reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-36 - Emergency Medical Services Personnel › Chapter 33-36-03 - Scope of Practice for Unlicensed Emergency Medical Services Personnel › Section 33-36-03-02 - Scopes of practice

Current through Supplement No. 393, July, 2024
Each level of emergency medical services provider has a
				  scope of practice that includes the scopes of practice of all subordinate
				  emergency medical services providers. The hierarchy of emergency medical
				  services providers is listed sequentially in this section.
1.
Driver.
a. Scope. The driver's minimum scope of
				practice primarily focuses on driving the basic life support ambulance and
				assisting the other emergency medical services personnel on the ambulance crew
				with nonpatient care issues. The driver's maximum scope of practice is limited
				to providing cardiopulmonary resuscitation without mechanical resuscitation
				equipment or airway adjuncts but including the use of an automated external
				defibrillator if the driver is certified in cardiopulmonary resuscitation. A
				major difference between the layperson and the driver is the "duty to act" as
				part of an organized emergency medical services response.
b. Curriculum. The driver must hold a valid
				operator's license under chapter 39-06 of the North Dakota Century Code.
c. Occupational setting. Drivers
				may only participate in the emergency medical services system as part of a crew
				of a basic life support ambulance service or quick response unit. At no time
				may a driver respond without other higher level emergency medical services
				personnel.
d. Medical oversight.
				Because transport is an important part of the patient care continuum, a driver
				functions with physician oversight through protocol.
e. Supervision. A driver is supervised by the
				primary care provider.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-36 - Emergency Medical Services Personnel › Chapter 33-36-04 - Scope of Practice for Emergency Medical Services Professionals › Section 33-36-04-01 - Definitions

Current through Supplement No. 393, July, 2024
Words defined in chapter 23-27 of the North Dakota Century
				  Code have the same meaning in this chapter. For purposes of this chapter:
1. "Advanced emergency medical technician" means a person
				  that has fulfilled the training, testing, certification, and licensure process
				  for advanced emergency medical technician as required in chapter 33-36-01.
2. "Emergency medical technician" means a person that has
				  fulfilled the training, testing, certification, and licensure process for
				  emergency medical technician as required in 33-36-01.
3. "Emergency medical technician-intermediate/85" means a
				  person that has fulfilled the training, testing, certification, and licensure
				  process for emergency medical technician-intermediate/85 as required in
				  33-36-01.
4. "Emergency medical technician-intermediate/99" means a
				  person that has fulfilled the training, testing, certification, and licensure
				  process for emergency medical technician-intermediate/99 as required in
				  33-36-01.
5. "Paramedic" means a person that has fulfilled the
				  training, testing, certification, and licensure process for paramedic as
				  required in 33-36-01.
6. "Primary care provider" means a qualified individual
				  responsible for the care of the patient and supervision of all ambulance
				  personnel while on the ambulance run.
General Authority: NDCC 23-27-04.3
Law Implemented: NDCC
					 23-27-04.3
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-37 - Epinephrine Administration › Chapter 33-37-01 - Epinephrine Administration › Section 33-37-01-01 - Persons eligible to administer epinephrine

Current through Supplement No. 393, July, 2024
A person whose employment creates a reasonable expectation
				  to care for the health and safety of others may administer epinephrine to
				  persons suffering from an anaphylactic reaction. A person who is deemed to have
				  a reasonable expectation to care for the health and safety of others includes a
				  teacher, camp counselor, day care operator, and security person. Prehospital
				  emergency medical services personnel must meet the requirements specified in
				  chapter 33-36-01.
General Authority: NDCC 23-01-05.2
Law Implemented: NDCC
					 23-01-05.2
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-37 - Epinephrine Administration › Chapter 33-37-01 - Epinephrine Administration › Section 33-37-01-02 - Training requirements

