reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4700 - NUTRITION AND DIETETIC SERVICES › Section 13B .4703 - SANITATION AND SAFETY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The nutrition
				  and dietetic service shall comply with current laws and rules for sanitation as
				  promulgated by the Commission for Public Health, including but not limited to
				  15A NCAC
				  18A.1300. Copies of
				  15A NCAC
				  18A.1300 may be obtained at no charge from
				  the Environmental Health Section, Division of Public Health, N.C. Department of
				  Health and Human Services, 1632 Mail Service Center, Raleigh, NC 27699-1632.
				  The facilities and equipment of the nutrition and dietetic services shall also
				  comply with applicable and safety laws and rules.
(b) Sufficient space and equipment shall be
				  provided for the nutrition and dietetic services to accomplish the following:
(1) store food and nonfood supplies under
				  sanitary and secure conditions;
(2)
				  store food separately from nonfood supplies. When storage facilities are
				  limited, paper products may be stored with food supplies;
(3) prepare and distribute food, including
				  therapeutic diets;
(4) clean and
				  sanitize utensils and dishes apart from food preparation areas; and
(5) allow personnel to perform their
				  duties.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4700 - NUTRITION AND DIETETIC SERVICES › Section 13B .4704 - DISTRIBUTION OF FOOD

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Food shall be
				  transported and displayed pursuant to the rules adopted by the Commission for
				  Public Health.
(b) At the time of
				  serving, the temperature of hot foods shall be no less than:
(1) Hot liquids - 150 degrees Fahrenheit
				  (minimum);
(2) Hot Cereal - 150
				  degrees Fahrenheit (minimum);
(3)
				  Hot Soups - 130 degrees Fahrenheit (minimum); and
(4) Other hot foods - 110 degrees Fahrenheit
				  (minimum).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4700 - NUTRITION AND DIETETIC SERVICES › Section 13B .4705 - NUTRITIONAL SUPPORT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  administration of the nutritional support shall be directed by a qualified
				  dietitian. Observations and information pertinent to nutrition therapy shall be
				  documented in the medical record of the patient.
(b) The facility shall have a current
				  nutrition care manual accessible to hospital personnel. The nutrition care
				  manual shall be reviewed every three years, revised as necessary by a qualified
				  dietitian, and approved jointly by the nutrition service and medical
				  staff.
(c) Therapeutic diets and
				  enteral and parenteral nutrition therapy shall be prescribed in written orders
				  on the medical records and provided as ordered.
(d) The nutrition care manual shall reflect
				  the standards for nutrition care in accordance with those referenced in the
				  most current edition of "Recommended Dietary Allowance" of the Food and
				  Nutrition Board of the National Research Council of the National Academy of
				  Sciences which are hereby incorporated by reference. These standards include
				  any subsequent amendments and editions of the referenced material and are
				  available from the National Academy Press, 2101 Constitution Avenue, N.W.,
				  Lockbox 285, Washington, D.C. 20055 at a cost of six dollars ($6.00) per copy.
				  The nutrition deficiencies of any modified diet that is not in compliance with
				  the recommended dietary allowances shall be specified in the nutrition care
				  manual.
(e) The qualified dietitian
				  shall be responsible for the development of a nutritional care plan in
				  compliance with medical staff's orders to meet the nutritional needs of the
				  patient. The nutrition care plan shall be included in the medical record of the
				  patient on his discharge plan and transfer orders to the extent necessary for
				  continuity of care. Facilities with long term care units shall have at least a
				  three week menu cycle in the long term care units.
Authority
					 G.S.
					 131E-79;
RRC objection due to
					 lack of statutory authority Eff. July 13, 1995;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4801 - ORGANIZATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Imaging services
				  shall be under the supervision of a full-time radiologist, consulting
				  radiologist, or a physician.
(b)
				  Radio-therapy is a type of imaging service.
(c) All imaging equipment shall be operated
				  under professional supervision by personnel trained in the use of imaging
				  equipment and knowledgeable of all applicable safety precautions required by
				  the North Carolina Department of Health and Human Services, Division of Health
				  Service Regulation, Radiation Protection Section set forth in
				  10A NCAC
				  15, hereby incorporated by reference
				  including subsequent amendments.
