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 B - Hospital Organizations and Services › Section I-9329 - After Life Care

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall establish and implement written policies and procedures governing after
					 life care that are reviewed annually and revised as needed. These policies
					 shall delineate the responsibilities of the medical staff, nursing and morgue
					 staff, and shall include procedures for at least the following:
1. identifying the body;
2. safe and proper handling to prevent damage
					 to the body;
3. safeguarding the
					 personal effects of the deceased and release of personal effects to the
					 appropriate individual;
4. handling
					 of toxic chemicals by morgue and housekeeping staff;
5. infection control, including disinfecting
					 of equipment;
6. identifying and
					 handling high-risk and/or infectious bodies in accordance with Centers for
					 Disease Control guidelines and in compliance with Louisiana law;
7. release of the body to the funeral
					 director;
8. release of the body to
					 the coroner upon his request for autopsy;
9. policy for autopsy requests by the
					 physician or family and physician communication to family members regarding the
					 autopsy requests/results;
10.
					 availability of autopsy reports, including reports of microscopic autopsy
					 findings, to physicians and in the medical records within specified time
					 frames; and
11. completion of the
					 autopsy, including microscopic and other procedures, within specified time
					 frames.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter B - Hospital Organizations and Services › Section I-9331 - Organ or Tissue Donation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall have policies and procedures for organ and tissue donation and requests
					 for donation, approved by the governing body.
B. The hospital shall have an agreement with
					 the designated organ procurement agency for the state and at least one tissue
					 bank and one eye bank, if the organ procurement agency does not include these
					 services.
C. When death is imminent
					 or has occurred in a hospital, to a person determined to be a suitable
					 candidate for organ or tissue donation, based on accepted medical standards,
					 the hospital administrator or designated representative shall request the
					 appropriate person described herein to consent to the gift of any part of the
					 decedent's body as an anatomical gift.
D. No request shall be required when the
					 requesting person has actual notice of contrary intention by the decedent or
					 those persons described in this regulation according to the priority stated
					 therein, or reason to believe that an anatomical gift is contrary to the
					 decedent's religious beliefs.
E.
					 Upon approval of the donation, the OPO or retrieval organization shall be
					 notified and shall cooperate in the procurement of the anatomical gift. When a
					 request is made, the person making the request shall complete a certificate of
					 request for an anatomical gift on a form approved by the Department of Health
					 and Hospitals.
F. The certificate
					 shall include the following:
1. a statement
					 indicating that a request for an anatomical gift was made;
2. the name and affiliation of the person
					 making the request;
3. an
					 indication of whether consent was granted and, if so, what organs and tissues
					 were donated;
4. the name of the
					 person granting or refusing the request, and his relationship to the
					 decedent.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter B - Hospital Organizations and Services › Section I-9333 - Specialty Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. Specialty units
					 are designated areas in a hospital organized and dedicated to providing a
					 specific, concentrated service to a targeted group of patients.
B. Each unit shall be organized and function
					 as a physically identifiable section with beds that are not commingled with
					 other hospital beds.
C. Each unit
					 shall be staffed with professional and support personnel, appropriate to the
					 scope of services provided. Central support services such as dietary,
					 housekeeping, maintenance, administration and therapeutic services may be
					 shared with the rest of the hospital.
D. There shall be written policies and
					 procedures that define and describe the scope of services offered, including
					 admission criteria. The policies and procedures shall be developed and approved
					 by the governing body. They shall be reviewed at least annually and revised 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 B - Hospital Organizations and Services › Section I-9335 - Emergency Preparedness

