement, storage, distribution and use of drugs and safety
			 procedures and all other matters relating to drugs in the hospital. This
			 committee shall meet at least quarterly, record its proceedings and report to
			 the medical staff.
(e) Policies
			 and procedures. The pharmaceutical service shall develop written policies and
			 procedures. These policies shall be reviewed by the medical staff at least
			 annually and shall be dated to indicate the date of last review. Procedures
			 shall be established for the recording of all drug dispensations or other
			 pharmacy transactions of the pharmacy or nursing stations.
(f) Medications dispensed. The hospital
			 pharmacy shall dispense from a formulary of drugs approved by the medical staff
			 through its appropriate committees. Any drug approved by the food and drug
			 administration for use as an experimental drug may be used in accordance with
			 standards established by the hospital's medical staff.
(g) Commercial pharmaceutical service. Each
			 hospital using an outside pharmacist or pharmaceutical service shall have a
			 contract with that pharmacist or service. As part of the contract, the
			 pharmacist or service shall be required to maintain at least the standards for
			 operation outlined in these regulations.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-11 - Laboratory

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Definitions.
(1) "CLIA" means Public Law 100-578
			 implemented by 42 CFR 493 issued Feb. 28, 1992, as in effect on Sept. 1, 1992;
			 changes in subparts H, R and preamble to the Feb. 28, 1992 final rule issued
			 Aug. 11, 1992, as in effect on Sept. 1, 1992; technical corrections made in
			 subparts T, F, A, K, C, Q, M and R issued Jan. 19, 1993, as in effect on Sept.
			 1, 1992; and changes in subparts M and K issued July 22, 1993, as in effect on
			 Jan. 19, 1993.
(2) "Clinical
			 consultant" means the individual or individuals in the laboratory defined by
			 42 CFR
			 493.1417(b), as in effect on
			 Sept. 1, 1992 or 493.1455(b), as in effect on Sept. 1, 1992.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-13 - Central sterilizing and supply

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Policies and
			 procedures shall be established in writing for storage, maintenance, and
			 distribution of supplies and equipment.
(b) Sterile supplies and equipment shall not
			 be mixed with unsterile supplies, and shall be stored in dust-proof and
			 moisture-free units. They shall be properly labeled.
(c) Sterilizers and autoclaves shall be
			 provided of appropriate type and necessary capacity to adequately sterilize
			 instruments, utensils, dressings, water, operating and delivery room materials,
			 as well as laboratory equipment and supplies. The sterilizers shall have
			 approved control and safety features. The accuracy of instruments shall be
			 checked periodically by an approved method. Adequate surveillance methods for
			 checking sterilization procedures shall be employed.
(d) The date of sterilization or date of
			 expiration shall be marked on all sterile supplies, and unused items shall be
			 resterilized in accordance with written policies.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-14 - Dietary department

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The dietary
			 department shall be under the supervision of qualified personnel. A consultant
			 dietitian may supervise the dietary department of a small hospital which does
			 not employ a full-time qualified dietitian; a properly qualified food service
			 supervisor may substitute if a qualified dietitian is not available.
(b) In the absence of a full-time dietitian
			 or food service supervisor, there shall be a cook manager who is responsible
			 for the daily management of the department.
(c) There shall be written policies for food
			 storage, preparation, and service. Policies shall conform to good sanitation
			 practices.
(d) The food and
			 nutritional needs of patients shall be met in accordance with the recommended
			 dietary allowance of the food and nutrition board of the national research
			 council and in accordance with physician's orders.
(e) Regular menus and modifications for basic
			 therapeutic diets shall be written at least one week in advance and posted in
			 the kitchen.
(f) Adequate
			 administrative, working, and storage space and facilities shall be provided.
			 There shall be a separate storage area above floor level for food.
(g) There shall be a dining area appropriate
			 to the needs of the hospital.
(h)
			 Dumbwaiters or other transportation equipment shall not be used to transport
			 simultaneously both clean and unclean dishes. Dumbwaiters and other
			 transportation equipment shall be cleaned and disinfected daily.
(i) Equipment and facilities shall be
			 adequate to allow storage, preparation, cooking, and serving of food and drink
			 to patients, staff, and employees in a proper and sanitary manner. There shall
			 be separate handwashing facilities in the food preparation and service area.
(j) Temperatures in food freezers
			 shall be no higher than 0° Fahrenheit.
(k) Dishes and utensils shall be washed in
			 water at 140° Fahrenheit, and shall be rinsed at 180° Fahrenheit.
(l) Food service personnel shall
			 wear washable garments, hair nets covering all of the hair (for women), clean
			 caps (for men), and shall keep hands and fingernails clean at all times.
(m) Foods being transported shall
			 be protected from contamination and held at proper temperatures in clean
			 containers or serving carts.
(n)
			 All applicable codes and ordinances shall be met.
(o) Storage of toxic agents shall be
			 prohibited in food preparation and food serving areas.
(p) Only grade "A" pasteurized milk shall be
			 used. Milk and fluid milk products shall be served from the distributor's
			 original containers or from a bulk container equipped with an approved
			 dispensing device.
(q) All red
			 meat and poultry shall be state or federally inspected and approved.
(r) Food returned on patient's trays shall
			 not be reused.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-15 - Laundry

