reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.18

Current through June 25, 2024
FED General Examination Rooms shall include:
1. Examination tables or stretchers
					 appropriate to the area.
2. For
					 any area in which seriously ill patients are managed, a stretcher with
					 capability for changes in position, attached IV poles, and a holder for
					 portable oxygen tank should be used.
3. Pelvic tables for GYN examinations.
4. Step stool
5. Chair/stool for emergency staff
6. Seating for family members or visitors
7. Adequate lighting, including
					 procedure lights as indicated
8.
					 Cabinets
9. Adequate sinks for
					 hand-washing, including dispensers for germicidal soap and paper towels.
10. Wall mounted oxygen supplies
					 and equipment, including nasal cannulas, face masks, and venturi masks.
11. Wall mounted suction
					 capability, including both tracheal cannulas and larger cannulas.
12. Wall-mounted or portable
					 otoscope/ophthalmoscope
13.
					 Sphygmomanometer/stethoscope
14.
					 Oral and nasal airways
15.
					 Biohazard-disposal receptacles, including for sharps
16. Garbage receptacles for non-contaminated
					 materials
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.19 - FED Resuscitation Room

Current through June 25, 2024
All items listed for general examination rooms
						plus:
1. Adult and Pediatric "code
					 cart" to include appropriate medication charts
2. Capability for direct communication with
					 nursing station, preferably hands free
3. Radiography equipment
4. Radiographic view boxes and hot
					 light
5. Airways needs
A. Big-valve-mask respirator (adult,
					 pediatric, and infant) Cricothyroidotomy instruments and supplies
B. Endotracheal tubes, size 2.5 to 8.5
					 mm
C. Fiberoptic
					 laryngoscope
D. Laryngoscopes,
					 straight and curved blades and stylets
E. Laryngoscope mirror and supplies
F. Laryngeal Mask Airway (LMA)
G. Oral and nasal airways
H. Tracheostomy instrument and
					 supplies
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.20

Current through June 25, 2024
Trauma and miscellaneous resuscitation shall
						include:
1. Blood
					 salvage/autotransfusion device
2.
					 Emergency obstetric instruments and supplies
3. Hypothermia thermometer
4. Infant warming equipment
5. Peritoneal lavage instruments and supplies
6. Pneumatic antishock garment, as
					 indicated
7. Spine stabilization
					 equipment to include cervical collars, short and long boards
8. Warming/cooling blanket
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.21 - Other Special Rooms

Current through June 25, 2024
All items listed for general examination rooms
						plus:
1. Orthopedic
A. Cast cutter
B. Cast and splint application supplies and
					 equipment Cast spreader
C.
					 Crutches
D. Extremity-splinting
					 devices including traction splinting and fixation pins/wires and corresponding
					 instruments and supplies
E. Halo
					 traction or Gardner-Wells/Trippe-Wells traction Radiograph view and hot
					 light
F. Suture instrument and
					 supplies
G. Traction equipment,
					 including hanging weights and finger traps
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.22 - Required Pharmacological/Therapeutic drugs for FED

Current through June 25, 2024
These classes of drugs and agents are required. The
						medical director of the FED, representatives of the medical staff, and the
						director of the pharmacy shall develop a formulary of specific agents for use
						in the FED.
1. Analgesics
A. narcotic and non-narcotic
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.23 - Radiologic, Imaging, and Other Diagnostic Services

Current through June 25, 2024
The specific services available and the timeliness of
						availability of these services for emergency patients in FED should be
						determined by the medical director of the FED in collaboration with the
						directors of the diagnostic services and other appropriate individuals.
1. The following should be readily available
					 24 hours a day for emergency patients:
a.
					 Standard radiologic studies of bony and soft-tissue structures including, but
					 not limited to:
i. Cross-table lateral views
					 of spine with full series to follow
ii. Portable chest radiographs for acutely
					 ill patients and for verification of placement of endotracheal tube, central
					 line, or chest tube
iii.
					 Soft-tissue views of the neck
iv.
					 Soft-tissue views of subcutaneous tissues to rule out the presence of foreign
					 body
v. Standard chest
					 radiographs, abdominal series, etc
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.24 - Required Laboratory Capabilities