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall have an emergency preparedness plan designed to manage the
					 consequences of natural disasters or other emergencies that disrupt the
					 hospital's ability to provide care and treatment or threatens the lives or
					 safety of the hospital patients and/or the community it serves. The emergency
					 preparedness plan shall be made available, upon request or if mandated to do
					 so, to local, parish, regional and/or state emergency planning organizations,
					 DHH and the Office of the State Fire Marshal.
B. As a minimum, the plan shall include the
					 following:
1. identification of potential
					 hazards that could necessitate an evacuation, including internal and external
					 disasters such as a natural disaster, acts of bio-terrorism, weapons of mass
					 destruction, labor work stoppage, or industrial or nuclear accidents;
2. emergency procedures for evacuation of the
					 hospital;
3. comprehensive measures
					 for receiving and managing care for a large influx of emergency patients. At a
					 minimum, these measures shall include the following roles:
a. the emergency department/s
					 ervices;
b. surgical suite;
					 and
c. patient care
					 units;
4. comprehensive
					 plans for receiving patients who are being relocated from another facility due
					 to a disaster. This plan shall include at least an estimate of the number and
					 type of patients the facility would accommodate;
5. procedures in the case of interruption of
					 utility services in a way that affects the health and safety of
					 patients;
6. identification of the
					 facility and an alternate facility to which evacuated patients would be
					 relocated;
7. the estimated number
					 of patients and staff that would require relocation in the event of an
					 evacuation;
8. the system or
					 procedure to ensure that medical charts accompany patients in the event of a
					 patient evacuation and that supplies, equipment, records and medications would
					 be transported as part of an evacuation; and
9. the roles and responsibilities of staff
					 members in implementing the disaster plan.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter B - Hospital Organizations and Services › Section I-9336 - Visitation by Members of the Clergy during a Declared Public Health Emergency

Current through Register Vol. 50, No. 6, June 20, 2024
A. For purposes of
					 this Section, a public health emergency (PHE) is a declaration made pursuant to
					 the Louisiana Health Emergency Powers Act,
					 R.S.
					 29:760 et seq., or current law.
B. A licensed hospital shall comply with any
					 federal law, regulation, requirement, order, or guideline that is more
					 restrictive than this Section regarding visitation in hospitals during a
					 declared PHE issued by any federal government agency.
C. For purposes of this Section, clergy shall
					 be defined as follows:
1. a minister, priest,
					 preacher, rabbi, imam, Christian Science practitioner; or
2. other similar functionary of a religious
					 organization; or
3. an individual
					 reasonably believed so to be by the person consulting him.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter B - Hospital Organizations and Services › Section I-9337 - Smoking Prohibition