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The hospital
			 shall make provisions for the proper laundering of linen and washable goods.
(b) When linen is laundered
			 outside of the hospital, the hospital shall be responsible to assure that the
			 requirements of these standards are covered in the terms of the contract or
			 agreement.
(c) Hospital employees
			 involved in transporting, processing, or otherwise handling clean or soiled
			 linen shall be properly trained to ensure patient and employee safety.
(d) No laundry operations shall be
			 carried out in patient care areas, nor in areas where food is prepared, served,
			 or stored.
(e) All soiled linen
			 shall be clearly identified.
(f)
			 Soiled linen from infectious or isolation areas shall be bagged, marked, and
			 laundered separately.
(g) Soiled
			 diapers and nursery linen shall be washed separately.
(h) Soiled linen shall be sorted only in the
			 sorting area.
(i) The washing and
			 rinsing process shall be adequate to provide protection to patients and
			 personnel. The temperature of water during the washing process shall be
			 controlled to provide minimum temperature of 165° Fahrenheit for 25
			 minutes.
(j) Personnel handling
			 soiled linen shall wash their hands after completing work with soiled linen.
(k) The finished "clean" linen and
			 other washable goods shall be transported to the storage area or nursing units
			 in conveyances used exclusively for "clean" goods.
(l) Clean linen stored in storage areas or on
			 nursing units shall be in closets, shelves, conveyances, or rooms used
			 exclusively for this purpose.
(m)
			 All clean linen being transported shall be protected from contamination.
(n) Adequate space and equipment
			 shall be provided for the laundry operation of the hospital.
(o) Sanitation controls shall be maintained.
(p) Laundry chutes shall be used
			 only for soiled linen that has been properly bagged.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-17a - Anesthesia services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. Anesthesia care shall be regularly available when the hospital
			 provides surgical or obstetrical services.
(b) Personnel.
(1) The department of anesthesia shall be
			 responsible for all anesthetics administered.
(2) In hospitals where there is no department
			 of anesthesia, the director of surgical services shall assume the
			 responsibility for establishing general policies relating to administration of
			 anesthetics. When there is a department of anesthesia, it shall be directed by
			 a member of the medical staff with appropriate clinical and administrative
			 experience.
(3) The
			 responsibilities of the director shall be established by the governing body and
			 shall include the following:
(A) Establishing
			 criteria and procedures for the evaluation of the quality of all anesthesia
			 care rendered in the hospital;
(B)
			 making recommendations regarding necessary equipment for administering
			 anesthesia and related resuscitation efforts;
(C) developing hospital rules concerning
			 anesthesia safety; and
(D)
			 participating in the hospital's program of cardiopulmonary resuscitation and in
			 consultations regarding management of acute and chronic respiratory
			 insufficiency.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-17b - Surgical services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. Surgical services shall be provided in a manner sufficient to meet
			 the medical needs of the patients.
(b) Personnel.
(1) The director of surgical services shall
			 be a qualified member of the medical staff with appropriate surgical and
			 administrative experience.
(2) A
			 roster of medical staff members, with a delineation of the surgical privileges
			 granted to each, shall be maintained in the surgical suite and available to the
			 surgical nurse supervisor.
(3)
			 Surgical suite nursing services shall be under the direction and supervision of
			 a registered nurse who is qualified by training and experience in operating
			 room management and techniques. At least one registered nurse shall be on duty
			 in the recovery room whenever the room is occupied.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-18a - Obstetrical and newborn services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. If the hospital provides obstetrical and newborn services, they
			 shall be provided in a manner sufficient to meet the medical needs of the
			 patients.
(b) Personnel.
(1) The director of the obstetrical services
			 shall be a member of the medical staff who has experience in obstetrics. The
			 director of the newborn nursery service shall be a member of the medical staff
			 who has experience in pediatrics. The obstetrical and newborn nursing services,
			 including labor, delivery, recovery, and postpartum care, shall be under the
			 supervision of a registered professional nurse qualified by education and
			 experience to provide nursing care to the obstetric and newborn patients.
(2) Personnel qualified to
			 administer inhalation and regional anesthesia shall be readily available. A
			 registered professional nurse shall be available to supervise staff who are
			 monitoring labor, delivery, recovery, and postpartum patients. Labor, delivery,
			 and recovery rooms, when occupied, shall have continuous coverage by nursing
			 staff qualified by education and experience in intrapartum and postdelivery
			 care. The newborn nursery shall be under the supervision of a registered
			 professional nurse qualified by education and experience in the care of normal
			 and high-risk infants.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-19 - Pediatric department