Authority
					 G.S.
					 131E-79;
RRC objection due to
					 lack of statutory authority and ambiguity Eff. July 13, 1995;
Eff.
					 January 1, 1996.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4802 - RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A documented
				  record on each imaging examination shall be included in the patient's medical
				  record.
(b) Imaging reports shall
				  be signed by the physician interpreting the study.
(c) Copies of current reports made by private
				  physicists or governing authority surveying the radiographic facilities shall
				  be available to the Division.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4803 - STAFFING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The staffing of
				  the imaging department shall be determined by the radiologist in charge or by
				  another person designated by hospital management.
(b) There shall be a minimum of one
				  radiologic technologist available to the department on at least an on-call
				  basis.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4804 - MONITORING RADIATION EXPOSURE OF PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  facility shall establish procedures for the monitoring of personnel and shall
				  maintain a record for each individual working in the area of radiation where
				  there is a reasonable probability of receiving one-fourth of the maximum
				  permissible dose.
(b) Records
				  documenting the monitoring of personnel receiving radiation exposure through
				  the use of film badges or dosimeters must also be maintained by the facility.
				  Readings from badges or dosimeters shall be recorded on at least a monthly
				  basis.
(c) Upon termination of
				  employment, each employee shall be provided with a summary of his exposure
				  record.
(d) Permanent records of
				  radiological exposure on all monitored personnel shall be maintained for review
				  by the Division.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4805 - SAFETY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility shall require that all
				  imaging equipment is operated under the supervision of a physician and by
				  qualified personnel.
(b) The
				  facility shall require that caution is exercised to protect all persons from
				  exposure to radiation.
(c) The
				  governing authority shall appoint a radiation safety committee.
(d) All radio-active isotopes, whether for
				  diagnostic, therapeutic, or research purposes shall be received, handled, and
				  disposed of in accordance with the requirements of the North Carolina
				  Department of Health and Human Services, Division of Health Service Regulation,
				  Radiation Protection Section set forth in
				  10A NCAC
				  15, hereby incorporated by reference
				  including subsequent amendments.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4800 - DIAGNOSTIC IMAGING › Section 13B .4806 - NUCLEAR MEDICINE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
When nuclear medicine services are offered, the facility
					 shall establish and maintain written policies and procedures for the provision
					 of those services which shall provide for the safety of patients and staff,
					 management of radioactive isotopes and the maintenance of equipment according
					 to the manufacturers' recommendations.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4901 - ORGANIZATION

Current through Register Vol. 39, No. 2, July 15, 2024
The laboratory shall be under the supervision of a clinical
					 pathologist, or a physician who has training in clinical laboratory diagnosis
					 designated by the governing body.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4902 - RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All requests
				  for laboratory services shall be documented.
(b) All reports of laboratory services
				  performed, including autopsy, shall be placed in the patient's medical
				  record.
(c) Records of proficiency
				  testing appropriate to the scope of services offered shall be available to the
				  Division for review.
(d) Records of
				  equipment calibration and quality controls as recommended by the manufacturer
				  shall be maintained and be available to the Division for review.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4903 - STAFFING

Current through Register Vol. 39, No. 2, July 15, 2024
The laboratory supervisor or his appointed designee, shall
					 require that:
(1) procedures and tests
				  conducted are within the scope of the laboratory as approved by the
				  hospital;
(2) at least one
				  qualified medical technologist is available at all times; and
(3) qualified staff are available to carry
				  out the functions of the laboratory.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4904 - TESTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Laboratory tests to be performed on a
				  patient at the time of admission (if any) shall be established by the medical
				  staff and be approved by the governing board of the hospital. In the event the
				  medical staff and governing body elect not to establish routine laboratory
				  tests for new admissions, the request for such tests shall be left to the
				  discretion of the attending medical staff members.
(b) Serological tests for patients admitted
				  shall be optional with the hospital. However, there shall be records indicating
				  that obstetrical patients have had a serological test during their current
				  pregnancy.
(c) When laboratories
				  outside of the facility are used, such laboratories shall be approved by the
				  governing body and medical staff of the facility. In case of such usage, a
				  legible copy of the laboratory report must be included in the patient
				  record.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4905 - TISSUE REMOVAL AND DISPOSAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  medical staff shall establish and maintain written policies for pathological
				  examination of tissue and specimens removed during surgery.