Current through Register Vol. 50, No. 6, June 20, 2024
A. Smoking
					 shall be prohibited in all areas of the hospital that are heated and
					 air-conditioned. At the discretion of the hospital's governing body, smoking
					 may be permitted in patient rooms, but only:
1. upon the consent of the patient's primary
					 treating physician;
2. with the
					 consent of all patients in the room;
3. in accordance with all standards
					 established by the Joint Commission on Accreditation of Health Care
					 Organizations and all other applicable state and federal laws.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter C - Nursing Services › Section I-9343 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
					 shall be an organized nursing service that provides 24-hour nursing services.
					 The nursing services shall be under the direction and supervision of a
					 registered nurse licensed to practice in Louisiana, employed full time, 40
					 hours per week. There shall be a similarly qualified registered nurse to act in
					 the absence of the director of nursing services.
B. Written nursing policies and procedures
					 shall define and describe the patient care provided. There shall be a written
					 procedure to ensure that all licensed nurses providing care in the hospital
					 have a valid and current Louisiana license to practice, prior to providing any
					 care.
C. Nursing services are
					 either furnished or supervised and evaluated by a registered nurse.
D. There shall be at least one registered
					 nurse on duty at all times, assigned to each inpatient nurse's
					 station.
E. A registered nurse
					 shall assign the nursing service staff for each patient in the hospital.
					 Staffing shall be planned in accordance with the nursing needs of the patients,
					 as demonstrated by a specific assessment process, specialized qualifications
					 and competence of the nursing staff available.
F. The nursing staff shall be assigned
					 clinical and/or management responsibilities according to education, experience
					 and assessment of current competency and applicable laws.
G. There shall be at least two hospital
					 employees, one of whom shall be a registered nurse, physically present in the
					 hospital when there is one or more hospitalized patients.
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 C - Nursing Services › Section I-9345 - Delivery of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A registered
					 nurse shall perform an initial assessment of the patient upon admission and
					 identify problems for each patient. The registered nurse may delegate part(s)
					 of the data collection to other nursing personnel, however the registered nurse
					 shall by signature validate the assessment.
B. A nursing plan of care shall be developed
					 based on identified nursing diagnoses and/or patient care needs and patient
					 care standards, implemented in accordance with the Louisiana Nurse Practice
					 Act, and shall be consistent with the plan of all other health care
					 disciplines.
C. Isolation
					 precautions shall be instituted when appropriate to prevent the spread of
					 communicable diseases within the hospital.
D. All drugs and biologicals shall be
					 administered in accordance with the orders of the practitioner(s) responsible
					 for the patient's care and accepted standards of practice.
E. Blood transfusions and intravenous
					 medications shall be handled, labeled and administered according to state law
					 and approved medical staff and nursing service policies and
					 procedures.
F. Blood and blood
					 products shall be refrigerated separately from food, beverages and laboratory
					 specimens.
G. An appropriate
					 patient consent form shall be signed prior to blood transfusion
					 administration.
H. There shall be
					 policies and procedures for reporting transfusion reactions, adverse drug
					 reactions and errors in the administration of drugs. It shall include immediate
					 oral reporting to the treating physician, a written report to the director of
					 pharmacy and the appropriate hospital committee, and an appropriate entry in
					 the patient's record.
I. Safety
					 policies and procedures shall be established for the care of patients, who
					 because of their condition, are not responsible for their acts.
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 D - Pharmaceutical Services › Section I-9349 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall provide pharmaceutical services that meet the needs of the
					 patients. The hospital shall have a pharmacy directed by a registered
					 pharmacist or a drug storage area supervised by a registered pharmacist. The
					 hospital pharmacy shall have a permit, issued by the Louisiana Board of
					 Pharmacy, allowing the ordering, storage, dispensing and delivering of legend
					 prescription orders. The hospital shall have a current controlled dangerous
					 substance (CDS) license to dispense controlled substances to patients in the
					 hospital.
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 D - Pharmaceutical Services › Section I-9351 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Pharmaceutical services shall be directed by a registered pharmacist, licensed
					 to practice in Louisiana on either a full-time, part-time or consulting basis.
					 The director of pharmacy shall be responsible for the procurement, storage,
					 dispensing, supervision and management of all legend and non-legend drugs for
					 the hospital, and shall maintain complete and accurate records of all drug
					 transactions by the pharmacy. There shall be an adequate number of personnel to
					 ensure quality services, including emergency services, 24 hours per day, seven
					 days per week. A pharmacist shall be on call after hours, whenever the pharmacy
					 does not provide 24-hour service.
B. Hospital pharmacies that are not staffed
					 on a 24-hour basis shall have an adequate security detection device.
C. Hospital pharmacies that are not open
					 after regular working hours shall make drugs available for the staff by use of
					 a night drug cabinet. The hospital pharmacy shall maintain an inventory and a
					 list of these drugs, which are approved by the pharmacy director and the
					 appropriate hospital committee.
D.
					 Each off-site campus shall have a site specific controlled dangerous substance
					 (CDS) license if they will be dispensing controlled dangerous
					 substances.
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 D - Pharmaceutical Services › Section I-9355 - Environment