Current through Register Vol. 43, No. 28, July 11,
			 2024
Hospitals with an organized pediatric department shall provide
				facilities for the care of children, apart from the services for adult patients
				and from the newborn nursery, and there shall be proper facilities and
				procedures for the isolation of children with infectious, contagious or
				communicable conditions.
(a) The
			 pediatric department shall be under the supervision of a designated staff
			 physician.
(b) Hospitals providing
			 pediatric care shall be evaluated and approved on the basis of the size of the
			 service, the personnel, facilities, policies, and procedures.
(c) The newborn nursery and the pediatric
			 department shall not be used for boarding care of illegitimate, dependent,
			 neglected, or defective children. If, at the end of the period for which
			 progressive medical care is indicated, the hospital is unable to properly
			 discharge such infants, their presence shall be reported to the division of
			 maternal and child health of the state department of health for suitable action
			 by said department.
(d) Policies
			 shall be established to cover conditions under which parents may stay with
			 small children or "room-in" with their hospitalized child for moral support and
			 assistance with care.
(e) There
			 shall be appropriate referrals to public health nurses or other agencies for
			 followup care as needed.
(f)
			 Adolescents shall be separated from younger children. Reasonable privacy,
			 without limiting necessary observation, shall be available for adolescents.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-20a - Outpatient and short-term procedure services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. If the hospital provides outpatient services, those services shall
			 be rendered in an effective and timely manner and shall be given only on the
			 order of a physician or practitioner.
(b) Outpatient services.
(1) The director of the outpatient service
			 shall possess qualifications that are consistent with the criteria, authority
			 and duties defined in a written statement adopted by the hospital. The service
			 shall be staffed with sufficient qualified personnel to meet the needs of the
			 patients.
(2) Each outpatient
			 service facility in which patient medical care is delivered shall be designed
			 to ensure the privacy of each patient and the confidentiality of the patient's
			 disclosures. Consultation and examination rooms or cubicles appropriate to the
			 size of the service shall be available for the use of the staff.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-22 - Physical therapy department