(b) Pathological waste disposal shall comply
				  with the rules Governing the Sanitation of Hospitals, Nursing and Rest Homes,
				  Sanitariums, Sanatoriums, and Educational and Other Institutions, contained in
				  15A NCAC
				  18A.1300. Copies of
				  15A NCAC
				  18A.1300 may be obtained at no charge from
				  the Environmental Health Section, Division of Public Health, N.C. Department of
				  Health and Human Services, 1632 Mail Service Center, Raleigh, NC
				  27699-1632.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22, 2017;
Amended Eff.
					 October 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4906 - BLOOD BANK

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Facilities
				  which provide for procurement, storage and transfusion of blood shall meet the
				  standards of the American Association of Blood Banks as outlined in the most
				  current edition of Standards of Blood Banks and Transfusion Services, which is
				  incorporated by reference, including all subsequent amendments and additions,
				  and which is available from the American Association of Blood Banks, 8101
				  Glenbrook Road, Bethesda, Maryland 20814-2749 at a cost of thirty-three dollars
				  and fifty cents ($33.50) per copy.
(b) The governing body shall approve the
				  pathologist or physician as physician-in-charge of the blood bank
				  service.
(c) Records shall be kept
				  on file indicating the receipt and disposition of all blood handled. Care shall
				  be taken to ascertain that blood administered has not exceeded its expiration
				  date, and meets all criteria for safe administration.
(d) The facility shall make arrangements to
				  secure on short notice all necessary supplies of blood, typed and cross-matched
				  as required, for emergencies.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .4900 - LABORATORY SERVICES AND PATHOLOGY › Section 13B .4907 - MORGUE AND AUTOPSY FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Morgue
				  and autopsy services shall be provided either on site or by written agreement
				  with a facility that provides those services.
(b) Procedures for the transport and storage
				  of deceased patients shall be established and maintained by the
				  facility.
(c) Procedures for post
				  mortem cleaning of patients with diagnosed contagious diseases shall be
				  established and maintained by the facility.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5000 - PHYSICAL REHABILITATION SERVICES › Section 13B .5001 - ORGANIZATION

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall designate an individual responsible for
					 the administration and supervision of each rehabilitation
					 service.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5000 - PHYSICAL REHABILITATION SERVICES › Section 13B .5002 - DELIVERY OF CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A member of the
				  medical staff shall be responsible for the general medical care of the
				  inpatient.
(b) The delivery of all
				  rehabilitation services shall be provided by practitioners credentialed or
				  licensed in their respective fields.
Authority
					 G.S.
					 131E-79;
RRC objection due to
					 lack of statutory authority Eff. July 13, 1995;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5000 - PHYSICAL REHABILITATION SERVICES › Section 13B .5003 - POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall establish and maintain written policies
					 and procedures that include but are not limited to:
(1) provision for assessment and evaluation
				  of the services performed;
(2)
				  safety measures;
(3) infection
				  control measures; and
(4)
				  procedures for referral to other facilities for services not available on
				  site.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5000 - PHYSICAL REHABILITATION SERVICES › Section 13B .5004 - PATIENT RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
The patient record shall contain documentation of physical
					 rehabilitation services utilized that include but is not limited to:
(1) diagnosis to support the services
				  requested;
(2) assessment of
				  patient's rehabilitative status;
(3) re-assessment and progress of patient's
				  rehabilitative status;
(4)
				  individualized plan of care and goals of rehabilitation; and
(5) discharge plan.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5000 - PHYSICAL REHABILITATION SERVICES › Section 13B .5005 - CARDIAC REHABILITATION PROGRAM

Current through Register Vol. 39, No. 2, July 15, 2024
When a facility elects to provide an outpatient cardiac
					 rehabilitation program, the program shall be subject to
					 10 NCAC
					 03S, Sections .0300 -.1000, which are
					 incorporated by reference with all subsequent amendments. Referenced rules are
					 available from the North Carolina Department of Health and Human Services,
					 Division of Health Service Regulation, Licensure and Certification Section,
					 2711 Mail Service Center, Raleigh, NC 27699 at a cost of three dollars ($3.00)
					 each.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5100 - INFECTION CONTROL › Section 13B .5101 - ORGANIZATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The governing
				  body shall establish and maintain an infection control program that includes
				  all patient care and patient care support services and departments for the
				  surveillance, prevention and control of infection.