Current through Supplement No. 393, July, 2024
A person authorized to administer epinephrine under this
				  chapter shall complete training by a physician licensed by the North Dakota
				  state board of medical examiners or the physician's designee. The physician
				  shall determine the training content, criteria for satisfactory completion, and
				  frequency. The physician shall maintain a record of the training which
				  identifies the individuals trained, the training content, and the date of the
				  training. The physician shall make training records available to the state
				  department of health upon request.
General Authority: NDCC 23-01-05.2
Law Implemented: NDCC
					 23-01-05.2
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-37 - Epinephrine Administration › Chapter 33-37-01 - Epinephrine Administration › Section 33-37-01-03 - Administration devices

Current through Supplement No. 393, July, 2024
A person authorized to administer epinephrine shall utilize
				  a single use disposable device that automatically injects a premeasured dose.
				  The device may be obtained by a trained person from a pharmacy upon the request
				  of a licensed physician. The device must be stored and maintained where trained
				  staff are present.
General Authority: NDCC 23-01-05.2
Law Implemented: NDCC
					 23-01-05.2
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-01 - Definitions

Current through Supplement No. 393, July, 2024
Words defined in North Dakota Century Code chapter 23-01.2
				  have the same meaning in this chapter As used in this chapter:
1. "Advanced trauma life support" means the most current
				  edition of the course as developed by the American college of surgeons -
				  committee on trauma, or its equivalent, as determined by the department.
2. "Department" means the state department of health.
3. "Emergency medical services" means the system of personnel
				  who provide medical care from the time of injury to hospital admission.
4. "Local emergency medical services transport plans" means
				  plans developed by emergency medical services, medical directors, and hospital
				  officials which establish the most efficient method to transport trauma
				  patients.
5. "Major trauma patient" means any patient that meets the
				  criteria in step one or two of the field triage decision scheme provided by the
				  American college of surgeons, committee on trauma, as published by the most
				  current edition of the Resources for Optimal Care of the Injured Patient.
6. "Online medical control" consists of directions given over
				  the telephone or by radio directly from the medical director or designated
				  physician.
7. "Provisional designation" means a state process of
				  designating a facility as a trauma center based on American college of surgeons
				  or department standards for a period determined by the department and the state
				  trauma committee or until an American college of surgeons verification visit or
				  state designation visit is completed.
8. "Trauma" means tissue damage caused by the transfer of
				  thermal, mechanical, electrical, or chemical energy, or by the absence of heat
				  or oxygen.
9. "Trauma center" means a facility that has made a
				  commitment to serve the trauma patient, has met the standards of the trauma
				  system, and has obtained designation as a trauma center.
10. "Trauma code" includes the activation and assembly of the
				  trauma team to provide care to the major trauma patient.
11. "Trauma quality improvement program" means a system of
				  evaluating the prehospital, trauma center, and rehabilitative care of trauma
				  patients.
12. "Trauma registry" includes the collection and analysis of
				  trauma data from the trauma system.
13. "Trauma team" includes a group of health care
				  professionals organized to provide care to the trauma patient.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-02 - Trauma system

Current through Supplement No. 393, July, 2024
A statewide trauma system shall be adopted by the state
				  health council. The trauma system shall consist of the following:
1. Standardized definition of major trauma
				patient.
2. Trauma code activation
				protocols.
3. Local emergency
				medical services transport plans.
4. Trauma center designation process.
5. Revocation of trauma center
				designation process.
6. Statewide
				trauma registry.
7. Quality
				improvement process.
8. State
				trauma committee.
9. Four regional
				trauma committees.
10. Injury
				prevention.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-03 - Activation of trauma codes for trauma patients

Current through Supplement No. 393, July, 2024
Emergency medical services and trauma centers shall assess
				  patients and activate a trauma code.
1. Emergency medical services must activate a
				trauma code if the trauma patient meets one or more of the criteria in step
				one, two, or three of the field triage decision scheme, provided by the current
				edition of the American college of surgeons Resources for Optimal Care of the
				Injured Patient. Step four of the field triage scheme may be used as
				discretionary criteria for activating trauma code. The field triage scheme is
				used as a minimal standard and additional activation criteria may be added.
2. A level I, level II, or level
				III trauma center must follow the minimum criteria for highest level of
				activation set by the American college of surgeons committee on trauma.
3. A level IV and level V trauma
				center must activate a trauma code if the trauma patient meets one or more of
				the criteria in step one, two, or three of the field triage decision scheme,
				provided by the current edition of the American college of surgeons Resources
				for Optimal Care of the Injured Patient. Step four of the field triage scheme
				may be used as discretionary criteria for activating trauma code. The field
				triage scheme is used as a minimal standard and additional activation criteria
				may be added.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-04 - Emergency medical services