Current through Register Vol. 43, No. 28, July 11,
			 2024
In hospitals where organized departments of physical therapy
				are established the following shall apply:
(a) Physical therapy services shall be under
			 the direction of a physician.
(b)
			 At least one registered physical therapist shall be employed for the
			 department. In hospitals where the day-to-day services are provided by a
			 physical therapy assistant or other supportive personnel, a part-time or
			 consulting physical therapist shall be utilized to provide general supervision
			 of the department.
(c) Other
			 professional or supportive personnel shall be included as required to assure
			 adequate patient care. All personnel shall be qualified by training or
			 experience for the services they are rendering.
(d) Policies for the physical therapy
			 department shall be written and shall be reviewed and revised as necessary.
(e) When a patient is referred to
			 the physical therapy department, the treatment to be administered shall be
			 recorded on the patient's chart, including all pertinent details of the
			 treatment procedure.
(f) Records
			 of inpatients and outpatients treated in the physical therapy department shall
			 be maintained. The date of each patient visit shall be recorded as well as
			 modalities employed and the area or areas treated. Patient progress notes shall
			 be maintained.
(g) Facilities,
			 space, and equipment required shall depend upon the physical therapy services
			 provided, but shall be sufficient to assure adequate care. The equipment shall
			 be maintained in proper working condition to assure adequate patient benefit.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-23 - Inhalation or respiratory therapy department

Current through Register Vol. 43, No. 28, July 11,
			 2024
In hospitals with an organized inhalation department, the
				following shall apply:
(a) Inhalation
			 or respiratory therapy services shall be under the guidance of a designated
			 staff physician.
(b) Equipment
			 shall be appropriate for the services provided and shall be checked
			 periodically by the hospital for performance.
(c) The personnel working in the department
			 shall be qualified for the type of services performed.
(d) Supplies shall be kept and stored in a
			 manner that promotes safety in the hospital.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-24 - Social services department

Current through Register Vol. 43, No. 28, July 11,
			 2024
In hospitals with an organized department of social services,
				the following shall apply:
(a) The
			 department shall be under the guidance of a qualified social worker.
(b) Appropriate facilities and personnel
			 shall be provided in accordance with the hospital's program.
(c) Records shall be kept of the social
			 services provided.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-25 - Occupational therapy department

Current through Register Vol. 43, No. 28, July 11,
			 2024
In hospitals with an organized occupational therapy department,
				the following shall apply:
(a) The
			 department shall be under the guidance of a qualified occupational therapist.
(b) Facilities and personnel shall
			 be provided commensurate with the hospital's program.
(c) Records shall be kept on the services
			 provided.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-29a - Long-term care unit

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. If the hospital provides a long-term care service, such service
			 shall be provided in a manner that meets the medical, rehabilitative, and
			 social needs of the patient.
(b)
			 Scope of services.
(1) The long-term service
			 shall have a written program of restorative nursing care. This program shall be
			 an integral part of nursing services and shall be directed toward assisting the
			 patient to achieve and maintain an optimum level of self-care and independence.
(2) In addition to restorative
			 services, the unit shall provide or arrange for specialized rehabilitation
			 services by qualified personnel as needed by patients to improve and maintain
			 functioning. Services shall include physical therapy, speech pathology,
			 audiology, and occupational therapy and shall be provided by qualified
			 personnel.
(3) A written, overall
			 care plan shall be developed for each long-term care patient from an
			 interdisciplinary assessment of the patient. The interdisciplinary assessment
			 shall consist of medical, nursing, dietary, activities, and psychosocial
			 diagnoses or evaluations.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-31 - General sanitation and housekeeping

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Hospitals shall
			 comply with applicable codes.
(b)
			 Suitable equipment shall be provided for the regular cleaning of all interior
			 surfaces. Operating and delivery rooms shall be thoroughly cleaned after each
			 operation or delivery. Patient rooms shall be thoroughly cleaned after
			 discharge. No wax shall be applied to conductive floors which will render them
			 nonconductive. Adequate and conveniently located spaces shall be provided for
			 the storage of janitorial supplies and equipment.
(c) The premises shall be kept neat, clean,
			 and free of rubbish.
(d)
			 Housekeeping procedures shall be written.
(e) All garbage and waste shall be collected,
			 stored, and disposed of in a manner that will not encourage the transmission of
			 contagious disease. Containers shall be washed and sanitized before being
			 returned to work areas or shall be disposable.
(f) All openings to the outer air shall be
			 effectively protected against the entrance of insects and other animals by
			 self-closing doors, closed windows, screening, controlled air currents, or
			 other effective means. Screening material shall not be less than 16 mesh to the
			 inch or equivalent.
(g) A
			 sufficient supply of cloth or disposable towels shall be available so that a
			 fresh towel can be used after every handwashing. Common towels are prohibited.
(h) There shall be adequate
			 handwashing facilities conveniently located.
(i) Common drinking cups shall be prohibited.
(j) Dry sweeping and dusting shall
			 be prohibited. Use of a rotary buffer shall be prohibited in areas such as
			 isolation to aid in reducing the spread of pathogenic bacteria.
(k) Adequate and conveniently located toilet
			 facilities shall be provided.
(l)
			 Periodic checks shall be made throughout the buildings and premises to enforce
			 sanitation procedures. The times and results of such checks shall be recorded.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-32b - Construction standards

