Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-17 - Admission; transfer; discharge - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each ASF shall
			 only admit patients who do not require planned inpatient care and who shall be
			 kept in the ASF for less than twenty-four hours. The twenty-four hour period
			 begins at the start of the operation or procedure, or the induction of
			 anesthesia, whichever is first. The twenty-four hour period may include an
			 overnight stay if such stay meets all of the conditions set forth in this rule
			 and does not extend the length of time a patient remains in the ASF.
(B) Prior to operation or procedure, each
			 patient shall have a comprehensive medical history and physical exam performed
			 or updated, along with associated pre-procedure studies, unless the medical staff has determined that patients
			 undergoing specific outpatient procedures do not require a full medical history
			 and physical examination. In these instances, a medical assessment will be
			 completed and documented by a physician. The different components of the
			 history and physical may be performed by different health care professionals,
			 consistent with the type of information required and the professionals' scope
			 of practice, as defined by applicable law. This history and physical exam shall
			 document the pre-operative diagnosis and the procedure to be performed and
			 shall become part of the patient's medical record prior to surgery.
(C) Documentation, as contained in paragraphs
			 (A)(3), (C)(1), and (C)(7) to (C)(9) of rule
			 3701-83-21
			 of the Administrative Code shall be in a patient's medical record prior to
			 surgery.
(D) Immediately before
			 surgery, the attending physician, podiatrist, or dentist shall examine the
			 patient to evaluate the risks of the procedure to be performed. Each patient
			 shall also be examined by an anesthesiologist, physician, podiatrist,
			 anesthesia qualified dentist, or CRNA, as appropriate, to evaluate the risks of
			 anesthetics and for proper anesthesia recovery before discharge from post
			 anesthesia care.
(E) The attending
			 or other designated physician, podiatrist, or anesthesia qualified dentist
			 shall discharge a patient meeting discharge criteria from the ASF within
			 twenty-four hours of the start of the operation or procedure, or induction of
			 anesthesia, whichever is first, or transfer the patient to a setting
			 appropriate for the patient's needs.
(F) Patients transported to a hospital shall
			 be accompanied by their medical records that are of sufficient content to
			 ensure continuity of care.
(G)
			 Prior to discharge, the ASF shall provide each patient with both verbal and
			 written instructions for post-treatment care and procedures for obtaining
			 emergency care.
(H) The physician,
			 podiatrist, dentist, or a nurse shall ensure that the patient or patient's
			 representative acknowledge, in writing, receipt of the physician's,
			 podiatrist's, or dentist's written discharge instructions.
(I) Each ASF shall discharge a patient only
			 if accompanied by a responsible person, unless the attending or discharging
			 physician, podiatrist, or anesthesia qualified dentist determines that the
			 patient does not need to be accompanied and documents the circumstances of
			 discharge in the patient's medical record.