Current through Supplement No. 393, July, 2024
All emergency medical services licensed or certified by the
				  department shall establish each of the following:
1. Trauma code activation protocols.
2. Trauma patient care protocols
				that have been reviewed and approved by a medical director.
3. Local emergency medical services transport
				plans.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-05 - Local emergency medical services transport plans

Current through Supplement No. 393, July, 2024
Emergency medical services shall develop local emergency
				  medical services transport plans for the transport of trauma patients meeting
				  the criteria in step one, two, three, or four of the field triage decision
				  scheme, provided by the current edition of the American college of surgeons
				  Resources for Optimal Care of the Injured Patient by appropriate means to the
				  nearest designated trauma center.
1.
				Emergency medical services may bypass the nearest designated trauma center for
				a higher level trauma center provided that it does not result in an additional
				thirty minutes or more of transport time. If the additional transport time
				would be greater than thirty minutes, the transporting emergency medical
				services personnel must contact online medical direction for permission to
				bypass or as defined in the transport protocol.
2. If there are multiple trauma centers in
				the community, the major trauma patient meeting one or more of the criteria in
				step one or two of the field triage decision scheme provided by the current
				edition of the American college of surgeons Resources for Optimal Care of the
				Injured Patient should be taken to a trauma center per local emergency medical
				trauma transport plans approved by the department and state trauma committee.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-07 - Trauma center revocation of designation

Current through Supplement No. 393, July, 2024
The department may revoke designation of a trauma center if
				  evidence exists that the facility does not meet the required trauma center
				  standards. The department or its designee may inspect any trauma center or
				  applicant for trauma center designation at any time for compliance with the
				  standards. Designation must be revoked if a facility denies or refuses
				  inspection.
Failure to follow an approved plan of correction or maintain
				  trauma center designation standards will result in:
1. Revocation of the trauma center's
				designation.
2. Notification to
				the division of health facilities regarding the failure to comply with state
				law.
3. Placement of a public
				notice in the newspapers in the area which the hospital is located to notify
				the public of the enforcement action to be imposed and the effective dates. The
				department shall notify the hospital in writing of the impending notice fifteen
				days prior to the publication of the notice.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-08 - State trauma registry

Current through Supplement No. 393, July, 2024
The department shall establish a trauma registry including
				  the minimum data elements. All hospitals must report the minimum data elements
				  to the department.
Reporting shall occur by a method approved by the
				  department. Information may not be released from the state trauma registry
				  except as permitted by North Dakota Century Code sections 23-01-15 and
				  23-01-02.1.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-09 - Quality improvement process

Current through Supplement No. 393, July, 2024
A quality improvement process shall be established by the
				  state trauma committee. The process must include evaluation criteria that will
				  provide guidelines for acceptable standards of care, address system issues, and
				  monitor patient outcomes.
The regional committees shall evaluate the trauma system
				  within their regions based upon the evaluation criteria. The regional trauma
				  committee shall make recommendations to emergency medical services and trauma
				  centers in the development of plans to improve the system.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-10 - State trauma committee membership

