reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter J - Physical Environment › Section I-9419 - Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Equipment shall
					 be clean and in good repair for the safety and well-being of the
					 patients.
B. Therapeutic,
					 diagnostic and other patient care equipment shall be maintained and serviced in
					 accordance with the manufacturer's recommendations.
C. All patients, when appropriate due to
					 diagnosis, shall be provided with patient care items such as a bedpan,
					 washbasin, emesis basin, drinking glass and soap dish. These supplies and
					 equipment shall be properly cleaned and in appropriate cases shall be
					 sterilized between use for different patients if disposable items are not
					 used.
D. Methods for cleaning,
					 sanitizing, handling and storing of all supplies and equipment shall be such as
					 to prevent the transmission of infection through their use.
E. After discharge of a patient, the bed,
					 mattress, cover, bedside furniture, and equipment shall be properly cleaned.
					 Mattresses, blankets and pillows assigned to patients shall be in a sanitary
					 condition. The mattress, blankets and pillows used for a patient with an
					 infection shall be sanitized in an acceptable manner before they are assigned
					 to another patient.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9423 - Organization and Policies

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall provide a sanitary environment to avoid sources and transmission
					 of infections and communicable diseases.
B. There shall be an effective infection
					 control program for the prevention, control, investigation and reporting of
					 communicable disease and infections. The infection control program shall meet
					 or exceed the latest criteria established by the following:
1. Centers for Disease Control;
2. Occupational Safety and Health
					 Administration; and
3.
Sanitary Code
of the state of Louisiana.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9425 - Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The chief
					 executive officer or administrator, the medical staff and the director of
					 nursing services shall ensure that the hospital-wide quality assessment and
					 improvement program and training programs address problems identified by the
					 infection control officer(s). They shall be responsible for the implementation
					 of successful corrective action plans in affected problem areas. Infection
					 control activities or programs conducted or instituted in different departments
					 of the hospital shall have the approval of the infection control
					 officer(s).
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9427 - Laundry Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A supply of
					 clean linen, sufficient to meet the requirements of the patients, shall be
					 provided by a laundry service either in-house, contracted with another
					 healthcare facility or in accordance with an outside commercial laundry
					 service. All linens shall be handled, cleaned, sanitized, stored and
					 transported in such a way as to prevent infection.
B. Clean linen shall be delivered in such a
					 way as to minimize microbial contamination from surface contact or airborne
					 deposition. Soiled linen shall be collected in such a manner as to minimize
					 microbial dissemination into the environment. All linen shall be laundered
					 between patient use.
C.
					 Contaminated laundry shall be specially handled according to the hospital's
					 written protocol, which is approved by the infection control officer(s). If
					 laundry chutes exist, linen shall be bagged and the chutes shall empty into an
					 enclosed collection room.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9429 - Central Supply

Current through Register Vol. 50, No. 6, June 20, 2024
A. Space shall
					 be provided for the preparation, storage, handling and distribution of sterile
					 supplies and other patient care items. Functional design shall provide for the
					 separation of soiled and contaminated supplies from those that are clean and
					 sterile. All central supply departments shall adhere to strict traffic control
					 in their departments. Air circulation systems in central supply shall be
					 negative pressure in decontamination and ethylene oxide areas and positive
					 pressure in all clean areas.
B.
					 Hand washing facilities shall be provided in all work areas. There shall be
					 written policies and procedures for the decontamination and sterilization of
					 supplies and equipment, shelf life of all stored sterile items and reuse of
					 disposable items in accordance with the latest criteria established by the
					 Centers for Disease Control.
C. All
					 steam sterilizing equipment shall have live bacteriological spore monitoring
					 performed at least weekly and with each load containing an implantable device.
					 If tests are positive, a system shall be in place to recall supplies.
D. All ethylene oxide sterilizing equipment
					 shall have live bacteriological spore monitoring performed with each load.
