reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 1 - General Provisions › Section 310:615-1-3.2 - Preparation of plans and specifications

Current through Vol. 41, No. 20, July 1, 2024
(a)
Stage one.
Preliminary plans
				and outline specifications shall be submitted and include sufficient
				information for approval by the Department of the following: scope of project;
				project location; required fire-safety and exiting criteria;
				building-construction type, compartmentation showing fire and smoke barriers,
				bed count and services; the assignment of all spaces, areas, and rooms for each
				floor level, including the basement. An ambulatory surgical center has the
				option, at its own risk, to bypass the stage one submittal and proceed directly
				to submittal of stage two documents.
(b)
Stage two.
A proposed
				construction document shall be submitted that includes final drawings and
				specifications adequate for approval by the Department. All final plans and
				specifications shall be appropriately sealed and signed by an architect
				registered by the State of Oklahoma. All construction modifications of approved
				documents are subject to review and approval, and shall be submitted
				timely.
(c)
Special
				submittals.
(1)
Fast-track
				projects.
The fast track process applies only to stage two submittals. A
				stage one submittal and functional program must be approved before entering the
				fast track process.
(A) Equipment and
				built-in furnishings are to be identified in the stage one submittal.
(B) The ambulatory surgical center has the
				option to submit two packages: civil, landscaping and structural in stage one,
				and the balance of the components in stage two.
(C) Fast-track projects shall have prior
				approval and be submitted in no more than four (4) separate packages.
(i) Site work, foundation, structural,
				underslab mechanical, electrical, plumbing work, and related
				specifications.
(ii) Complete
				architectural plans and specifications.
(iii) All mechanical, electrical, and
				plumbing plans and specifications.
(iv) Equipment and furnishings.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 1 - General Provisions › Section 310:615-1-4 - Construction design

Current through Vol. 41, No. 20, July 1, 2024
(a)
New
				construction.
(1) Prior to
				construction commencement of a new ambulatory surgical center, or of additions,
				alterations, remodeling of existing facilities or of the remodeling of any
				facility for the purpose of establishing an ambulatory surgical center,
				proposed construction documents prepared by an architect licensed by the Board
				of Governors, State of Oklahoma, containing complete plans and specifications,
				shall be submitted to the Department for review and approval.
(2) All engineering requirements established
				for proposed projects shall be prepared by professional engineers registered to
				practice in the State of Oklahoma.
(3) Proposed construction documents shall be
				of such detail as to allow complete functional and construction evaluation,
				including site use.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 1 - General Provisions › Section 310:615-1-5 - Self-certification of plans

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department
				shall make available professional consultation and technical assistance
				services covering the requirements of this section to an ambulatory surgical
				center considering self-certification of plans. The consultation and technical
				assistance is subject to the fee for professional consultation and technical
				assistance services set in OAC 310:
				310:615-1-3.1.
				The consultation is optional and not a prerequisite for filing a request
				through the self-certification review process.
(b) The ambulatory surgical center and the
				project architect or engineer may elect to request approval of design and
				construction plans through a self-certification review process. The ambulatory
				surgical center and the project architect or engineer shall submit a
				self-certification request on a form provided by the Department, along with a
				self-certification application fee set in OAC 310:
				310:615-1-3.1.
				The form shall be signed by the ambulatory surgical center and the project
				architect or engineer attesting that the plans and specifications are based
				upon and comply with the requirements of this Chapter. The form shall require
				information necessary to demonstrate compliance with OAC
				310:615-1-5(c).
(c) To be eligible
				for self-certification, projects must comply with the following requirements:
(1) The project involves any portion of the
				ambulatory surgical center where patients are intended to be examined or
				treated and the total of design and construction cost is five million dollars
				($5,000,000.00) or less; or
(2) The
				project involves only portions of the ambulatory surgical center where patients
				are not intended to be examined or treated; and
(3) The project architect or engineer
				attesting the application has held a license to practice architecture or
				engineering for at least five (5) years prior to the submittal of the
				application, is licensed to practice in Oklahoma; and
(4) The ambulatory surgical center
				owner/operator acknowledges that the Department retains the authority to:
(A) Perform audits of the self-certification
				review program and select projects at random for review;
(B) Review final construction
				documents;
(C) Conduct on-site
				inspections of the project;
(D)
				Withdraw approval based on the failure of the ambulatory surgical center or
				project architect or engineer to comply with the requirements of this Chapter;
				and
(5) The ambulatory
				surgical center agrees to make changes required by the Department to bring the
				construction project into compliance with this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-1 - Governing body