Current through June 25, 2024
The medical director of the FED and the director of
						laboratory services shall develop guidelines for availability and timeliness of
						services for the FED. The following laboratory capabilities are required for
						the FED. This list may not be comprehensive or complete.
1. Blood bank
a. Bank products availability
b. Type and cross-matching capabilities
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.25 - Transfer of Unstable Patients from FED to Acute Care Hospital

Current through June 25, 2024
Once the patient is determined to require a higher level
						of care than can be provided at the FED, the physician shall immediately
						contact the designated EMS for transport. If the EMS is based on site, the
						transport team will be notified immediately. The physician will stabilize the
						emergency medical condition and determine the transfer destination based on the
						specialized capabilities of facilities that are offered at local hospitals. The
						FED facility will implement all procedures and protocols for acutely ill
						patients before departure from the FED. Such conditions would include, but not
						be limited to, STEMI, acute ischemic stroke, and cardiac arrests. All
						electronic medical records and any diagnostic test results will be transported
						with the patient to the receiving facility. Should a patient meeting trauma
						system activation requirements arrive at the FED, the FED will transfer the
						patient in accordance with the federal EMTALA regulations and the MS State
						Board of Health approved System of Care Plans.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.26 - Medical records/organization

Current through June 25, 2024
The FED shall have a medical record department with
						administrative responsibility for medical records. A medical record shall be
						maintained, in accordance with accepted professional principles, for each
						patient receiving care in the FED.
Miss. Code Ann.
						41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.27 - Confidentiality

Current through June 25, 2024
Medical records shall be kept confidential and only
						authorized personnel shall have access to the records.
Miss. Code Ann.
						41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.28 - Consent

Current through June 25, 2024
Written consent of the patient or the patient's legal
						representative shall be presented as authority for release of medical
						information and this release shall become part of the medical record.
Miss. Code Ann.
						41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.29 - Access to records

Current through June 25, 2024
Medical records shall not be removed from the FED
						environment except upon subpoena or patient's written consent.
Miss. Code Ann.
						41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 83 - FREESTANDING EMERGENCY DEPARTMENTS › Rule 15-16-1-41.83.30 - Preservation

Current through June 25, 2024
Medical records shall be preserved, either in the
						original or by reproduction, for a period of time not less than that set forth
						in Title 41, Chapter 9 of the Mississippi Code of 1972.
Miss. Code Ann.
						41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.1 - Adoption of Regulations and Minimum Standards

Current through June 25, 2024
By virtue of authority vested in it by the Mississippi
						Code Annotated Sections
						41-75-1 through 41-75- 13, or as
						otherwise amended, the Mississippi Department of Health does hereby adopt and
						promulgate the following regulations and standards for Pilot Freestanding
						Emergency Rooms (PFER).
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.2 - Compliance with Rules, Regulations and Standards

Current through June 25, 2024
The PFER shall report to the licensing agency all
						required data as specified by the licensing agency at a frequency required by
						the licensing agency. Must include but not limited to trauma, hospital
						discharge data, etc.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.3 - Definitions

Current through June 25, 2024
The definitions specific to the PFER
						are:
1.
Licensing
					 Agency.
"Licensing agency" means the Mississippi State Department of
					 Health.
2.
Pilot Freestanding
					 Emergency Room (PFER).
"Pilot freestanding emergency room" is a facility
					 open twenty-four (24) hours a day for the treatment of urgent and emergent
					 medical conditions that is not located on a hospital campus. In order to be
					 eligible for licensure under this chapter, the pilot freestanding emergency
					 room shall be located at least fifteen (15) miles from the nearest
					 hospital-based emergency room in a county without emergency hospital care that
					 is open twenty-four (24) hours a day. A PFER shall not retain any patient
					 beyond 23 hours and 59 minutes under normal operations and shall not hold
					 itself out as an emergency hospital.
Miss.
						Code Ann. §
												41-75-1
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.4 - License