Current through Register Vol. 50, No. 6, June 20, 2024
A. All drugs and
					 biologicals shall be kept in a locked, well illuminated clean medicine
					 cupboard, closet, cabinet, or room under proper temperature controls and
					 accessible only to individuals authorized to administer or dispense drugs. A
					 list of authorized individuals shall be developed in cooperation with the
					 medical, nursing, administrative and pharmaceutical staff. Compartments
					 appropriately marked shall be provided for the storage of poisons and external
					 use drugs and biologicals, separate from internal and injectable
					 medications.
B. All controlled
					 substances shall be kept separately from other non-controlled substances in a
					 locked cabinet or compartment. Exceptions may be made, if listed in the
					 pharmacy policy and procedures manual and deemed necessary by the director of
					 pharmacy, to allow some abusable nonscheduled drugs to be maintained in the
					 same locked compartment.
C. Drugs
					 and biologicals that require refrigeration shall be stored separately from
					 food, beverages, blood and laboratory specimens.
D. The area within the pharmacy used for the
					 compounding of sterile parenteral preparations shall be separate and apart,
					 shall meet the requirements of the Board of Pharmacy regulation §2541 and
					 be designed and equipped to facilitate controlled aseptic conditions.
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 E - Radiologic Services › Section I-9361 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall maintain, or have available through written contract, radiologic
					 services according to the needs of the patients. If therapeutic services are
					 also provided, they, as well as the diagnostic services, shall meet
					 professionally approved standards for safety and personnel qualifications. The
					 hospital shall comply with periodic inspections by the Department of
					 Environmental Quality, Radiation Protection Division and shall promptly correct
					 any identified hazards.
B.
					 Radiologic services shall be supervised by a qualified radiologist on either a
					 full-time, part-time or consulting basis.
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 E - Radiologic Services › Section I-9363 - Safety