Current through Supplement No. 393, July, 2024
The state trauma committee membership must include the
				  following:
1. One member from the
				North Dakota committee on trauma - American college of surgeons, appointed by
				the committee.
2. One member from
				the American college of emergency physicians -North Dakota chapter, appointed
				by the chapter.
3. One member from
				the North Dakota health care association, appointed by the association.
4. One member from the North
				Dakota medical association, appointed by the association.
5. One member from the North Dakota EMS
				association - basic life support, appointed by the association.
6. One member from the North Dakota EMS
				association - advanced life support, appointed by the association.
7. One member from the North Dakota nurses
				association, appointed by the association.
8. One member on the faculty of the
				university of North Dakota school of medicine and health sciences, appointed by
				the dean of the medical school.
9.
				One member from the North Dakota emergency nurses association, appointed by the
				association.
10. One member from
				Indian health service, appointed by the Aberdeen area director of the service.
11. One member from accredited
				trauma rehabilitation facilities, appointed by the state health council.
12. One member who is a hospital
				trauma coordinator, appointed by the trauma coordinators committee.
13. The medical director of the division of
				emergency medical services and trauma of the department.
14. The regional trauma committee chair from
				each region, if not representing an association.
15. One member representing injury
				prevention, appointed by the health council.
16. One member representing the public
				appointed by the health council.
17. One member representing the legislative
				assembly selected by the health council.
18. One member representing emergency
				preparedness and response appointed by the department.
19. One member representing pediatric
				physicians appointed by the North Dakota American academy of pediatrics.
20. Four additional ad hoc
				members, appointed by the health council.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-11 - Trauma regions - Regional trauma committee

Current through Supplement No. 393, July, 2024
The state trauma committee shall establish four trauma
				  regions. The regions must be designated northwest, northeast, southeast, and
				  southwest. An emergency medical service or trauma center that is located within
				  fifteen miles [24.14 kilometers] of a regional boundary may request to function
				  within another region. This request shall be reviewed and is subject to
				  approval by the state trauma committee.
The state trauma committee shall appoint a regional trauma
				  committee to serve each trauma region. The regional committees may consist of
				  members representing the following:
1. North Dakota committee on trauma -
				American college of surgeons.
2.
				North Dakota chapter of American college of emergency physicians.
3. Physician of a level IV and level V trauma
				center.
4. Level IV or level V
				hospital representative.
5. All
				hospital trauma coordinators within the region.
6. Accredited rehabilitation facility
				representative.
7. Indian health
				service or tribal government representative.
8. North Dakota EMS association.
9. Other members, chosen by the state trauma
				committee.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-12 - Trauma center name restriction

Current through Supplement No. 393, July, 2024
No health care facility in North Dakota may use the title
				  "trauma center" or otherwise hold itself out as a trauma center unless the
				  facility is designated by the department as a trauma center.
General Authority: NDCC 23-01.2-01
Law Implemented: NDCC
					 23-01.2-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-13 - Level IV trauma center designation standards

Current through Supplement No. 393, July, 2024
The following standards must be met to achieve level IV
				  designation:
1. Trauma team
				activation plan.
2. Trauma team
				leader must be a physician currently certified in advanced trauma life support
				who is on call and available within twenty minutes. If the trauma team leader
				is not current in advanced trauma life support, the facility must provide a
				backup physician that is current in advanced trauma life support to assess and
				evaluate the trauma patients meeting step one, two, or three of the field
				triage decision scheme, provided by the current edition of the American college
				of surgeons Resources for Optimal Care of the Injured Patient when the
				noncertified physician is on call. If backup cannot be provided, the facility
				must go on diversion and notify the surrounding emergency medical services and
				the department.
3. The facility
				must have transfer agreements with facilities capable of caring for major
				trauma patients, burn care, pediatric trauma management, acute spinal cord and
				traumatic brain injury management, and rehabilitation services for long-term
				care.
4. Equipment for
				resuscitation and life support as determined by the department and state trauma
				committee.
5. Quality improvement
				programs, to include:
a. Focused audit of
				selected criteria.
b. Trauma
				registry in accordance with section
				33-38-01-08.
c. Focused audit for all trauma deaths,
d. Morbidity and mortality review.
e. Medical nursing audit,
				utilization review, and issue review.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-38 - State Trauma System › Chapter 33-38-01 - Trauma System Regulation › Section 33-38-01-14 - Level V trauma designation standards