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. All hospital construction, including new buildings and additions or
			 alterations to existing buildings, shall be in accordance with the standards
			 set forth in the American institute of architects academy of architecture for
			 health, publication no. ISBN 1-55835-151-5, entitled "1996-97 guidelines for
			 design and construction of hospital and health care facilities," copyrighted in
			 1996, and hereby adopted by reference.
(b) Construction plans and specifications.
(1) Plans and specifications for each new
			 hospital and each alteration and addition to any existing hospital, other than
			 minor alterations, shall be prepared by an architect licensed in Kansas. "Minor
			 alterations" means those projects that meet the following conditions:
(A) Do not affect the structural integrity of
			 the building;
(B) do not change
			 functional operation;
(C) do not
			 affect fire safety; and
(D) do not
			 add beds or facilities over those for which the hospital is licensed.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-50 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) "Administrator"
			 means an individual appointed by the governing body to act on its behalf in the
			 overall management of the ambulatory surgical center.
(b) "Ambulatory surgical center" means an
			 establishment with the following:
(1) An
			 organized medical staff of one or more physicians;
(2) permanent facilities that are equipped
			 and operated primarily for the purpose of performing surgical procedures and do
			 not provide services or other accommodations for patients to stay more than 24
			 hours;
(3) continuous physician
			 services during surgical procedures and until the patient has recovered from
			 the obvious effects of anesthesia, and at all other times with continuous
			 physician services available whenever a patient is in the facility; and
(4) continuous registered
			 professional nursing services whenever a patient is in the facility.
Before discharge from an ambulatory surgical center, each
				patient shall be evaluated by a physician for proper anesthesia recovery.
				Nothing in this regulation shall be construed to require the office of a
				physician or physicians to be licensed under this act as an ambulatory surgical
				center.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-51 - Licensing procedure

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) No construction
			 shall begin until plans and specifications covering the construction of new
			 buildings, additions, or material alterations to existing buildings are
			 submitted to the department, in writing, in accordance with K.A.R. 28-34-62a. A
			 written narrative describing the intended use of the proposed construction
			 shall accompany the plans and specifications.
(b) Ambulatory surgical centers shall be
			 licensed to provide only those services for which they are qualified. The
			 extent of the facility's compliance with this article may be documented by the
			 department in one of the following ways:
(1)
			 The statement of a responsible, authorized administrator or staff member, which
			 shall include one of the following:
(A)
			 Documentary evidence of compliance provided by the facility; or
(B) answers by the facility to detailed
			 questions provided by the licensing department concerning the implementation of
			 any provisions of this article or examples of this implementation that allow a
			 judgement about compliance to be made; or
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-52a - Patient rights

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The governing
			 authority shall ensure that the facility establishes policies and procedures
			 that support the rights of all patients. At a minimum, each facility shall
			 ensure that each patient has a right to the following:
(1) Receive respectful care given from
			 competent personnel;
(2) receive
			 information of the proposed treatment or procedures to be performed, potential
			 complications, and expected outcomes;
(3) make health care decisions;
(4) access information contained in the
			 patient's medical record, within the limits of state law, by each patient or
			 patient's designated representative;
(5) maintain privacy and security of self and
			 belongings during the delivery of patient care service;
(6) be informed of expected services and
			 financial charges and receive an explanation of the patient's bill; and
(7) be informed of the facility's
			 policies regarding patient rights.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-52b - Assessment and care of patients