					 There shall be ventilation of the room used for this sterilization to the
					 outside atmosphere and there shall be a system in place to monitor trace gases
					 of ethylene oxide at least monthly.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9431 - Isolation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall have appropriate facilities and procedures for infection control and the
					 isolation of patients as necessary.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter K - Infection Control › Section I-9433 - Waste and Hazardous Materials Management

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital shall have a written and
					 implemented waste management program that identifies and controls wastes and
					 hazardous materials. The program shall comply with all applicable laws and
					 regulations governing wastes and hazardous materials.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter L - Surgical Services (Optional) › Section I-9437 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Surgical
					 services are provided. The services shall be well organized and provided in
					 accordance with acceptable standards of practice. If outpatient surgical
					 services are offered, the services shall be consistent in quality with
					 inpatient care in accordance with the complexity of services offered.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter L - Surgical Services (Optional) › Section I-9439 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. Surgical
					 services shall be under the medical direction of a qualified physician who is a
					 member of the medical staff and appointed by the governing body.
B. Surgical privileges shall be delineated
					 for all practitioners performing surgery in accordance with the competencies of
					 each practitioner. The surgical services shall maintain a roster of
					 practitioners specifying the surgical privileges of each
					 practitioner.
C. The surgical suite
					 shall be supervised by a registered nurse experienced and competent in the
					 management of surgical services.
D.
					 A qualified registered nurse shall perform circulating duties for surgical
					 procedures performed. In accordance with the needs of patients and the
					 complexity of services performed, licensed practical nurses and operating room
					 technicians may assist in circulatory duties under the supervision of a
					 registered nurse who is immediately available to respond to emergencies.
					 Licensed practical nurses and operating room technicians may perform scrub
					 functions under the supervision of a registered nurse.
E. The operating room register shall be
					 complete and up-to-date. It shall include at least the following:
1. patient's name;
2. patient's hospital identification
					 number;
3. date of the
					 operation;
4. inclusive or total
					 time of the operation;
5. name of
					 the surgeon and any assistant(s);
6. name of nursing personnel (scrub and
					 circulating);
7. type of anesthesia
					 used;
8. name of the person
					 administering the anesthesia; and
9. operation performed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter L - Surgical Services (Optional) › Section I-9441 - Delivery of Service

Current through Register Vol. 50, No. 6, June 20, 2024
A. There shall
					 be a complete history and physical work-up in the chart of every patient prior
					 to surgery, except in emergency surgery. If the history and physical has been
					 dictated, but not yet recorded in the patient's chart, there shall be a
					 statement to that effect and an admission note in the chart by the practitioner
					 who admitted the patient.
B. A
					 properly executed informed consent form for the procedure must be in the
					 patient's chart before surgery, except in emergencies. The consent form shall
					 contain at least the following:
1. name of
					 the patient;
2. hospital and
					 patient identification number;
3.
					 name of the procedure(s) or operation;
4. the reasonably foreseeable risks and
					 benefits involved;
5. name of the
					 practitioner(s);
6. signature of
					 the patient or legal guardian;
7.
					 date and time the consent is obtained; and
8. signature and professional designation of
					 the person witnessing the consent.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter L - Surgical Services (Optional) › Section I-9443 - Surgery Suite and Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 surgical suite shall be appropriately equipped and consist of a clear floor
					 area to accommodate the equipment and personnel required, allowing for aseptic
					 technique.
B. The surgical suite(s)
					 shall be located in a segregated area out of the line of traffic of visitors
					 and personnel from other departments and arranged so as to prevent traffic
					 through them.
C. There shall be
					 scrub-up facilities in the surgical suite providing hot and cold running water
					 and equipped with knee, foot or elbow faucet controls.
D. There shall be a provision for washing
					 instruments and equipment, which are to be cleaned within the surgical suite.
					 If an autoclave is present, the same operating requirements referenced in
					 Subchapter K, Infection Control shall be implemented.
E. There shall be policies and procedures,
					 approved by the Infection Control Committee that addresses terminal cleaning of
					 the operating room as well as cleaning of the room between surgical
					 cases.
F. There shall be policies
					 and procedures for a surgical smoke plume evacuation plan to mitigate and
					 remove surgical smoke plume during a surgical procedure that uses
					 heat-producing equipment, including but not limited to electrosurgery and
					 lasers.
1. - 6. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter L - Surgical Services (Optional) › Section I-9445 - Post-Operative Area

Current through Register Vol. 50, No. 6, June 20, 2024
A. There shall be a
					 post-operative care area (recovery room) which is a separate area of the
					 hospital, unless provisions are made for close observation of the patient until
					 they have regained consciousness (e.g., direct observation by an RN in the
					 patient's room). Access shall be limited to authorized personnel. There shall
					 be policies and procedures which specify transfer requirements to and from the
					 post-operative area.