(b) The infection control committee shall
				  include representatives of the medical staff, nursing staff, administration and
				  the person directly responsible for the surveillance program
				  activities.
(c) The infection
				  control committee shall assume responsibility for the infection control
				  program.
(d) The facility shall
				  designate a person to manage the infection control, prevention and surveillance
				  program.
(e) The infection control
				  committee shall involve facility departments and services as needed to maintain
				  the infection control program.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5100 - INFECTION CONTROL › Section 13B .5102 - POLICY AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  department or service shall establish and maintain the following written
				  infection control policies and procedures:
(1) the role and scope of the service or
				  department in the infection control program;
(2) the role and scope of surveillance
				  activities in the infection control program;
(3) the methodology used to collect and
				  analyze data, maintain a surveillance program on nosocomial infection, and the
				  control and prevention of infection;
(4) the specific precautions to be used to
				  prevent the transmission of infection and isolation methods to be
				  utilized;
(5) the method of
				  sterilization and storage of equipment and supplies, including the reprocessing
				  of disposable items;
(6) the
				  cleaning of patient care areas and equipment;
(7) the cleaning of non-patient care areas;
				  and
(8) exposure control
				  plans.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5100 - INFECTION CONTROL › Section 13B .5103 - LAUNDRY SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall provide, directly or by contract, a
					 laundry service or department that provides the following:
(1) 24 hour a day availability of clean linen
				  for patient care needs; and
(2)
				  delivery of clean linen and removal of soiled linen in a manner that reduces
				  the spread of infection.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5100 - INFECTION CONTROL › Section 13B .5104 - ENVIRONMENTAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall require that environmental services
					 (housekeeping) provide the following:
(1) 24 hour a day availability of personnel
				  or supplies and equipment for the cleaning of patient rooms, patient care
				  equipment, and the cleaning of spills;
(2) a routine cleaning schedule for all areas
				  of the facility to assist in the prevention and spread of disease;
				  and
(3) removal and appropriate
				  disposal of waste materials including biologicals.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5100 - INFECTION CONTROL › Section 13B .5105 - STERILE SUPPLY SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall provide for the following:
(1) decontamination and sterilization of
				  equipment and supplies;
(2)
				  monitoring of sterilizing equipment on a routine schedule;
(3) establishment of policies and procedures
				  for the use of disposable items; and
(4) establishment of policies and procedures
				  addressing shelf life of stored sterile items.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5201 - PSYCHIATRIC OR SUBSTANCE ABUSE SERVICES: APPLICABILITY OF RULES

Current through Register Vol. 39, No. 2, July 15, 2024
The rules contained in this Section shall apply to all
					 psychiatric and substance abuse services provided by any
					 facility.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5202 - DEFINITIONS APPLICABLE TO PSYCHIATRIC OR SUBSTANCE ABUSE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) "Certified counselor" means an
				  alcoholism, drug abuse or substance abuse counselor who is certified by the
				  North Carolina Substance Abuse Professional Certification Board.
(b) "Certified substance abuse
				  counselor/supervisor" means an individual who is a "certified counselor" as
				  defined in
				  10 NCAC
				  03C.5202(a) and is
				  designated by the North Carolina Substance Abuse Professional Certification
				  Board as a qualified substance abuse supervisor.
(c) "Clinical/professional supervision" means
				  regularly scheduled assistance by a qualified mental health, professional or a
				  qualified substance abuse professional to a staff member who is providing
				  direct, therapeutic intervention to a client or clients. The purpose of
				  clinical supervision is to ensure that each client receives appropriate
				  treatment or habilitation which is consistent with accepted standards of
				  practice and the needs of the client.
(d) "Detoxification service" means a unit or
				  department whose primary purpose is the medical management or care of persons
				  who are under the influence of alcohol or drugs.
(e) "Direct care staff" means an individual
				  who provides active direct care, treatment, or rehabilitation or habilitation
				  services to clients on a continuous and regularly scheduled basis.