Current through Supplement No. 393, July, 2024
The following standards must be met to achieve level V
				  designation:
1. Trauma team
				activation plan.
2. Trauma team
				leader must be on call and available within twenty minutes. The trauma team
				leader must be one of the following:
a. A
				physician who is current in advanced trauma life support.
b. A physician assistant, whose supervising
				physician has delegated to the physician assistant the authority to provide
				care to trauma patients and is current in advanced trauma life support.
c. A nurse practitioner whose
				scope of practice entails the care of trauma patients, is current in advanced
				trauma life support, and whose scope of practice is approved by the state board
				of nursing.
d. If the trauma team
				leader is not current in advanced trauma life support, the facility must
				provide a backup team leader that is current in advanced trauma life support to
				assess and evaluate the trauma patients meeting step one, two, or three of the
				field triage decision scheme, provided by the current edition of the American
				college of surgeons Resources for Optimal Care of the Injured Patient when the
				noncertified provider is on call. If backup cannot be provided, the facility
				must go on diversion and notify the surrounding emergency medical services and
				the department.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-01 - Definitions

Current through Supplement No. 393, July, 2024
For purposes of this chapter:
1. "Approved" means acceptable to the department based on
				  compliance with applicable standards and public health practices.
2. "Communicable disease" means any disease that can be
				  directly or indirectly transmitted from person to person.
3. "Department" means the state department of health.
4. "Guest" means an occupant of a rental unit of a lodging
				  establishment.
5. "Guest room" means any room used or intended to be used by
				  a guest for sleeping purposes.
6. "Health hazard" means a chemical agent, source of filth,
				  cause of sickness, or condition that is a health threat to others or a threat
				  to the public health.
7. "Lodging establishment" means any hotel, motel, resort,
				  building, or structure that is used to provide sleeping accommodations to the
				  public for charge. The term does not include primitive lodging cabins, lodges,
				  or ranches.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-02 - Employee health and disease control

Current through Supplement No. 393, July, 2024
A person, while affected with any communicable disease or a
				  carrier of such a disease, or while afflicted with boils, infected wounds,
				  sores, or an acute respiratory infection, may not work in any area of a lodging
				  establishment in any capacity in which there is a likelihood of the person
				  contaminating equipment with pathogenic organisms or transmitting disease to
				  other individuals. If the owner or operator of the lodging establishment has
				  knowledge of any employee who has contracted a communicable disease or has
				  become a carrier of such a disease, the owner or operator shall immediately
				  notify the department.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-03 - Ice

Current through Supplement No. 393, July, 2024
Ice, if provided to guests in a lodging establishment, must
				  be manufactured, stored, transported, and handled in a manner approved by the
				  department. Processes and controls must be designed and monitored to ensure
				  that neither the product nor the product area is subject to contamination. Ice
				  must be dispensed with scoops, tongs, or other ice-dispensing utensils or
				  through automatic self-service ice-dispensing equipment. Ice-dispensing
				  utensils must be stored on a clean surface or in the ice with the dispensing
				  handle extending out of the ice. Scooping of ice with a cup, glass, or similar
				  container is prohibited. Ice storage bins must be drained through an air gap.
				  When existing ice storage bins in areas accessible to the public are replaced,
				  automatic self-service ice-dispensing equipment must be used.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-04 - Guest room toilet and bathing facilities

Current through Supplement No. 393, July, 2024
Each lodging establishment must provide toilet, lavatory,
				  and bathing facilities. In lodging establishments providing toilet, lavatory,
				  and bathing facilities shared by more than one guest room, the facilities must
				  be provided in the ratio of one restroom for each ten guests, must be provided
				  separately for each sex, and must be available on each floor. To determine the
				  number of guests, a single-bed unit is designed for two people, and a
				  double-bed unit is designed for four people. All facilities must be provided
				  with hot and cold running water under pressure to each lavatory, shower,
				  bathtub, and shower and bathtub combination at a maximum temperature of one
				  hundred twenty degrees Fahrenheit [48.9 degrees Celsius] at the tap. Bathing or
				  shower facilities must have a nonslip floor surface, such as a manufactured
				  nonslip bathtub or shower unit, a rubberized throw mat, or adhesive-backed
				  nonslip strips. All toilets, lavatories, and bathing fixtures must be kept
				  clean, sanitary, and in good repair when the guest room is in use and between
				  stays of different guests.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-05 - Utensil washing