B. There shall
					 be at least two health care personnel, one of which is a registered nurse,
					 present whenever there is a patient. There shall be emergency equipment and
					 monitoring equipment in the immediate area of the post-operative area. The
					 equipment shall be commensurate with the surgical procedure and the medical
					 requirements of the patient. That equipment shall include, but not be limited
					 to, the following:
1. EKG/ECG
					 monitor;
2. pulse oxymeter
					 monitor;
3. temperature monitoring
					 equipment;
4. equipment to
					 administer oxygen;
5. equipment
					 necessary to monitor vital signs.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter M - Anesthesia Services (Optional) › Section I-9449 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. If
					 anesthesia services are provided, which is mandatory when surgical or obstetric
					 services are provided, they must be provided in a well organized manner under
					 the direction of a qualified doctor of medicine or osteopathy.
B. The standards in this Chapter apply to
					 services for all patients who:
1. receive
					 general, spinal, or other major regional anesthesia; or
2. undergo surgery or other invasive
					 procedures when receiving general, spinal, or other major regional anesthesia
					 and/or intravenous, intramuscular, or inhalation sedation/analgesia, including
					 conscious sedation, that, in the manner used in the hospital, may result in the
					 loss of the patient's protective reflexes.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter M - Anesthesia Services (Optional) › Section I-9451 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Anesthesia services shall be administered by practitioners with appropriate
					 clinical privileges obtained through a mechanism that assures that each
					 practitioner provide only those services for which they have been licensed,
					 trained and deemed to be competent to administer anesthesia within the scope of
					 their practice. Those practitioners include:
1. a qualified anesthesiologist;
2. a doctor of medicine or
					 osteopathy;
3. a dentist, oral
					 surgeon, or podiatrist who is qualified to administer anesthesia under state
					 law;
4. a certified registered
					 nurse anesthetist (CRNA) licensed by the Louisiana State Board of Nursing who
					 is under the supervision of the operating practitioner or of an
					 anesthesiologist who is immediately available if needed as defined in the
					 medical staff bylaws; or
5. a bona
					 fide student enrolled in a school of nurse anesthesia accredited by the Council
					 on Accreditation of Nurse Anesthesia educational programs whose graduates are
					 acceptable for certification by a nationally recognized certifying body may
					 administer anesthesia as related to such course of study under the direct
					 supervision of a certified registered nurse anesthetist or an
					 anesthesiologist.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter M - Anesthesia Services (Optional) › Section I-9453 - Delivery of Service

Current through Register Vol. 50, No. 6, June 20, 2024
A. Policies on
					 anesthesia procedures must include the delineation of pre-anesthesia and
					 post-anesthesia responsibilities. As a minimum, they shall address:
1. the qualifications, responsibilities and
					 supervision required of all personnel who administer anesthesia;
2. patient consent for anesthesia;
3. infection control measures;
4. safety practices in all anesthetizing
					 areas;
5. protocol for supportive
					 life functions, e.g., cardiac and respiratory emergencies;
6. reporting requirements;
7. documentation requirements;
8. inspection and maintenance reports on all
					 supplies and equipment used in anesthesia; and
9. trace gas reports.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter N - Nuclear Medicine Services (Optional) › Section I-9457 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the
					 hospital provides nuclear medicine services or contracts for the services,
					 those services must meet the needs of the patients in accordance with
					 acceptable standards of practice and be provided in a safe and effective
					 manner.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter N - Nuclear Medicine Services (Optional) › Section I-9459 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 organization of the nuclear medicine services shall be appropriate to the scope
					 and complexity of the services offered. There shall be a director who is a
					 doctor of medicine or osteopathy qualified in nuclear medicine and named in the
					 Department of Environmental Quality, Radiation Protection Division radioactive
					 material license as authorized to use radioactive materials in
					 humans.
B. Nuclear medicine
					 services shall be ordered only by a practitioner whose scope of federal or
					 state licensing and defined staff privileges allow such referrals.