Current through Register Vol. 50, No. 6, June 20, 2024
A. The radiologic
					 services, particularly ionizing radiology, shall adopt written policies and
					 procedures to provide for the safety and health of patients and hospital
					 personnel. The policies and procedures shall be available to all staff in the
					 radiology department. At a minimum, the policies and procedures shall cover the
					 following:
1. shielding for patients,
					 personnel and facilities;
2.
					 storage, use and disposal of radioactive materials;
3. periodic inspection of equipment and
					 handling of identified hazards;
4.
					 periodic checks by exposure meters or test badges on radiation
					 workers;
5. radiologic services
					 provided on the orders of practitioners with clinical privileges or other
					 practitioners authorized by the medical staff and the governing body to order
					 the service; and
6. managing
					 medical emergencies in the radiologic department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter E - Radiologic Services › Section I-9365 - Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. A qualified
					 full-time, part-time, or consulting radiologist must supervise the ionizing
					 radiology services and must interpret only those radiologic tests that are
					 determined by the medical staff to require a radiologist's specialized
					 knowledge. The radiologist shall have clinical privileges delineated by the
					 medical staff.
B. Only personnel
					 who are registered and/or licensed in the appropriate radiologic technology
					 modality or category by the Louisiana State Radiologic Technology Board of
					 Examiners and designated as qualified by the medical staff may use the
					 radiologic equipment and administer procedures under the direction of a
					 physician.
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 E - Radiologic Services › Section I-9367 - Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. Radiologic
					 reports shall be signed by the practitioner who reads and interprets
					 them.
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 F - Laboratory Services › Section I-9371 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall provide laboratory services or make contractual arrangements
					 with a laboratory certified in accordance with the Clinical Laboratory
					 Improvement Amendments (CLIA) of 1988 to perform services commensurate with
					 patient needs as determined by the medical staff on a 24-hour basis. Laboratory
					 services shall be directed by an individual who meets appropriate
					 qualifications of a director and is credentialed by the medical
					 staff.
B. There shall be sufficient
					 licensed qualified clinical laboratory scientists with documented training and
					 experience to supervise the testing and sufficient numbers of licensed clinical
					 laboratory scientists and supportive technical staff to perform the tests
					 required of the clinical laboratory services.
C. The hospital shall have policies and
					 procedures that address the administration of potentially HIV infectious blood
					 or blood products, and the notification of patient, legal representative or
					 relative within a specified time frame.
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 F - Laboratory Services › Section I-9373 - Equipment and Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. There shall
					 be sufficient supplies, equipment and space to perform the required volume of
					 work with optimal accuracy, precision, efficiency, timeliness and
					 safety.
B. The laboratory shall
					 ensure that satisfactory provisions are maintained for an instrumentation
					 preventive maintenance program, an acceptable quality control program and an
					 approved proficiency testing program covering all types of analysis performed
					 by the laboratory services. Records and reports shall be maintained,
					 retrievable, and as appropriate, filed in the patient's medical
					 record.
C. The hospital shall make
					 adequate provisions for the immediate pathological examination of tissue
					 specimens by a pathologist.
D. The
					 hospital shall make provisions for the procurement, storage and transfusion of
					 blood and blood products.
E. The
					 administration of blood shall be monitored to detect any adverse reaction as
					 soon as it occurs. Prompt investigation of the cause of an adverse reaction
					 shall be instituted. The results of all tests performed in the evaluation of an
					 actual or suspected blood transfusion reaction shall be a permanent part of the
					 patient's medical record.
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 G - Nutritional and Therapeutic Dietetic Services › Section I-9377 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
					 shall be an organized dietary service that provides nutritional and therapeutic
					 dietetic services to patients. All hospital contracts or arrangements for
					 off-site food preparation shall be with a provider who is licensed by the
					 department's healthcare division or operating under the authority of the
					 federal government.
B. A hospital
					 may meet the requirements of §9377. A through a contractual agreement with
					 a provider who is licensed by the department's Health Standards Section or
					 through a contract with an outside food management company. If the hospital has
					 a contract with an outside food management company, the following requirements
					 shall be met.
1. The hospital shall provide
					 written notices to the departments Health Standards Section and to the
					 departments Office of Public Health within 10 calendar days of the effective
					 date of the contract.
2. The
					 outside food management company must possess a valid Department of Health,
					 Office of Public Health retail food permit and meet all of the requirements for
					 operating a retail food establishment that serves a highly susceptible
					 population, in accordance with the most current version of the provisions found
					 in Title 51,
Public Health- Sanitary Code
.
3. Either the hospital or the food management
					 company shall employ or contract with a registered dietician who serves the
					 hospital on a full-time, part-time, or consultant basis to ensure that the
					 nutritional needs of the patients are met in accordance with the licensed
					 practitioners orders and acceptable standards of practice.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter G - Nutritional and Therapeutic Dietetic Services › Section I-9379 - Organization and Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Nutritional and therapeutic dietetic services shall be under the supervision of
					 a registered dietitian, licensed to practice in Louisiana, who is employed
					 either full time, part time or on a consulting basis. If the registered
					 dietitian is not full time, there shall be a full time dietary
					 manager.
B. The dietary manager
					 shall:
1. be a qualified dietitian;
					 or
2. be a graduate of a dietetic
					 technician program, correspondence program or otherwise approved by the
					 American Dietetics Association; or
3. have successfully completed a course of
					 study, by correspondence or classroom, which meets the eligibility requirements
					 for certification by the Dietary Manager's Association; or
4. have successfully completed a training
					 course at a state approved school, vocational or university, which includes
					 course work in foods and food service, supervision and diet therapy.
					 Documentation of an eight-hour course of formalized instruction in diet therapy
					 conducted by the employing facility's qualified dietitian is permissible if the
					 course meets only the foods, food service and supervision requirements.
a. Exception. Hospitals with 25 or fewer beds
					 that do not have on site food preparation for patient meals and contract for
					 food services, another full-time employee, i.e., RN or LPN, will be allowed to
					 carry out the responsibilities of the dietary manager. The RN or LPN must be
					 qualified by training and experience and employed full time. The director of
					 nursing shall not hold this position.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter G - Nutritional and Therapeutic Dietetic Services › Section I-9381 - Menus and Therapeutic Diets