Current through Vol. 41, No. 20, July 1, 2024
Every ambulatory surgical center shall have a governing body
				  which shall adopt bylaws for the governance of the center, meet at periodic
				  intervals, at least semi-annually, provide for the systematic review of center
				  operations, appoint or reappoint the medical staff and delineate the privileges
				  of its individual members, appoint a chief executive officer who shall have
				  appropriate education, training, and experience to qualify him for the
				  management of the center.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-2 - Medical staff

Current through Vol. 41, No. 20, July 1, 2024
(a) The medical
				staff shall be an organized group of two or more physicians which shall
				initiate and adopt, with the approval of the governing body, bylaws, rules,
				regulations, and policies governing their professional activities in the
				ambulatory surgical center. Physician membership shall be limited to those
				physicians holding current hospital staff appointments.
(b) In addition to the minimum number of
				physician members of the medical staff, legally licensed dentists or
				podiatrists may be members of the medical staff.
(c) All members of the medical staff shall
				submit a written application for staff membership which shall include a summary
				of all education, professional training and previous appointments to
				institutional medical staffs.
(d)
				Provisions shall be made for the review and evaluation of surgical practices on
				a continuing basis by the establishment and operation of a Tissue Committee
				and/or a Professional Standards Committee which shall review pathological
				reports on all specimens and review the professional performance. Such
				Committee to be comprised of two or more members of the medical staff. When
				warranted by the evidence, the medical staff shall recommend to the governing
				body the dismissal from the medical staff or the reduction of professional
				privileges of any member not conforming to the adopted professional standards
				of the ambulatory surgical center.
(e) Physician assistants may be certified by
				the governing body to assist in surgery, but in no instance shall the
				privileges of a physician's assistant exceed those permitted by his State
				certification, nor shall a physician's assistant be authorized to function
				independently from his responsible physician.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-3 - Records

Current through Vol. 41, No. 20, July 1, 2024
(a) A medical record shall be maintained for
				every patient cared for in the ambulatory surgical center. The medical records
				shall be filed for easy access by the medical staff or representatives of the
				licensing agency.
(b) The medical
				record shall contain, as a minimum, the following:
(1) Patient identification.
(2) Patient history, physical examination,
				chief complaint, copies of any laboratory, X-ray, or consultation
				reports.
(3) Description of
				surgical procedures performed, observations, anesthesia records and disposition
				of the patient.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-4 - Nursing services

Current through Vol. 41, No. 20, July 1, 2024
(a) The center
				shall provide nursing services under the direction of a professional registered
				nurse with post-graduate training or experience in surgical nursing.
(b) The facility shall have at least one
				registered nurse who has professional training and competence in surgical
				nursing on duty in the ambulatory surgical center when patients are
				present.
(c) The facility shall
				have sufficient licensed nurses and other nursing personnel, under the
				direction of a registered nurse, to assure observation and nursing care of all
				patients in the center.
(d) The
				facility shall instruct all nursing personnel as to the location, operation,
				and use of emergency and resuscitative equipment.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-5 - Anesthesia services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall provide anesthesia services under the direction of an anesthesiologist or
				a physician with training and experience in the administration of
				anesthetics.
(b) An
				anesthesiologist or physician shall be on the premises during the
				post-anesthetic recovery period until all patients are alert and/or
				discharged.
(c) At the time of
				admission to the ambulatory surgical center, a history and physical examination
				shall be completed and recorded.
(d) All anesthesia shall be administered by
				an anesthesiologist, physician anesthetist, or certified registered nurse
				anesthetist (CRNA), except for those local agents which may be administered by
				the attending physician or surgeon.
(e) Pulse oximeters should be used during
				procedures and recovery.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-6 - Emergency equipment