C. The performance of nuclear medicine
					 diagnostic procedures and the administration of radioactive material to humans
					 may be accomplished only by the licensed physician practitioner or by the
					 licensed nuclear medicine technologist.
AUTHORITY NOTE:
						promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter N - Nuclear Medicine Services (Optional) › Section I-9461 - Delivery of Service

Current through Register Vol. 50, No. 6, June 20, 2024
A. Radioactive
					 materials shall be prepared, labeled, used, transported, stored and disposed of
					 in accordance with acceptable standards of practice.
B. In-house preparation of
					 radiopharmaceuticals shall be by, or under the supervision of an appropriately
					 trained registered pharmacist or a doctor of medicine or osteopathy whose use
					 of radioactive materials is authorized in the facility's Department of
					 Environmental Quality, Radiation Protection Division radioactive material
					 license.
C. There shall be proper
					 storage and disposal of radioactive materials. If clinical laboratory tests are
					 performed in the nuclear medicine service, the service shall meet the
					 requirements for clinical laboratories with respect to management, adequacy of
					 facilities, proficiency testing and quality control.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter N - Nuclear Medicine Services (Optional) › Section I-9463 - Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Equipment and
					 supplies shall be appropriate for the types of nuclear medicine services
					 offered and shall be maintained for safe and efficient performance.
B. The equipment shall be maintained in safe
					 operating condition, and inspected, tested, and calibrated at least annually by
					 qualified personnel. The nuclear medicine service shall have and follow a
					 preventive maintenance schedule.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter N - Nuclear Medicine Services (Optional) › Section I-9465 - Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall maintain signed and dated reports of nuclear medicine interpretations,
					 consultations and procedures. The hospital shall maintain copies of nuclear
					 medicine reports in accordance with the retention requirement specified in
					 Subchapter H, Medical Record Services.
B. The practitioner approved by the medical
					 staff and authorized by the facility's Department of Environmental Quality,
					 Radiation Protection Division radioactive material license to interpret
					 diagnostic procedures shall sign and date the interpretations of these
					 tests.
C. The hospital shall
					 maintain records of the receipt and disposition of
					 radiopharmaceuticals.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter O - Outpatient Services (Optional) › Section I-9469 - General Provisions and Organization

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the hospital provides outpatient
					 services, the services must meet the needs of the patients in accordance with
					 acceptable standards of practice.
B. Outpatient services shall be appropriately
					 organized, integrated with and provided in accordance with the standards
					 applicable to the same service provided by the hospital on an inpatient basis.
1. Outpatient services shall be provided only
					 under conditions stated in Subparagraphs a, b, or Clauses b.i.-ii below.
a. Outpatient services may be provided by a
					 hospital if that hospital provides inpatient services for the same area of
					 service. For example, a hospital may provide psychiatric outpatient services if
					 that hospital provides psychiatric services on an inpatient basis.
b. Outpatient services may be provided by a
					 hospital that does not provide inpatient services for the same area of service
					 only if that hospital has a written policy and procedure to ensure a patient's
					 placement and admission into an inpatient program to receive inpatient services
					 for that area of service. The policy and procedure must ensure that the
					 hospital is responsible for coordination of admission into an inpatient
					 facility and must include, but not be limited to, the following:
i. the hospital personnel and/or staff
					 responsible for coordination of placement and admission into an inpatient
					 facility; and
ii. the procedure for
					 securing inpatient services for that patient.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter O - Outpatient Services (Optional) › Section I-9471 - Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall assign an individual to be responsible for the outpatient services. There
					 shall be appropriate professional and non-professional personnel
					 available.
B. There must be a
					 registered nurse on the observation unit as long as there are patients admitted
					 to the unit.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter O - Outpatient Services (Optional) › Section I-9473 - Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. All outpatient
					 facilities shall be accessible to and usable by handicapped employees, staff,
					 visitors and patients. Where appropriate, there shall be at least:
1. a receptionist desk;
2. waiting space;
3. an examination room equipped with a
					 lavatory and nurse call system;
4.
					 public toilet facilities;
5. public
					 telephone; and
6. drinking
					 fountain.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter P - Rehabilitation Services (Optional) › Section I-9477 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the
					 hospital provides a range of rehabilitation services, including but not limited
					 to physical therapy, occupational therapy, audiology or speech pathology
					 services, the services shall be organized, operated and staffed in accordance
					 with the provisions of this Subchapter P to ensure the health and safety of
					 patients.