Current through June 25, 2024
No person or governmental unit shall establish, conduct,
						or maintain a Pilot Freestanding Emergency Room in this state without a
						license. The licensing agency shall not issue licenses for more than five (5)
						pilot freestanding emergency rooms. Licensing fees will be set by the
						board.
Provisional License.
Within its discretion,
						the Mississippi State Department of Health may issue a provisional license when
						a temporary condition of non-compliance with these regulations exists in one or
						more particulars. A provisional license shall be issued only if the Department
						of Health is satisfied that preparations are being made to qualify for a
						regular license and that the health and safety of patients will not be
						endangered. One condition on which a provisional license may be issued is as
						follows: A new pilot freestanding emergency room may be issued a provisional
						license prior to opening and subsequent to meeting the required minimum
						staffing personnel. The license issued under this condition shall be valid
						until the issuance of a regular license but shall not exceed five months
						following date of issuance whichever may be sooner.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.5 - Application for License

Current through June 25, 2024
An application for a license shall be made to the
						licensing agency by a licensed Mississippi hospital upon forms provided by the
						licensing agency and shall contain such information as the licensing agency
						reasonably requires.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.6 - Licensure and User Fees

Current through June 25, 2024
Such fees shall be paid to the licensing agency by
						electronic payment, business check, certified check or money order. A license
						shall not be issued to any PFER until such fee is received by the licensing
						agency.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.7 - User Fee

Current through June 25, 2024
A "user fee" shall be assessed by the licensing agency
						for the purpose of the required reviewing and inspections of the proposal of
						any PFER in which there are additions, renovations, modernizations, expansion,
						alterations, conversions, modifications or replacement of the entire facility
						involved in the proposal. This fee includes the reviewing of architectural
						plans in all required steps.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.8 - Renewal of License

Current through June 25, 2024
A license, unless suspended or revoked, shall be
						renewable annually by submitting an application, paying an annual fee and
						submitting such reports as required by the licensing agency, including annual
						information reports.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.9 - Issuance of License

Current through June 25, 2024
Each license shall be issued only for the premises and
						persons or governmental units names in the application and shall not be
						transferable or assignable except with the written approval of the licensing
						agency.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.10 - Denial or Revocation of a License

Current through June 25, 2024
The licensing agency, after notice and opportunity for
						hearing to the applicant or licensee, is authorized to deny, suspend, or revoke
						a license in any case in which it finds that there has been a substantial
						failure to comply with the requirements established in these regulations and
						standards.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.11 - Ownership

Current through June 25, 2024
There shall be full disclosure of PFER ownership and
						control.
Annually, in its application for renewal of an PFER
						License, the facility shall report the name and address of the owner and the
						name and address of the individual(s) responsible for operation of the PFER.
						All PFERs must be affiliated with a MS licensed hospital.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.12 - Change of Ownership

Current through June 25, 2024
When change of ownership of a PFER is contemplated, the
						PFER shall notify the licensing agency, in writing, at least 30 days prior to
						the proposed date of change of ownership, giving the name and address of the
						proposed new owner and all other documents as required by the licensing
						agency.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.13 - Governing Authority

Current through June 25, 2024
The PFER shall have an organized governing body, or
						designated person(s):
1. That has
					 overall responsibility for the conduct of the PFER in a manner consistent with
					 the objective of making available high quality patient care.
2. That shall be the authority in the PFER,
					 responsible for the management of the PFER and appointment of the medical
					 staff.
3. That shall adopt bylaws
					 in accordance with legal requirements and with its community responsibility,
					 identifying the purposes of the PFER and the means of fulfilling
					 them,
4. That shall take all
					 reasonable steps to comply with all applicable federal, state, and local laws
					 and regulations.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.15 - Criminal History Record Checks