Current through Supplement No. 393, July, 2024
Utensil washing must be in compliance with chapter 33-33-04.
				  Sanitizing solutions must comply with 21 CFR section 178.1010. After cleaning
				  and until use, all contact surfaces of equipment and utensils must be wrapped,
				  sealed, or stored in a manner that protects them from contamination.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-06 - Single-service items

Current through Supplement No. 393, July, 2024
Lodging establishments which do not have facilities for
				  cleaning and sanitizing utensils that meet the requirements in chapter 33-33-04
				  shall use single-service articles. All single-service articles must be stored,
				  handled, and dispensed in a sanitary manner and may be used only once. The use
				  of common drinking containers in public places is prohibited. Single-service
				  articles must be made from clean, sanitary, and safe materials.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-07 - Bedding and linen

Current through Supplement No. 393, July, 2024
Lodging establishments that provide bedding and linen must
				  furnish each guest with clean sheets and pillowcases for the bed, bunk, or cot
				  to be occupied by the guest. Sheets must be of sufficient width and length to
				  cover the mattress completely. All bath, linen, sheets, and pillowcases used by
				  one guest must be washed and mechanically dried before being furnished to
				  another guest. All bedding, including mattresses, mattress pads, quilts,
				  blankets, pillows, sheets, and spreads, and all bath linen must be kept clean,
				  in good repair, and stored in a sanitary manner Soiled linens, uniforms, and
				  other garments must be kept separate from clean linens to prevent
				  cross-contamination. All clean linens must be stored on smooth, nonabsorbent,
				  cleanable surfaces located a minimum of six inches [152.4 millimeters] above
				  the floor
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-08 - Housekeeping

Current through Supplement No. 393, July, 2024
All parts of the lodging establishment and its premises must
				  be kept neat, clean, and free from litter and rubbish. Operations or conditions
				  may not constitute a health hazard. Cleaning operations must be conducted in a
				  manner that minimizes contamination of facilities. Cleaning equipment,
				  supplies, insecticides, paints, and other toxic or hazardous products may not
				  be stored above or next to linens. All cleaners, sanitizers, and disinfectants
				  must comply with 21 CFR section 178.1010. An ingredient label and "direction
				  for use" label on each chemical being used must be readily available for
				  reference or inspection. All containers used for dispensing these chemicals
				  must be prominently and distinctively labeled for identification of contents.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-09 - Water recreation facilities

Current through Supplement No. 393, July, 2024
All water recreation facilities, including swimming pools,
				  spas, and water slides operated by a lodging establishment, and used by guests
				  or the public, must be designed, constructed, and maintained to protect the
				  health and safety of its guests. A colorimetric test kit is required for the
				  monitoring and adjusting of disinfectant levels and pH in swimming pools, spas,
				  or other water recreational facilities. A daily log of disinfection levels and
				  pH must be maintained by the owner of the facility.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-01 - Lodging Establishment Sanitation Standards › Section 33-39-01-10 - Submission of plans

Current through Supplement No. 393, July, 2024
Whenever a lodging establishment is constructed or
				  extensively remodeled, properly prepared plans and specifications for such
				  construction or remodeling must be submitted to the department for review and
				  approval before construction or remodeling is begun. The plans and
				  specifications must indicate the proposed layout, arrangement, and construction
				  materials, paying particular attention to all fire or life safety provisions
				  required by law. The department shall approve the plans and specifications if
				  they meet the requirements of this chapter and North Dakota Century Code
				  chapter 23-09.
General Authority: NDCC 23-09-02
Law Implemented: NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-39 - Lodging Establishments › Chapter 33-39-02 - License Fees › Section 33-39-02-01 - License fees