B. A rehabilitation unit
					 or facility is defined as a designated unit or hospital that primarily provides
					 physiological rehabilitation services to inpatients and/or
					 outpatients.
C. For rehabilitation
					 services that have multiple geographic locations, each geographical site shall
					 meet the requirements in §9483
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter P - Rehabilitation Services (Optional) › Section I-9479 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 organization of services shall be appropriate to the scope of the services
					 offered. The rehabilitation service shall employ and define the leadership
					 structure in accordance with the facility administration. The medical director
					 of rehabilitation services shall:
1. be a
					 doctor of medicine or osteopathy;
2. be licensed to practice medicine or
					 surgery in accordance with state law;
3. have completed a one year hospital
					 internship; and
4. have had at
					 least two years of training or experience, within the last five years, in the
					 medical management of patients requiring rehabilitation services.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter P - Rehabilitation Services (Optional) › Section I-9481 - Delivery of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Rehabilitation services shall be furnished in accordance with a written plan of
					 treatment based upon an assessment performed by the qualified professional. The
					 written plan of treatment shall be established prior to the beginning of
					 treatment. The plan of treatment shall consist of at least the treatment goals,
					 type, amount, frequency and duration of services.
B. Rehabilitation services shall be given in
					 accordance with the orders of practitioners who are authorized by the medical
					 staff to order the services. The orders shall be incorporated in the patient's
					 medical record.
C. The patient's
					 progress shall be documented on a timely and regular basis in accordance with
					 written policies and procedures.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter P - Rehabilitation Services (Optional) › Section I-9483 - Facilities-Physical Space

Current through Register Vol. 50, No. 6, June 20, 2024
A. Space and
					 equipment shall be appropriate for the types of rehabilitation services offered
					 and shall be maintained for safe and efficient performance and in accordance
					 with the Rehabilitation Chapter and General Hospital Chapter of the
AIA
					 Guidelines for Design and Construction of Hospital and Health Care
					 Facilities
, 2001 (or most recent edition).
B. The Activities of Daily Living (ADL) room
					 is in addition to the licensed bed capacity.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter Q - Respiratory Care Services (Mandatory) › Section I-9487 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall provide respiratory care services. The services shall meet the
					 needs of the patients in accordance with acceptable standards of
					 practice.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter Q - Respiratory Care Services (Mandatory) › Section I-9489 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 organization of the respiratory care services shall be appropriate to the scope
					 and complexity of the services offered. There shall be a director of the
					 service who shall have the administrative authority and responsibility for
					 implementing the hospital's policies. The director shall be a doctor of
					 medicine or osteopathy with the knowledge, experience and capabilities to
					 supervise and administer the services properly. The director may serve on
					 either a full-time or part-time basis.
B. There shall be adequate numbers of
					 respiratory therapists, respiratory therapy technicians and other personnel who
					 meet the qualifications specified by the medical staff and approved by the
					 governing body, consistent with Louisiana law.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter Q - Respiratory Care Services (Mandatory) › Section I-9491 - Delivery of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Respiratory
					 care services shall be delivered in accordance with medical staff directives
					 and incorporated in the patient's medical record. The order shall specify the
					 type, frequency and duration of treatment, and as appropriate, the type and
					 dose of medication, type of diluent, and the oxygen concentration. All
					 respiratory care services provided shall be documented in the patient's medical
					 record, including the type of therapy, date and time of administration, effects
					 of therapy, and any adverse reactions.
B. Personnel qualified to perform specific
					 procedures and the amount of supervision required for personnel to carry out
					 specific procedures shall be designated in writing.
C. If blood gases or other clinical
					 laboratory tests are performed in the respiratory care unit, the unit shall
					 meet the requirement for clinical laboratories with respect to management,
					 adequacy of facilities, proficiency testing and quality control as set forth in
					 Subchapter F of these requirements.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter R - Psychiatric Services (Optional) › Section I-9495 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. These
					 requirements are applicable to those hospitals which are primarily engaged in
					 providing psychiatric services for the diagnosis and treatment of mentally ill
					 persons or have organized a physically and functionally distinct part unit
					 within the hospital to provide these services. Pediatric and adolescent
					 psychiatric units shall be physically separated from adult psychiatric units.