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each patient
			 admitted to the ambulatory surgical center shall be under the care of a
			 practitioner who is a member of the medical staff.
(b) Patient care shall meet the needs of the
			 patient and shall be provided by qualified personnel.
(c) An initial assessment of each patient
			 shall be completed by qualified staff. The assessment shall include the
			 following information:
(1) The patient's
			 current physical status;
(2) a
			 history and physical completed within 30 days before any procedure performed at
			 the ambulatory surgical facility;
(3) the results of clinical laboratory tests
			 or diagnostic reports;
(4) a
			 preanesthesia evaluation conducted by a licensed, qualified practitioner
			 granted clinical privileges by the medical staff and governing body; and
(5) the patient's nutritional
			 status.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-53 - Governing authority

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The governing
			 authority shall be the ultimate authority in the ambulatory surgical center,
			 responsible for its organization and administration, including appointment of
			 the medical staff, employment of an administrator, review and revision of
			 policies and procedures, and maintenance of a physical plant equipped and
			 staffed to adequately meet the needs of the patients.
(b) The governing authority shall be
			 organized in accordance with its approved bylaws, policies, and procedures and
			 shall be in conformance with the Kansas statutes governing ambulatory surgical
			 centers. A copy of the ambulatory surgical center's current bylaws shall be
			 available for review by the licensing department.
(c) Bylaws of the governing authority shall
			 provide for the selection and appointment of medical staff members based on
			 defined criteria and in accordance with an established procedure for processing
			 and evaluating applications for memberships. Each application for appointment
			 and reappointment shall be submitted in writing and shall signify agreement of
			 the applicant to conform with the bylaws of both the governing authority and
			 medical staff and to abide by professional ethical standards.
(d) The governing authority shall demonstrate
			 evidence of a liaison and close working relationship with the medical staff.
(e) The governing authority shall
			 be responsible for the implementation of a risk management program, in
			 accordance with K.S.A. 65-4921 et seq. and amendments thereto, and K.A.R.
			 28-52-1 through 28-52-4.
(f) The
			 governing authority shall select and employ an administrator and shall notify
			 the department of any change of administrator within five days after the change
			 has been made.
(g) Each patient
			 admitted to the ambulatory surgical center shall be under the care of a
			 practitioner who is a member of the medical staff.
(h) The governing authority shall ensure that
			 the ambulatory surgical center complies with the following:
(1) Defines, in writing, the scope of
			 services provided;
(2) has an
			 adequate number of qualified personnel; and
(3) maintains effective quality control,
			 quality improvement, and data management activities.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-55a - Human resources

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The ambulatory
			 surgical center shall provide an adequate number of qualified staff to meet the
			 needs of the patients.
(b) All
			 nursing and ancillary staff employed by or contracted with the ambulatory
			 surgical center shall be qualified and shall provide services consistent with
			 the scope of practice granted by the license, registration, or certification
			 regulations.
(c) One registered
			 nurse shall be on duty at all times whenever a patient is in the ambulatory
			 surgical center.
(d) The
			 ambulatory surgical center shall provide all nursing and ancillary staff
			 services in accordance with written policies and procedures consistent with
			 professional practice standards and reviewed and revised, as necessary.
(e) The governing authority shall
			 ensure that all employees are provided information related to the reporting of
			 reportable incidents in accordance with the ambulatory surgical center's risk
			 management plan.
(f) The governing
			 authority shall ensure that ongoing staff education and training are provided
			 to continually improve patient care services.
(g) The ambulatory surgical center shall
			 maintain personnel records on each employee that shall include the job
			 application, professional and credentialing information, health information,
			 and annual performance evaluations.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-56a - Anesthesia services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) If there is a
			 department of anesthesia, it shall be directed by a member of the medical staff
			 with appropriate clinical and administrative experience. The clinical
			 privileges of qualified anesthesia personnel shall be reviewed by the director
			 of anesthesia services and the medical staff and approved by the governing
			 authority.
(b)
(1) An anesthesiologist or physician shall be
			 on the premises and readily accessible during the administration of
			 anesthetics, whether local, general, or intravenous, and the postanesthesia
			 recovery period until all patients are alert or medically discharged from the
			 postanesthesia area. Qualified anesthesia personnel shall be present in the
			 room through the administration of all general anesthetics, regional
			 anesthetics, and monitored anesthesia care and shall continuously evaluate the
			 patient's oxygenation, ventilation, circulation, and temperature.
(2) The following equipment shall be
			 available as the scope of practice requires:
(A) Oxygen analyzers;
(B) a pulse oximeter; and
(C) electrocardiography, blood pressure,
			 resuscitation, and suction equipment.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-57 - Medical records