Current through Supplement No. 393, July, 2024
The following annual license fees must be paid by proprietors
				  of lodging establishments:
1. For a
				lodging establishment containing not more than three sleeping rooms, fifty
				dollars.
2. For a lodging
				establishment containing at least four sleeping rooms but not more than ten
				sleeping rooms, seventy dollars.
3.
				For a lodging establishment containing more than ten sleeping rooms and not
				more than twenty sleeping rooms, one hundred dollars.
4. For a lodging establishment containing
				more than twenty sleeping rooms and not more than fifty sleeping rooms, one
				hundred twenty dollars.
5. For a
				lodging establishment containing more than fifty sleeping rooms and not more
				than one hundred sleeping rooms, one hundred fifty dollars.
6. For a lodging establishment containing
				more than one hundred sleeping rooms and not more than two hundred fifty
				sleeping rooms, two hundred twenty-five dollars.
7. For a lodging establishment containing
				more than two hundred fifty sleeping rooms and not more than five hundred
				sleeping rooms, three hundred twenty-five dollars.
8. For a lodging establishment containing
				more than five hundred sleeping rooms and not more than one thousand sleeping
				rooms, four hundred fifty dollars.
9. For a lodging establishment containing
				more than one thousand sleeping rooms, six hundred dollars.
General Authority:
NDCC 23-01-03
Law Implemented:
NDCC
					 23-09-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-03 - Body art operator requirements

Current through Supplement No. 393, July, 2024
1.
				The following information shall be kept on file on the premises of a body art
				establishment and available for inspection by the department:
a. Employee information:
(1) Full names and exact duties;
(2) Date of birth;
(3) Gender;
(4) Home address;
(5) Home and work telephone numbers; and
(6) Identification photos of all
				body art operator/technicians.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-04 - Public notification requirements

Current through Supplement No. 393, July, 2024
1.
				Verbal and written public educational information, approved by the department,
				shall be required to be given to all clients wanting to receive body art
				procedures. Verbal and written instructions, approved by the department, for
				the aftercare of the body art procedure site shall be provided to each client
				by the operator upon completion of the procedure. The written instructions
				shall advise the client to consult a physician at the first sign of infection
				and shall contain the name, address, and telephone number of the establishment.
				These documents shall be signed and dated by both parties, with a copy given to
				the client and the operator retaining the original with all other required
				records. In addition, all establishments shall prominently display a disclosure
				statement, provided by the department, which advises the public of the risks
				and possible consequences of body art services. The facility licenseholder
				shall also post in public view the name, address, and telephone number of the
				local or state department that has jurisdiction over this program and the
				procedure for filing a complaint. The disclosure statement and the notice for
				filing a complaint shall be included in the establishment license application
				packet.
2. All infections,
				complications, or diseases resulting from any body art procedure that become
				known to the operator shall be reported to the department by the operator
				within twenty-four hours.
General Authority: NDCC 23-01-35
Law Implemented: NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-05 - Client records

Current through Supplement No. 393, July, 2024
1. So that the
				operator can obtain knowledge about the client's health status for receiving a
				body art procedure, the operator or technician shall ask for the information as
				follows:
So your body art procedure heals properly, we ask that you
				  disclose if you have or have had any of the following conditions:
a. Diabetes;
b. History of hemophilia (bleeding);
c. History of skin diseases, skin
				lesions, or skin sensitivities to soaps, disinfectants, etc.;
d. History of allergies or adverse reactions
				to pigments, dyes, or other skin sensitivities;
e. History of epilepsy, seizures, fainting,
				or narcolepsy;
f. Use of
				medications such as anticoagulants, which thin the blood or interfere with
				blood clotting;
g. Use of
				medications other than routine antibiotics, allergy medication, or birth
				control pills;
h. Hepatitis;
i. HIV positive;
j. High blood pressure or heart disease;
k. Pregnancy;
I. Contagious diseases;
m. Immune system disorder; or
n. Serious physical or mental health
				problems.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-06 - Records retention