					 Facilities without separate pediatric and adolescent units shall have policies
					 and procedures that prevent adult patients from co-mingling with pediatric
					 and/or adolescent psychiatric patients.
B. For psychiatric services/facilities that
					 have multiple geographic locations, each geographical site shall meet the
					 requirements in §9497,
					 §9499 and
					 §9501
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter R - Psychiatric Services (Optional) › Section I-9497 - Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The layout,
					 design of details, equipment and furnishings shall be such that patients shall
					 be under close observation and shall not be afforded opportunities for hiding,
					 escape or injury to themselves or others. The environment of the unit shall be
					 characterized by a feeling of openness with emphasis on natural light and
					 exterior views. Interior finishes, lighting and furnishings shall suggest a
					 residential rather than an institutional setting while conforming with
					 applicable fire safety codes. Security and safety devices shall not be
					 presented in a manner to attract or challenge tampering by patients.
B. Windows or vents shall be arranged and
					 located so that they can be opened from the inside to permit venting of
					 combustion products and to permit occupants direct access to fresh air in
					 emergencies. The operation of windows shall be restricted to inhibit possible
					 escape or suicide. Where windows or vents require the use of tools or keys for
					 operation, the tools or keys shall be either located on the same floor in a
					 prominent location accessible to staff or carried by every staff member. With
					 hospitals that have approved engineered smoke control systems, the windows may
					 be fixed. Where glass fragments pose a hazard to certain patients, safety
					 glazing and/or other appropriate security features shall be used. There shall
					 be no curtain or venetian blind chords.
C. Where grab bars are provided, they shall
					 be institutional type, shall not rotate within their fittings, be securely
					 fastened with tamper-proof screw heads, and shall be free of any sharp or
					 abrasive elements. If grab bars are mounted adjacent to a wall, the space
					 between the wall and the grab bar shall be 1 1/2 inches.
D. Where towel racks, closet and shower
					 curtain rods are provided, they shall be the breakaway type.
E. Plastic bags and/or trash can liners shall
					 not be used in patient care areas.
F. Electrical receptacles shall be of the
					 safety type or protected by 5-milliampere ground-fault-interrupters.
G. There shall be outdoor space for patient
					 recreation.
H. Patient Rooms
1. A nurses call system is not required, but
					 if it is included, provisions shall be made for easy removal, or for covering
					 call button outlets. A hospital shall have written policies and procedures to
					 address call where no electronic system is in place.
2. Bedpan-flushing devices may be omitted
					 from patient room toilets in psychiatric nursing units.
3. Visual privacy (e.g., cubicle curtains) in
					 multi-bed rooms is not required.
4.
					 Free standing closets shall be secured to the wall.
5. Electric patient beds are not to be
					 used.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter R - Psychiatric Services (Optional) › Section I-9499 - Supplies and Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Restraint equipment shall be immediately available and accessible to
					 staff.
B. Recreational supplies and
					 therapy equipment shall be available and in locked storage.
C. Locked storage areas shall be available
					 for safekeeping of patient luggage and contraband items.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter R - Psychiatric Services (Optional) › Section I-9501 - Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital or
					 unit shall provide qualified professional, technical and consultative personnel
					 to evaluate patients, formulate written individualized comprehensive treatment
					 plans, provide active treatment measures and engage in discharge
					 planning.
B. The hospital or unit
					 shall employ a clinical director, who meets the training and experience
					 requirements for examination by the American Board of Psychiatry and Neurology,
					 or the American Osteopathic Board of Neurology and Psychiatry. The clinical
					 director shall monitor and evaluate the quality and appropriateness of services
					 and treatment provided by the medical staff.
C. The hospital or unit shall employ a
					 full-time registered nurse as director of psychiatric nursing services, who is
					 not shared with any other hospital department and who has:
1. a master's degree in psychiatric or mental
					 health nursing; or
2. a master's
					 degree in a related field such as psychology or nursing education and five
					 years nursing experience and three years providing nursing care to the mentally
					 ill; or
3. a bachelor's, associate
					 degree or diploma in nursing with documented evidence of educational programs
					 focused on treating psychiatric patients, which has occurred at intervals
					 sufficient enough to keep the nurse current on psychiatric nursing techniques.