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Menus shall be prepared in advance, meet the nutritional needs of the patients
					 in accordance with the recommended dietary allowances of the Food and Nutrition
					 Board of the National Research Council, National Academy of Sciences, or as
					 modified in accordance with the orders of the practitioner(s) responsible for
					 the care of the patient, and followed as planned.
B. Therapeutic diets shall be prescribed by
					 the licensed practitioner(s) responsible for the care of the patient.
					 Therapeutic diets, and laboratory tests to monitor the effectiveness of the
					 dietary plan, may be prescribed by a licensed dietitian/nutritionist subject to
					 the approval of, and authorization by, the facility's medical staff or bylaws
					 and in accordance with state law. Each patient's nutritional intake shall be
					 documented in the patient's medical record. Nutritional intake includes both
					 enteral and parenteral nutrition.
C. There shall be a procedure for the
					 accurate transmittal of dietary orders to the dietary service and for informing
					 the dietary service when the patient does not receive the ordered diet, or is
					 unable to consume the prescribed diet.
D. There shall be a current therapeutic diet
					 manual, which shall be the guide used for ordering and serving diets and other
					 nutritional intake. The manual shall be approved by the dietitian and medical
					 staff and be readily available to all medical, nursing and food service
					 personnel.
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 G - Nutritional and Therapeutic Dietetic Services › Section I-9383 - Sanitary Conditions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Food
					 shall be in good condition, free from spoilage, filth, or other contamination
					 and shall be safe for human consumption. All food shall be procured from
					 sources that comply with all laws and regulations related to food and food
					 labeling. The use of food in hermetically sealed containers that was not
					 prepared in a food processing establishment is prohibited.
B. All food shall be transported, stored,
					 prepared, distributed and served under sanitary conditions to prevent food
					 borne illness. This includes keeping all readily perishable food and drink at
					 or below 41 degrees Fahrenheit, except when being prepared and served.
					 Refrigerator temperatures shall be maintained at 41 degrees Fahrenheit or
					 below, freezers at 0 degrees Fahrenheit or below.
1. For those hospitals that contract with a
					 food delivery service for nutritional and therapeutic dietary services, food
					 shall be transported only via vehicles designed, equipped, and maintained
					 solely for the purpose of the transportation and delivery of food by the food
					 management company.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter H - Medical Record Services › Section I-9389 - Content

Current through Register Vol. 50, No. 6, June 20, 2024
A. The medical
					 record shall contain the following minimum data:
1. unique patient identification
					 data;
2. admission and discharge
					 dates;
3. complete history and
					 physical examination, in accordance with medical staff policies and
					 procedures;
4. provisional
					 admitting diagnosis and final diagnosis;
5. medical staff orders;
6. progress notes;
7. nursing documentation and care
					 plans;
8. record of all medical
					 care or treatments; and
9.
					 discharge summary.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter H - Medical Record Services › Section I-9391 - Registers and Reports

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall have the following registers and reports, where applicable, which may be
					 computer generated:
1. patients'
					 register;
2. emergency room
					 register;
3. birth
					 register;
4. delivery room
					 register;
5. operating room
					 register;
6. death
					 register;
7. analysis of hospital
					 service via the quality assessment and improvement program, based on patient
					 statistics; and
8. daily census
					 report of admissions, births, discharges and deaths.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter H - Medical Record Services › Section I-9393 - Confidentiality

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall ensure the confidentiality of patient records, including information in a
					 computerized medical record system, in accordance with the HIPAA Privacy
					 Regulations (Title 45, Part 164, Subpart E of the Code of Federal Regulations)
					 and any Louisiana state laws and regulations which provide a more stringent
					 standard of confidentiality than the HIPAA Privacy Regulations. Information
					 from or copies of records may be released only to authorized individuals, and
					 the hospital must ensure that unauthorized individuals cannot gain access to or
					 alter patient records. Original medical records shall not be released outside
					 the hospital unless under court order or subpoena or in order to safeguard the
					 record in the event of a physical plant emergency or natural disaster.
					 Psychiatric medical records shall be segregated to ensure
					 confidentiality.
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 H - Medical Record Services › Section I-9395 - Retention