(f) "Psychiatric nurse" means an individual
				  who is licensed to practice as a registered nurse in North Carolina by the
				  North Carolina Board of Nursing; and has:
(1)
				  a graduate degree from an accredited master's level program in psychiatric
				  mental health nursing with two years of experience; or
(2) a master's degree in behavioral science
				  with two years of supervised clinical experience in psychiatric mental health
				  nursing; or
(3) a baccalaureate
				  degree in behavioral science with four years of supervised clinical experience
				  in psychiatric mental health nursing.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5203 - STAFFING FOR PSYCHIATRIC OR SUBSTANCE ABUSE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  General Requirements:
(1) A physician shall
				  be present in the facility or on call 24 hours per day. The medical appraisal
				  and medical treatment of each patient shall be the responsibility of a
				  physician;
(2) Each facility shall
				  determine its overall staffing requirements based upon the age categories
				  (child, adolescent, adult, elderly), clinical characteristics, treatment
				  requirements and numbers of patients;
(3) There shall be a sufficient number of
				  appropriately qualified clinical and support staff to assess and address the
				  clinical needs of the patients;
(4)
				  Staff members shall have training or experience in the provision of care in
				  each of the age categories assigned for treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5204 - PSYCHIATRIC OR SUBSTANCE ABUSE SERVICES RECORD REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  In addition to the general record keeping requirements of
				  10A NCAC
				  13B.3906, specialized assessment and
				  treatment plans for individuals undergoing psychiatric or substance abuse
				  treatment are as follows:
(1) Within 24 hours
				  following admission each individual shall have a completed admission
				  assessment. The initial assessment shall include the reason for admission,
				  admitting diagnosis, mental status including suicide potential, diagnostic
				  tests or evaluations, and a determination of the need for additional
				  information to include the potential for the physical abuse of self or others
				  and a family assessment when a minor is involved;
(2) Within 72 hours following admission, a
				  preliminary individual treatment plan shall be completed and implemented;
				  and
(3) Within five days following
				  admission, a comprehensive individual treatment plan shall be developed and
				  implemented. For outpatient services, the plan shall be developed and
				  implemented within 30 days of admission to treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5205 - SECLUSION

Current through Register Vol. 39, No. 2, July 15, 2024
At least one seclusion room shall be provided in all
					 hospitals licensed to provide a psychiatric program, a substance abuse program
					 or both.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5206 - COMPLIANCE WITH STATUTORY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Facilities providing psychiatric or substance abuse services shall develop
				  procedures to protect the rights of psychiatric and substance abuse patients in
				  accordance with North Carolina statutes addressing the rights of psychiatric
				  and substance abuse patients. Statutes addressing such rights are as follows:
(1)
											G.S.
				  122C-51. Declaration of policy on clients'
				  rights;
(2)
											G.S.
				  122C-52. Right to confidentiality;
(3)
											G.S.
				  122C-53. Exceptions; client;
(4)
											G.S.
				  122C-54. Exceptions; abuse reports and court
				  proceedings;
(5)
											G.S.
				  122C-55. Exceptions; care and
				  treatment;
(6)
											G.S.
				  122C-56. Exceptions; research and
				  planning;
(7)
											G.S.
				  122C-57. Right to treatment and consent to
				  treatment;
(8)
											G.S.
				  122C-58. Civil rights and civil
				  remedies;
(9)
											G.S.
				  122C-59. Use of corporal
				  punishment;
(10)
											G.S.
				  122C-60. Use of physical restraints or
				  seclusion;
(11)
											G.S.
				  122C-61. Treatment rights in 24-hour
				  facilities;
(12)
											G.S.
				  122C-62. Additional rights in 24-hour
				  facilities;
(13)
											G.S.
				  122C-65. Offenses relating to clients;
				  and
(14)
											G.S.