Current through June 25, 2024
1.
Employee
. For the purpose of fingerprinting and criminal
					 background history checks, employee shall mean any individual employed by a
					 covered entity. The term employee", also includes any individual who by
					 contract with the covered entity provides direct patient care in a patient's,
					 resident's, or client's room or in treatment rooms.
The term employee does not include healthcare
						professional/technical students, as defined in Section
						37-29-232, performing clinical
						training in a licensed entity under contracts between their schools and the
						licensed entity, and does not include students at high schools who observe the
						treatment and care of patients in a licensed entity as part of the requirements
						of an allied health course taught in the school if:
A. The student is under the supervision of a
					 licensed healthcare provider; and
B. The student has signed the affidavit that
					 is on file at the student's school stating that he or she has not been
					 convicted of or plead guilty or nolo contendere to a felony of possession or
					 sale of drugs, murder, manslaughter, armed robbery, rape, sexual battery, any
					 sex offenses listed in section
					 45-33-23(g),
					 child abuse, arson, grand larceny, burglary, gratification of lust, aggravated
					 assault, or felonious abuse and/or battery of a vulnerable adult, or that any
					 such conviction or plea was reversed on appeal or a pardon was granted for the
					 conviction or plea.
C. Further,
					 applicants and employees of the University of Mississippi Medical Center for
					 whom criminal history record checks and fingerprinting are obtained in
					 accordance with Section
					 37-115-41 are exempt from
					 application of the term employee under Section
					 43-11-13.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.16 - Criminal History Record Checks

Current through June 25, 2024
1. Pursuant to
					 Section 43-11-13, Mississippi Code of
					 1972, the covered entity shall require to be performed a disciplinary check
					 with the professional licensing agency, if any, for each employee to determine
					 if any disciplinary action has been taken against the employee by the agency,
					 and a criminal history record check on:
A.
					 Every new employee of a covered entity who provides direct patient care or
					 services; and
B. Any individual
					 seeking new employment with a covered entity whose initial criminal history
					 record check is over two years old.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.17 - Required Policies

Current through June 25, 2024
The PFER Emergency Department Policy Sections shall
						include:
1. Resources and Planning
A. Necessary Elements
B. Administration
C. Staffing
D. Facility
E. Equipment and Supplies
F. Pharmacologic/Therapeutic Drugs and
					 Agents
G. Safety
H. Ancillary Services
I. Transfer policies and procedures for
					 critical patients
J. Electronic
					 Medical Record
K. Relationships and
					 Responsibilities
L. The policies
					 and procedures governing medical care provided in the emergency service or
					 department shall be established by and shall be a continuing responsibility of
					 the medical staff. The PFER shall have written policies and procedures
					 governing the receipt of patients from emergency medical services and the
					 transfer of patients to a receiving facility. The policies must comply with
					 Mississippi Emergency Medical Services Rules and Regulations.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.18 - Design and Construction Elements: Physical Plant

Current through June 25, 2024
1.
General
. Every institution
					 subject to these Minimum Standards shall be housed in a safe building which
					 contains all the facilities required to render the services contemplated in the
					 application for license.
2.
Codes
. The term "safe" shall be interpreted in the light of
					 compliance with the requirements of the codes recognized by this agency on date
					 of construction which are incorporated by reference as a part of these Minimum
					 Standards; included are the Life Safety Code of the National Fire Protection
					 Association, American National Standards Institute, Standards Number A-17.1,
					 and A-17.3, Safety Code for Elevators and Escalators, the American Institute of
					 Architects (AIA), Guidelines for Design and Construction of Hospital and Health
					 Care Facilities, and references incorporated as body of all afore mentioned
					 standards.
A. Life Safety Code compliance
					 relative to construction date:
i. Buildings
					 constructed after February 14, 2005, shall comply with the edition of the Life
					 Safety Code (NFPA 101) recognized by this agency on the date of
					 construction.
ii. Building
					 constructed prior to February 14, 2005, shall comply with existing chapter of
					 the Life Safety Code recognized by this agency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.19 - Submission of Plans and Specifications