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) A medical
			 record shall be maintained for each patient cared for in the ambulatory
			 surgical center. The records shall be documented and retrievable by authorized
			 persons.
(b) Each medical record
			 shall be the property of the ambulatory surgical center. Only persons
			 authorized by the governing authority shall have access to medical records.
			 These persons shall include individuals designated by the licensing department
			 for verifying compliance with the state or federal regulations, and for disease
			 control investigations of public health concern.
(c) Each medical record shall be maintained
			 in a retrievable form for 10 years after the date of last discharge of the
			 patient, or one year after the date that the minor patient reaches the age of
			 18, whichever is greater.
(d) Each
			 medical record shall contain the following information, if applicable:
(1) Patient identification data;
(2) patient consent forms;
(3) patient history and physical;
(4) clinical laboratory reports;
(5) physician's or physicians' orders;
(6) radiological reports;
(7) consultations;
(8) anesthesia records;
(9) surgical reports;
(10) tissue reports;
(11) progress notes;
(12) a description of the care given to that
			 patient based on the type of surgical procedure;
(13) the signature or initials of authorized
			 personnel on notes or observations;
(14) the final diagnosis;
(15) the discharge summary;
(16) discharge instructions to the patient;
(17) a copy of transfer form; and
(18) the autopsy findings.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-58a - Infection control

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each ambulatory
			 surgical center shall establish and maintain an ongoing infection control
			 program. The program shall be based upon guidelines established by the centers
			 for disease control and the licensing department. The program shall include the
			 following:
(1) Measures for the surveillance,
			 prevention, and control of infections;
(2) the assignment of the primary
			 responsibility for the program, as well as medical staff participation and
			 review of findings, to an individual;
(3) written policies and procedures outlining
			 infection control measures and aseptic techniques;
(4) orientation and ongoing education
			 provided to all personnel on the cause, effect, transmission, and prevention of
			 infections;
(5) policies and
			 procedures that require all employees to adhere to universal precautions to
			 prevent the spread of blood-borne infectious diseases;
(6) policies and procedures related to
			 employee's health;
(7) review and
			 evaluation, according to the facility's policies and procedures, of the quality
			 and effectiveness of infection control throughout the ambulatory surgical
			 center; and
(8) provisions for
			 reporting, to the licensing department, infectious or contagious diseases in
			 accordance with K.A.R. 28-1-2.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-59a - Ancillary services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The ambulatory
			 surgical center shall provide, either directly or through agreement,
			 laboratory, radiology, and pharmacy services to meet the needs of the patients.
(b) Laboratory services. If the
			 ambulatory surgical center provides its own clinical laboratory services, the
			 following criteria shall be met:
(1) The
			 laboratory performing analytical tests within the ambulatory surgical center
			 shall hold a valid CLIA certificate for the type and complexity of all tests
			 performed.
(2) An authorized
			 individual shall, through written or electronic means, request all tests
			 performed by the laboratory. The individual or individuals serving as the
			 laboratory's clinical consultant or consultants shall be as defined in
			 42 C.F.R.
			 493.1417(b), as in effect on
			 October 1, 1996 and hereby adopted by reference.
(3) The original report or duplicate copies
			 of written tests, reports, and supporting records shall be retained in a
			 retrievable form by the laboratory for at least the following periods:
(A) Two years for routine test reports;
(B) five years for blood banking
			 test reports; and
(C) 10 years for
			 histologic or cytologic test reports.
(4) Facilities for procurement, safekeeping,
			 and transfusion of blood, blood products, or both shall be provided or
			 available. If blood products or transfusion services are provided by sources
			 outside the ambulatory surgical center, outside sources shall be provided by a
			 CLIA-certified laboratory. The source shall be certified for the scope of
			 testing performed or products provided.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-60a - Food services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Food service
			 and food service policies and procedures shall reflect the level of services
			 offered to meet the needs of the patients.
(b) The food and nutritional needs of
			 patients shall be met in accordance with physician's orders.
(c) There shall be written policies for food
			 storage, preparation, and service. Policies shall meet the following standards:
(1) There shall be a separate storage area
			 above the floor level for food.
(2) Food transportation equipment shall be
			 cleaned and disinfected daily or after each use if uneaten food or unclean
			 dishes are transported.
(3) There
			 shall be separate hand-washing facilities in the food preparation and service
			 area.
(4) The temperature in each
			 food freezer shall be no higher than 0° Fahrenheit.
(5) Dishes and utensils shall be washed in
			 water at 140° Fahrenheit and shall be rinsed at 180° Fahrenheit, or a
			 ware-washing machine and its auxiliary components shall be operated in
			 accordance with the machine's data plate and any other manufacturer's
			 instructions.
(6) Foods being
			 transported shall be protected from contamination and held at required
			 temperatures in clean containers or serving carts.
(7) Except during preparation, cooking, or
			 cooling, potentially hazardous food shall be maintained at or above 140°
			 Fahrenheit or at or below 41° Fahrenheit.
(8) Storage of toxic agents shall be
			 prohibited in food preparation and food serving areas.
(9) Food returned on patients' trays shall
			 not be reused.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-61a - Physical environment