				  122C-66. Protection from abuse and
				  exploitation; reporting.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5200 - PSYCHIATRIC SERVICES › Section 13B .5207 - PSYCHIATRIC OR SUBSTANCE ABUSE OUTPATIENT SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Partial hospitalization, outpatient and day treatment
					 facilities shall be subject to
					 10A NCAC
					 27G.1100,
					 10A NCAC
					 27G.3500, and
					 10A NCAC
					 27G.3700 respectively, which are incorporated
					 by reference with all subsequent amendments. Referenced rules are available
					 from the N.C. Division of Mental Health, Developmental Disabilities, and
					 Substance Abuse Services, Advocacy, Client Rights and Quality Improvement
					 Section, 3009 Mail Service Center, Raleigh, NC 27699-3009 at a cost of five
					 dollars and seventy-five cents ($5.75) per copy.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5300 - NURSING AND ADULT CARE HOME BEDS › Section 13B .5301 - THE LICENSURE OF NURSING AND ADULT CARE HOME BEDS IN A HOSPITAL

Current through Register Vol. 39, No. 2, July 15, 2024
When a facility has nursing facility beds or adult care
					 home beds, the beds shall be provided under the hospital's license as provided
					 in Rule.3101 of this Subchapter. The nursing facility beds and the adult care
					 home beds shall be subject to the rules in
					 10A NCAC
					 13D with the exception that the following
					 rules shall not apply:
					 10A NCAC
					 13D.2001(4);13D.2001
					 .2101-13D.2001 .2108;
					 13D.2001 .2201;13D.2001
					 .2208;13D.2001
					 .2209;13D.2001
					 .2211;13D.2001
					 .2212;13D.2001
					 .2302;13D.2001
					 .2401;13D.2001
					 .2402;13D.2001
					 .2503;13D.2001
					 .2504;13D.2001 .2602;
					 13D.2001 .2607;13D.2001
					 .2701; and.2901. With these exceptions, the rules in
					 10A NCAC
					 13D are incorporated by reference with all
					 subsequent amendments. Referenced rules are available from the NC Division of
					 Health Service Regulation, 2711 Mail Service Center, Raleigh, N.C. 27699-2711
					 at a cost of six dollars ($6.00) per copy.
Authority
					 G.S.
					 131E-79;
Eff. March 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22, 2017;
Amended Eff.
					 October 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5403 - ADMISSION CRITERIA FOR INPATIENT REHABILITATION FACILITIES OR UNITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility shall have written criteria
				  for admission to the inpatient rehabilitation facility or unit. A description
				  of programs or services for screening the suitability of a given patient for
				  placement shall be available to staff and referral sources.
(b) For patients found unsuitable for
				  admission to the inpatient rehabilitation facility or unit, there shall be
				  documentation of the reasons.
(c)
				  Within 48 hours of admission, a preliminary assessment shall be completed by
				  members of the interdisciplinary team to insure the appropriateness of
				  placement and to identify the immediate needs of the patients.
(d) Patients admitted to an inpatient
				  rehabilitation facility or unit must be able to tolerate a minimum of three
				  hours of rehabilitation therapy, five days a week, including at least two of
				  the following rehabilitation services: physical therapy, occupational therapy
				  or speech therapy.
(e) Patients
				  admitted to an inpatient rehabilitation facility or unit must be medically
				  stable, have a prognosis indicating a progressively improved medical condition
				  and have the potential for increased independence.
Authority
					 G.S.
					 131E-79;
Eff. March 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5404 - COMPREHENSIVE INPATIENT REHABILITATION EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  comprehensive, inpatient rehabilitation evaluation is required for each patient
				  admitted to an inpatient rehabilitation facility or unit. At a minimum this
				  evaluation shall include the reason for referral, a summary of the patient's
				  clinical condition, functional strengths and limitations, and indications for
				  specific services. This evaluation shall be completed within three
				  days.
(b) Each patient shall be
				  evaluated by the interdisciplinary team to determine the need for any of the
				  following services: medical, dietary, occupational therapy, physical therapy,
				  prosthetics and orthotics, psychological assessment and therapy, therapeutic
				  recreation, rehabilitation medicine, rehabilitation nursing, therapeutic
				  counseling or social work, vocational rehabilitation evaluation and
				  speech-language pathology.
Authority
					 G.S.