Current through June 25, 2024
1. Construction
					 shall not be started for any institution subject to these standards (whether
					 new or remodeling or additions to an existing licensed hospital) until the
					 plans and specifications for such construction or remodeling have been
					 submitted to the Licensing Agency in writing and its approval of the changes
					 given in writing.
A.
Exception
:
					 Foundation changes made necessary by unanticipated conditions, or any
					 conditions which present a hazard to life or property if not immediately
					 corrected.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.20 - Fire Reporting and Protection

Current through June 25, 2024
1. Duty to report
					 all fires, explosions, natural disasters, avoidable deaths or avoidable serious
					 or life-threatening injuries to patients shall be reported by telephone to the
					 department by the next working day after the occurrence. The licensing agency
					 will provide the appropriate forms to the facility which shall be completed and
					 returned within fifteen (15) calendar days of the occurrence. All reports shall
					 be complete, thorough, and shall record at a minimum the casual factors, date,
					 time of occurrence, and exact location of occurrence whether inside or outside
					 of the facility. Attached thereto shall be all police, fire, and/or other
					 official reports. There must be a telephone in the building to summon help in
					 case of fire.
2. All new
					 construction or renovation with the licensing agency's approval date on or
					 after February 14, 2005, shall be protected throughout by a sprinkler
					 system.
3.
Heating and
					 Ventilating
. Suitable artificial heat shall be furnished to maintain 75
					 degrees F inside temperature with 10 degrees F outside temperature. Circulating
					 hot water from a remote boiler or vapor steam with circulating pumps and
					 controls on emergency electrical service to provide heating in case of power
					 failures are the preferred methods of heating. Electrical heating will be
					 approved provided a standby electrical generator is provided of capacity to
					 furnish 80% of the maximum heating load in addition to other power and lighting
					 loads that maybe connected to it, or the hospital is supplied by two electric
					 service lines connected to separate transformers at the sub-station so arranged
					 that electric service can be maintained in case of failure of one line or
					 transformer.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.21 - Plumbing

Current through June 25, 2024
All institutions subject to these standards shall be
						connected to an approved municipal water system or to a private supply whose
						purity has been certified by the laboratory of the Department of Health.
						Private supplies must be sampled, tested, and its purity certified at least
						twice annually and immediately following any repair or modification to the
						underground lines, the elevated tank, or to the well or pump. Supply must be
						adequate, both as to volume and pressure for firefighting purposes.
						Deficiencies in either must be remedied by the provision of auxiliary pumps,
						pressure tanks or elevated tanks as may be required.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.22 - Emergency Electric Service

Current through June 25, 2024
1.
General
. To provide electricity during an interruption of the
					 normal electric supply that could affect the medical care, treatment, or safety
					 of the occupants, an emergency source of electricity shall be provided and
					 connected to certain circuits for lighting and power.
2.
Source
. The source of this
					 emergency electric service shall be an emergency generator, with a stand-by
					 supply of fuel for 24 hours.
Miss.
						Code Ann. §
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.23 - PFER Equipment, Instruments, and Supplies

Current through June 25, 2024
1. The
					 equipment, instruments, and supplies listed below are required in the PFER and
					 each of the items should be located in or immediately available to the area
					 noted. This list does not include routine medical/surgical supplies such as
					 adhesive bandages, gauze pads, and suture material, nor does it include routine
					 office items such as paper, desks, paper clips, and chairs.
2.
Electric Nurse Call.
There
					 shall be installed a low voltage nurse call system for every bed and such other
					 areas as deemed necessary, with annunciator at nurses' station and nurses work
					 area.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.24 - Entire PFER shall include