Current through Supplement No. 393, July, 2024
The body art establishment shall keep a record of all
				  persons who have had body art procedures performed. The record shall include
				  the name, date of birth, and address of the client; the date and time of the
				  procedure; the name of the operator who performed the procedures; type and
				  location of procedure performed; and the signature of the client; and, if the
				  client is a minor, proof of parental or guardian presence and consent, i.e.,
				  signature. Such records shall be retained for a minimum of three years and
				  shall be available to the department upon request. The department and the body
				  art establishment shall keep such records confidential.
General Authority: NDCC 23-01-35
Law Implemented: NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-07 - Preparation and care of the body art area

Current through Supplement No. 393, July, 2024
1. Before a body art procedure is performed,
				the immediate skin area and the areas of skin surrounding where the body art
				procedure is to be placed shall be washed with soap and water or an approved
				surgical skin preparation, depending on the type of body art to be performed.
				If shaving is necessary, single-use disposable razors or safety razors with
				single-service blades shall be used. Blades shall be discarded after each use,
				and reusable holders shall be autoclaved after use. Following shaving, the skin
				and surrounding area shall be washed with soap and water. The washing pad shall
				be discarded after a single use.
2. In the event of blood flow, all products
				used to check the flow of blood or to absorb blood shall be single-use and
				disposed of immediately after use in appropriate covered containers, unless the
				disposal products meet the definition of biomedical waste. The use of styptic
				pencils or alum solids shall not be used to check the flow of blood.
General Authority: NDCC 23-01-35
Law Implemented: NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-09 - Requirements for single-use items

Current through Supplement No. 393, July, 2024
1.
				Single-use items shall not be used on more than one client for any reason.
				After use, all single-use needles, razors, and other sharps shall be
				immediately disposed of in approved sharps containers.
2. All products applied to the skin,
				including body art stencils, shall be single-use and disposable. If the
				department approves, acetate stencils shall be allowed for reuse if
				sanitization procedures as specified in subsection 24 of section
				33-41-01-01 are performed between
				uses. Petroleum jellies, soaps, and other products used in the application of
				stencils shall be dispensed and applied on the area to be tattooed with sterile
				gauze or in a manner to prevent contamination of the original container and its
				contents. The gauze shall be used only once and then discarded.
General Authority: NDCC 23-01-35
Law Implemented: NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-10 - License requirements

Current through Supplement No. 393, July, 2024
1. No person, firm, partnership, joint
				venture, association, business trust, corporation, or organized group of
				persons may operate a body art establishment except with a body art
				establishment license from the department.
2. It is prohibited to obtain or attempt to
				obtain any body art establishment or operator permit by means of fraud,
				misrepresentation, or concealment.
3. A license for a body art establishment
				shall not be transferable from one place or person to another.
4. The current body art establishment license
				shall be posted in a prominent and conspicuous area where it may be readily
				observed by clients.
5. The annual
				license fee for all types of body art establishments is one hundred thirty-five
				dollars.
General Authority:
NDCC 23-01-35
Law Implemented:
NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-11 - Temporary establishment license

Current through Supplement No. 393, July, 2024
Temporary establishment licenses, when required, may be
				  issued for body art services provided outside of the physical site of a
				  certified facility for the purposes of product demonstration, industry trade
				  shows, or education. Temporary establishment licenses will not be issued
				  unless:
1. The applicant furnishes
				proof of compliance with section
				33-41-01-10 relating to license
				requirements;
2. The applicant is
				currently affiliated with a fixed location or permanent facility which, where
				applicable, is licensed by the appropriate state or local jurisdiction; and
3. The temporary site complies
				with section
				33-41-01-12 temporary
				demonstration license requirements.
General Authority: NDCC 23-01-35
Law Implemented: NDCC
					 23-01-35
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-41 - Tattoo and Body Art › Chapter 33-41-01 - Tattoo and Body Art › Section 33-41-01-12 - Temporary demonstration permit requirements

Current through Supplement No. 393, July, 2024
1. A person who wishes to obtain a temporary
				demonstration license must submit the request in writing for review by the
				department at least thirty days prior to the event. The request must specify:
a. The purpose for which the license is
				requested.
b. The period oftime
				during which the license is needed, not to exceed fourteen calendar days per
				event, without reapplication.
c.
				The location where the temporary demonstration license will be used.