					 131E-79;
Eff. March 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5405 - COMPREHENSIVE INPATIENT REHABILITATION INTER-DISCIPLINARY TREAT/PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The interdisciplinary treatment team
				  shall develop an individual treatment plan for each patient within seven days
				  after admission. The plan shall include evaluation findings and information
				  about the following:
(1) prior level of
				  function;
(2) current functional
				  limitations;
(3) specific service
				  needs;
(4) treatment, supports and
				  adaptations to be provided;
(5)
				  specified treatment goals;
(6)
				  disciplines responsible for implementation of separate parts of the plan;
				  and
(7) anticipated time frames for
				  the accomplishment of specified long-term and short-term goals.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5406 - DISCHARGE CRITERIA FOR INPATIENT REHABILITATION FACILITIES OR UNITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Discharge planning shall be an integral
				  part of the patient's treatment plan and shall begin upon admission to the
				  facility. After goals of care have been reached, or a determination by the
				  interdisciplinary care team has been made to return to the setting from which
				  the patient was admitted, or that further progress is unlikely, the patient
				  shall be discharged to another inpatient or residential health care facility
				  that can address the patient's needs including skilled nursing homes, assisted
				  living facilities, nursing homes, or other hospitals. Other reasons for
				  discharge may include an inability or unwillingness of patient or family to
				  cooperate with the planned therapeutic program or medical complications that
				  preclude a further intensive rehabilitative effort. The facility shall involve
				  the patient, family, staff members, and community-based services such as home
				  health services, hospice or palliative care, respiratory services,
				  rehabilitation services to include occupational therapy, physical therapy, and
				  speech therapy, end stage renal disease, nutritional, medical equipment and
				  supplies, transportation services, meal services, and household services such
				  as housekeeping in discharge planning.
(b) The case manager shall facilitate the
				  discharge or transfer process in coordination with the facility social
				  worker.
(c) If a patient is being
				  referred to another facility for further care, documentation of the patient's
				  current status shall be forwarded with the patient. A discharge summary shall
				  be forwarded within 48 hours following discharge and shall include the reasons
				  for referral, the diagnosis, functional limitations, services provided, the
				  results of services, referral action recommendations, and activities and
				  procedures used by the patient to maintain and improve functioning.
Authority
					 G.S.
					 131E-79;
Eff. March 1,
					 1996.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5407 - COMPREHENSIVE REHABILITATION PERSONNEL ADMINISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  facility shall have qualified staff members, consultants and contract personnel
				  to provide services to the patients admitted to the inpatient rehabilitation
				  facility or unit.
(b) Personnel
				  shall be employed or provided by contractual agreement in sufficient types and
				  numbers to meet the needs of all patients admitted for comprehensive
				  rehabilitation.
(c) Written
				  agreements shall be maintained by the facility when services are provided by
				  contract on an ongoing basis.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of statutory authority Eff. January 18, 1996;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5408 - COMPREHENSIVE INPATIENT REHABILITATION PROGRAM STAFFING REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The staff of the inpatient rehabilitation
				  facility or unit shall include:
(1) the
				  inpatient rehabilitation facility or unit shall be supervised by a
				  rehabilitation nurse as defined in Rule .5401 of this Section. The facility
				  shall assign staff qualified to meet the needs of the patient;
(2) the minimum nursing hours per patient in
				  the rehabilitation unit shall be 5.5 nursing hours per patient day. At no time
				  shall direct care nursing staff be less than two full-time equivalents, one of
				  which must be a registered nurse;
(3) the inpatient rehabilitation unit shall
				  employ or provide by contractual agreements therapists to provide three hours
				  of specific (physical, occupational or speech) or combined rehabilitation
				  therapy services per patient day;
(4) rehabilitation aides shall have
				  documented training appropriate to the activities to be performed and the
				  occupational licensure laws of his or her supervisor. Supervision by the
				  physical therapist or by the occupational therapist is limited to that time
				  when the therapist is on-site and directing the rehabilitation activities of
				  the aide; and
(5) hours of service
				  by the rehabilitation aide are counted toward the required nursing hours when
				  the aide is working under the supervision of the nurse. Hours of service by the
				  rehabilitation aide are counted toward therapy hours during that time the aide
				  works under the immediate, on-site supervision of the physical therapist or
				  occupational therapist. Hours of service shall not be dually counted for both
				  services. Hours of service by rehabilitation aides in performing nurse-aide
				  duties in areas of the facility other than the rehabilitation unit shall not be
				  counted toward the 5.5 hour minimum nursing requirement described for the
				  rehabilitation unit.