					 In addition, the nurse shall have at least five years of nursing experience,
					 three years of which were providing nursing care to the mentally ill, or
					 receive regular, documented supervision/consultation from a master's prepared
					 psychiatric nurse.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9505 - General Provisions for Hospitals Licensed as of January 1, 2022

Current through Register Vol. 50, No. 6, June 20, 2024
A.Sections
					 9505-9509 shall be effective immediately upon publication of these provisions
					 for existing hospitals licensed as of July 1, 2022, and shall remain in effect
					 through November 30, 2023. Such hospitals must be in compliance with Sections
					 9511-9517 beginning December 1, 2023.
NOTE: Repealed.
1. The level of care of the neonatal
					 intensive care unit (NICU) is not required to match or exceed the level of
					 obstetrical care for each level of obstetrical service.
2. For facilities that change the level of
					 care and services of the facility's NICU unit, either decreasing or increasing
					 the level provided, the facility shall submit an attestation of this change to
					 the department's Health Standards Section (HSS) in writing and on the
					 appropriate state neonatal services Medicaid attestation form. Such notice
					 shall be submitted to the HSS within 90 days of the facility's change in NICU
					 level provided. For facilities that change the level of care and services of a
					 facility's obstetrical unit, by either decreasing or increasing the level
					 provided, the facility shall submit written notice of this change to HSS within
					 90 days of such change.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9507 - Obstetrical Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. These
					 requirements are applicable to those hospitals which provide obstetrical and
					 neonatal services.
B. Levels of
					 Care Units. There are five established obstetrical levels of care units:
1. obstetrical level I unit;
2. obstetrical level II unit;
3. obstetrical level III unit;
4. obstetrical level III regional unit;
					 and
5. obstetrical level I
					 V.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9509 - Obstetrical Unit Functions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Obstetrical Level I Unit
1. General
					 Provisions
a. Care and supervision for low
					 risk pregnancies greater or equal to 35 weeks gestation shall be
					 provided.
b. There shall be a
					 triage system present in policies and procedures for identification,
					 stabilization and referral of high risk maternal and fetal conditions beyond
					 the scope of care of a level I unit.
c. There shall be protocols and capabilities
					 for massive transfusion, emergency release of blood products, and management of
					 multiple component therapy available on-site.
d. Postpartum care facilities shall be
					 available on-site.
e. There shall
					 be capability to provide for resuscitation and stabilization of inborn
					 neonates.
f. The hospital shall
					 have a policy for infant security and an organized program to prevent infant
					 abductions.
g. The hospital shall
					 have a program in place to address the needs of the family, including
					 parent-sibling-neonate visitation.
h. The hospital shall have a written transfer
					 agreement with another hospital that has an approved appropriate higher level
					 of care.
i. - l. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9511 - General Provisions for Hospitals Licensed After January 1, 2022, and for Existing Hospitals Beginning July 1, 2023

Current through Register Vol. 50, No. 6, June 20, 2024
A.Sections 9511-9517 shall be effective
					 immediately upon publication of these provisions for hospitals licensed after
					 January 1, 2022.
1.Sections 9511-9517 shall
					 be effective for existing hospitals (those licensed by or before January 1,
					 2022) beginning July 1, 2023.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9513 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. For
					 purposes of this Subchapter, hospital privileges are such privileges that are
					 unrestricted and approved by the medical staff committee and the governing body
					 that allows the practitioner to perform all duties within their scope of
					 practice and certification(s) at the hospital in which the privileges are
					 granted and such duties are performed.
1. The
					 requirements for privileges, such as active privileges, inpatient privileges or
					 full privileges, shall be defined in hospital policy and approved by each
					 hospital's governing body.
1.a. - 2.c.
					 Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter S - Obstetrical and Newborn Services (Optional) › Section I-9515 - Obstetrical Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. These
					 requirements are applicable to those hospitals which provide obstetrical and
					 neonatal services.
B. Levels of
					 Care Units. These are five established obstetrical levels of care units:
1. obstetrical level I unit;
2. obstetrical level II unit;
3. obstetrical level III unit;
4. obstetrical level III regional unit;
					 and
5. obstetrical level
					 IV.