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each ambulatory
			 surgical center shall be designed, constructed, equipped, and maintained to
			 protect the health and safety of patients, staff, and visitors.
(b) Each ambulatory surgical center shall
			 include the following features:
(1) A
			 separate recovery area and waiting area;
(2) business office facilities;
(3) storage areas designated for janitorial
			 supplies and equipment; and
(4)
			 separate toilet facilities designated for patients, staff, and visitors.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-62a - Construction standards

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General
			 provisions. All ambulatory surgical center construction, including new
			 buildings and additions or alterations to existing buildings, shall be in
			 accordance with standards set forth in sections 1, 2, 3, 4, 5, 6, and
			 subsections 9.1, 9.2, 9.5, 9.9, 9.10, 9.31, and 9.32 in the American institute
			 of architects academy of architecture for health publication no. ISBN
			 1-55835-151-5, entitled "1996-97 guidelines for design and construction of
			 hospital and health care facilities," copyrighted in 1996, and hereby adopted
			 by reference.
(b) Provisions for
			 handicapped. All construction shall be in compliance with
			 K.S.A.
			 58-1301 et seq., and amendments thereto.
(c) Construction plans and
			 specifications.
(1) Plans and specifications
			 for each new ambulatory surgical center and each alteration and addition to any
			 existing ambulatory surgical center, other than minor alterations, shall be
			 prepared by an architect licensed in Kansas and shall be submitted to the
			 licensing department before beginning construction. "Minor alterations" means
			 those projects that do not affect the structural integrity of the building, do
			 not change functional operation, and do not affect fire safety.
(2) Plans shall be submitted at the
			 preliminary plan and outline specification stage.
(3) The preliminary plans shall include the
			 following information:
(A) Sketch plans of
			 the basement, each floor, and the roof indicating the space assignment, size,
			 and outline of fixed equipment;
(B) all elevations and typical sections;
(C) a plot plan showing roads and
			 parking facilities; and
(D) areas
			 and bed capacities by floors.
(4) Outline specifications shall consist of a
			 general description of the construction, air conditioning, heating, and
			 ventilation systems.
(5) Contract
			 documents and final plans shall be prepared by the architect and consist of
			 working drawings that are complete and adequate for bidding, contract, and
			 construction purposes. Specifications shall supplement the drawings to fully
			 describe the types, sizes, capacities, workmanship, finishes, and other
			 characteristics of all materials and equipment. Contract documents shall be
			 submitted to the licensing department, if requested. The architect shall
			 certify that contract documents and final plans are in compliance with
			 subsections (a) and (b) of this regulation.