Current through Register Vol. 50, No. 6, June 20, 2024
A. Hospital records
					 shall be retained by the hospital in their original, microfilmed or similarly
					 reproduced form for a minimum period of 10 years from the date a patient is
					 discharged.
B. Graphic matter,
					 images, x-ray films, nuclear medicine reports and like matter that were
					 necessary to produce a diagnostic or therapeutic report shall be retained,
					 preserved and properly stored by the hospital in their original, microfilmed or
					 similarly reproduced form for a minimum period of three years from the date a
					 patient is discharged. (Note: Medicare and/or Medicaid participating hospitals
					 must maintain copies of reports and printouts, films, scans and other image
					 records for at least five years). Such graphic matter, images, x-ray film and
					 like matter shall be retained for longer periods when requested in writing by
					 any one of the following:
1. an attending or
					 consulting physician of the patient;
2. the patient or someone acting legally in
					 his/her behalf;
3. legal counsel
					 for a party having an interest affected by the patient's medical
					 records.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter I - Quality Assessment and Improvement › Section I-9399 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 governing body shall ensure that there is an effective, written, ongoing,
					 hospital-wide program designed to assess and improve the quality of patient
					 care.
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 I - Quality Assessment and Improvement › Section I-9401 - Clinical Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. There is a
					 written plan for assessing and improving quality that describes the objectives,
					 organization, scope and mechanisms for overseeing the effectiveness of
					 monitoring, evaluation, and improvement activities. All organized services
					 related to patient care, including services furnished by a contractor, shall be
					 evaluated. Nosocomial infections and medication therapy shall be evaluated. All
					 medical and surgical services and other invasive procedures performed in the
					 hospital shall be evaluated as they relate to appropriateness of diagnosis and
					 treatment. The services provided by each practitioner with hospital privileges
					 shall be periodically evaluated to determine whether they are of an acceptable
					 level of quality and appropriateness.
B. Each department or service of the hospital
					 shall address:
1. patient care
					 problems;
2. cause of
					 problems;
3. documented corrective
					 actions; and
4. monitoring or
					 follow-up to determine effectiveness of corrective actions taken.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 93 - Hospitals › Subchapter I - Quality Assessment and Improvement › Section I-9403 - Implementation

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each department
					 or service of the hospital, through its governing body, shall take and document
					 appropriate remedial action to address deficiencies found through the quality
					 assessment and improvement program. The hospital shall document the outcome of
					 all remedial actions.
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 I - Quality Assessment and Improvement › Section I-9405 - Patient Care Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The hospital
					 shall have an on-going plan, consistent with available community and hospital
					 resources, to provide or make available social work, psychological and
					 educational services to meet the medically related needs of its
					 patients.
B.
1. If a patient has designated an
					 uncompensated caregiver for aftercare, a hospital shall make a good faith
					 attempt to notify the patient's designated caregiver of the patient's discharge
					 to the patient's residence as soon as possible prior to the patient's
					 discharge. If the hospital is unable to contact the designated caregiver, the
					 lack of contact may not interfere with, delay or otherwise affect the medical
					 care provided to the patient, or an appropriate discharge of the patient.
a. For purposes of §9405. B 1-3, a
					 residence does not include any rehabilitation facility, hospital, nursing home,
					 assisted living facility or group home.
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-9409 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 hospital shall be constructed, arranged and maintained to ensure the safety and
					 well being of the patient.
B.
					 Hospitals with specialty units such as psychiatric or rehabilitative units must
					 also comply with the physical environment requirements as expressed within
					 those particular chapters.
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 J - Physical Environment › Section I-9411 - Buildings