Current through June 25, 2024
1. Central station
					 monitoring capability
2.
					 Physiological monitors
3. Blood
					 flow detectors
4. Defibrillator
					 with monitor and battery
5.
					 Thermometers
6. Pulse
					 oximetry
7. Nurse-call system for
					 patient use
8. Portable suction
					 regulator
9. Infusion pumps to
					 include blood pumps
10. IV
					 poles
11. Bag-valve-mask
					 respiratory and adult and pediatric size mask
12. Portable oxygen tanks
13. Blood/fluid warmer and tubing
14. Nasogastric suction supplies
15. Nebulizer
16. Gastric lavage supplies, including
					 large-lumen tubes and bite blocks
17. Urinary catheters, including straight
					 catheters, Foley catheters, Coude catheters, filiforms and followers, and
					 appropriate collection equipment
18. Intraosseous needles
19. Lumbar puncture sets (adult and
					 pediatric)
20. Blanket
					 warmer
21. Tonometer
22. Slit lamp
23. Wheelchairs
24. Medication dispensing system with locking
					 capabilities
25. Separately wrapped
					 instruments (specifics will vary by department)
26. Availability of light microscopy for
					 emergency procedures
27. Weight
					 scales (adult and infant)
28. Tape
					 measure
29. Ear irrigation and
					 cerumen removal equipment
30.
					 Vascular Doppler
31.
					 Anoscope
32. Adult and Pediatric
					 "code" cart
33. Suture or minor
					 surgical procedure sets (generic)
34. Portable sonogram equipment
35. EKG machine
36. Point of care testing
37. X-ray view box and hot light
38. Film boxes for holding x-rays
39. Chart Rack
40. Computer system
41. Internet capabilities
42. Patient tracking system
43. Radio or other device for communication
					 with ambulances
44. Patient
					 discharge instruction system
45.
					 Patient registration system/ Information services
46. Intradepartmental staff communication
					 system- pagers, mobile phones
47.
					 charting system for physician, nursing, and attending physician documentation
					 equipment
48. Reference materials
					 including toxicology resource information
49. Personal protective equipment- gloves,
					 eye goggles, face mask, gowns, head, and foot covers
50. Linen (pillows, towels, wash cloths,
					 gowns, blankets)
51. Patient
					 belongings or clothing bag
52.
					 Security needs -including restraints and wand-type or free-standing
					 metal
53. detectors as
					 indicated
54. Equipment for
					 adequate housekeeping
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.25 - PFER General Examination Rooms shall include

Current through June 25, 2024
1. Examination tables or stretchers
					 appropriate to the area.
2. For any
					 area in which seriously ill patients are managed, a stretcher with capability
					 for changes in position, attached IV poles, and a holder for portable oxygen
					 tank should be used.
3. Pelvic
					 tables for GYN examinations.
4.
					 Step stool
5. Chair/stool for
					 emergency staff
6. Seating for
					 family members or visitors
7.
					 Adequate lighting, including procedure lights as indicated
8. Cabinets
9. Adequate sinks for handwashing, including
					 dispensers for germicidal soap and paper towels.
10. Wall mounted oxygen supplies and
					 equipment, including nasal cannulas, face masks, and venturi masks.
11. Wall mounted suction capability,
					 including both tracheal cannulas and larger cannulas.
12. Wall-mounted or portable
					 otoscope/ophthalmoscope
13.
					 Sphygmomanometer/stethoscope
14.
					 Oral and nasal airways
15.
					 Biohazard-disposal receptacles, including for sharps
16. Garbage receptacles for non-contaminated
					 materials
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.26 - PFER Resuscitation Room