Current through Register Vol. 50, No. 6, June 20, 2024
A. The buildings
					 shall reflect good housekeeping and shall by means of an effective pest control
					 program, be free of insects and rodents.
B. The hospital shall maintain hospital-wide
					 ventilation, lighting and temperature controls.
C. There shall be a provision of emergency
					 sources of critical utilities such as electricity, natural gas, water and fuel
					 during any period in which the normal supply is temporarily
					 disrupted.
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 J - Physical Environment › Section I-9413 - Nursing Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nurses'
					 station equipped with a telephone and a nurse call system shall be provided in
					 a suitable location on each nursing unit.
B. An adequate and properly equipped utility
					 space or area shall be provided on each nursing unit for the preparation,
					 cleaning and storage of nursing supplies and equipment used on the nursing
					 unit. This utility space shall be so arranged as to provide for separation of
					 clean and soiled supplies and equipment.
1.
					 Grab bars properly located and securely mounted shall be provided at patient
					 bathing facilities and toilet bowl with accessories.
2. A lavatory basin shall be provided in or
					 convenient to every toilet bowl with accessories.
3. Paper towels in a satisfactory dispenser
					 or some other acceptable type of single use towel and a satisfactory receptacle
					 for used towels shall be provided at all lavatories.
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-9415 - Patient Rooms

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except as
					 provided for in intensive care units, all patient rooms shall be outside rooms
					 with a window area of clear glass of not less than 12 square feet.
B. In hospitals constructed prior to November
					 20, 1990 single rooms shall contain at least 80 square feet and multi-bed rooms
					 shall contain at least 70 square feet per bed. In hospitals constructed
					 subsequent to November 20, 1990 single rooms must contain at least 100 square
					 feet and multi-bed rooms shall contain at least 80 square feet per bed,
					 exclusive of fixed cabinets, fixtures, and equipment, in accordance with
Guidelines for Construction and Equipment of Hospital and Medical
					 Facilities
, 1987 Edition. In hospitals constructed subsequent to March
					 1, 1995, single rooms must contain at least 120 square feet and multi-bed rooms
					 shall contain at least 100 square feet per bed, exclusive of fixed cabinets,
					 fixtures, and equipment, in accordance with
Guidelines for Construction
					 and Equipment of Hospitals and Medical Facilities
,
Current
					 Edition.
Any patient room shall not contain more than four beds. Rooms
					 shall have at least a 7 1/2 foot ceiling height over the required
					 area.
C. There shall be at least 3
					 feet between beds.
D. Rooms shall
					 be arranged so as to permit the movement of a wheeled stretcher to the side of
					 each bed.
E. There shall be
					 sufficient and satisfactory separate storage space for clothing, toilet
					 articles and other personal belongings of patients.
F. Every patient room shall have a lavatory.
					 This lavatory is not necessary in rooms with an adjoining toilet or bathroom
					 that has a lavatory. In new construction, lavatory requirements will be
					 directed by
Guidelines for Construction and Equipment of Hospitals and
					 Medical Facilities Current Edition.
G. There shall be at least one toilet bowl
					 with accessories, lavatory basin and bathing facility reserved for patient use
					 on each patient floor and additional toilets, lavatories, and bathing
					 facilities to adequately meet the needs of employees, professional personnel
					 and patients on each nursing 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 J - Physical Environment › Section I-9417 - Patient Room Furnishings

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 hospital type bed with suitable mattress, pillow and necessary coverings shall
					 be provided for each patient. There shall be a bedside stand, chair, and
					 wardrobe, locker, or closet suitable for hanging full-length garments and
					 storing personal effects for each patient.
B. A nurses call system, within easy reach of
					 each bed, shall be provided. The call system shall also be provided in each
					 patient toilet and bathing area.
C.
					 Each bed in multi-bed rooms shall have approved ceiling suspended curtains,
					 which extend around the bed to provide total visual privacy in combination with
					 adjacent walls and curtains. A properly designed lamp or over-bed light, which
					 can be operated by the patient, shall be provided at each bed.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						40:2100-2115.