Current through June 25, 2024
All items listed for general examination rooms
						plus:
1. Adult and Pediatric "code
					 cart" to include appropriate medication charts
2. Capability for direct communication with
					 nursing station, preferably hands free
3. Radiography equipment
4. Radiographic view boxes and hot
					 light
5. Airways needs
A. Big-valve-mask respirator (adult,
					 pediatric, and infant) Cricothyroidotomyinstruments and supplies
B. Endotracheal tubes, size 2.5 to 8.5
					 mm
C. Fiberoptic
					 laryngoscope
D. Laryngoscopes,
					 straight and curved blades and stylets
E. Laryngoscope mirror and supplies
F. Laryngeal Mask Airway (LMA)
G. Oral and nasal airways
H. Tracheostomy instrument and
					 supplies
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.27 - Trauma and miscellaneous resuscitation shall include

Current through June 25, 2024
1. Blood salvage/autotransfusion
					 device
2. Emergency obstetric
					 instruments and supplies
3.
					 Hypothermia thermometer
4. Infant
					 warming equipment
5. Peritoneal
					 lavage instruments and supplies
6.
					 Pneumatic antishock garment, as indicated
7. Spine stabilization equipment to include
					 cervical collars, short and long boards
8. Warming/cooling blanket
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.28 - Other Special Rooms

Current through June 25, 2024
All items listed for general examination rooms
						plus:
1. Orthopedic
A. Cast cutter
B. Cast and splint application supplies and
					 equipment Cast spreader
C.
					 Crutches
D. Extremity-splinting
					 devices including traction splinting and fixationpins/wires and corresponding
					 instruments and supplies
E. Halo
					 traction or Gardner-Wells/Trippe-Wells traction Radiograph view and hot
					 light
F. Suture instrument and
					 supplies
G. Traction equipment,
					 including hanging weights and finger traps
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.29 - Required Pharmacological/Therapeutic drugs for PFER

Current through June 25, 2024
These classes of drugs and agents are required. The
						medical director of the PFER, representatives of the medical staff, and the
						director of the pharmacy shall develop a formulary of specific agents for use
						in the PFER.
1. Analgesics
A. narcotic and non-narcotic
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.30 - Radiologic, Imaging, and Other Diagnostic Services

Current through June 25, 2024
The specific services available and the timeliness of
						availability of these services for emergency patients in PFER should be
						determined by the medical director of the PFER in collaboration with the
						directors of the diagnostic services and other appropriate individuals.
1. The following should be readily available
					 24 hours a day for emergency patients:
A.
					 Standard radiologic studies of bony and soft-tissue structures including, but
					 not limited to:
i. Cross-table lateral views
					 of spine with full series to follow
ii. Portable chest radiographs for acutely
					 ill patients and for verification of placement of endotracheal tube, central
					 line, or chest tube
iii.
					 Soft-tissue views of the neck
iv.
					 Soft-tissue views of subcutaneous tissues to rule out the presence of foreign
					 body
v. Standard chest radiographs,
					 abdominal series, etc.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.31 - Required Laboratory Capabilities

Current through June 25, 2024
The medical director of the PFER and the director of
						laboratory services shall develop guidelines for availability and timeliness of
						services for the PFER. The following laboratory capabilities are required for
						the PFER. This list may not be comprehensive or complete.
1. Blood bank
A. Bank products availability
B. Type and cross-matching
					 capabilities
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.32 - Infection Control

Current through June 25, 2024
The PFER shall provide a sanitary environment to avoid
						sources and transmission of infections and communicable diseases. There shall
						be an active program for the prevention, control, and investigation of
						infections and communicable diseases.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.33 - Medical Waste Management Plan

Current through June 25, 2024
All generators of infectious medical waste and medical
						waste shall have a medical waste management plan in accordance with Adopted
						Standards for the Regulation for Medical Waste.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.34 - Food and Dietetic Services

Current through June 25, 2024
The PFER shall have appropriate food and beverages
						available for the patients. The PFER shall be responsible for meeting the
						nutritional needs of patients.
Miss.
						Code Ann. §
												41-75-13