Current through Vol. 41, No. 20, July 1, 2024
The facility shall provide sufficient emergency equipment to
				  handle emergencies resulting from the services rendered in the facility. Such
				  equipment shall include, but not be limited to, a portable oscilloscope,
				  portable defibrillator, portable suction equipment, inhalation-resuscitation
				  equipment, and equipment to open and maintain an airway.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-7 - Supportive services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall provide sufficient support services to assure the adequate and
				appropriate availability of supplies, instruments, and equipment.
(b) Sterilizers and autoclaves shall be
				provided of appropriate type and capacity to sterilize instruments, utensils,
				dressings, water, and operating-room materials. There shall be approved control
				and safety features, and instrument accuracy must be checked on a regular,
				periodic basis by an approved method.
(c) Sterile supplies must be maintained
				separately from unsterile supplies and must be stored in dust-proof and
				moisture-free, properly labeled packs.
(d) All sterile packs shall have marked on
				their outer surface the date of sterilization and the expiration date of such
				period of sterile condition.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 3 - Administration and Organization › Section 310:615-3-8 - Medications

Current through Vol. 41, No. 20, July 1, 2024
(a) Medications shall be administered only on
				the order of any person authorized by state law to so prescribe [Nurse Practice
				Act 59 O.S. 1981 §567.3a].
(b)
				The center shall provide proper storage, safeguarding, preparation, and
				dispensing of medications in a pharmacy or medication room which is under the
				supervision of a registered pharmacist who is either an employee of the center
				or serves as a consultant pharmacist in the same manner as required of
				hospitals in Chapter 667 of this Title.
Amended at 9 Ok Reg
				  2021, eff 6-11-92; Amended at 27 Ok Reg 2534, eff
				  7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-1 - Administration and public areas

Current through Vol. 41, No. 20, July 1, 2024
(a)
Entrance.
A covered entrance will be located at grade level,
				sheltered from the weather and accessible to the handicapped.
(b)
Public services.
Public
				services shall include:
(1) Accessible
				wheelchair storage.
(2) Reception
				and information center.
(3) Waiting
				space. When pediatric services are provided, provisions shall be made for
				separation of pediatric and adult patients.
(4) Accessible rest rooms.
(5) Accessible public telephone.
(6) Accessible drinking
				fountain(s).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-2 - Clinical facilities

Current through Vol. 41, No. 20, July 1, 2024
(a)
General-purpose examination room(s).
For examinations as may be
				indicated by narrative program, the center shall have a minimum floor area of
				80 square feet, excluding such spaces as vestibule, toilet, closet, and work
				counter (whether fixed or movable). Arrangement shall permit at least 2'-6'
				clearance at each side and at the foot of the examination table. A lavatory or
				sink equipped for hand washing and a counter or shelf space for writing shall
				be provided.
(b)
Treatment
				room(s).
Rooms for minor surgical and cast procedures (if provided)
				shall have a minimum floor area of 120 square feet, excluding vestibule,
				toilet, closet, and work counter (whether fixed or movable). The minimum floor
				dimension shall be 10 feet. A lavatory or sink equipped for hand washing and a
				counter or shelf space for writing shall be provided.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-3 - Surgical facilities

Current through Vol. 41, No. 20, July 1, 2024
The number of operating rooms, recovery beds and the sizes of
				  the service areas shall be based upon the expected surgical workload. The
				  surgical suite shall be located and arranged to preclude unrelated traffic
				  through the suite. The suite shall provide the following elements.
(1)
Operating rooms.
(A) All ambulatory surgical center operating
				rooms shall be constructed and maintained to conform to Standard 70, National
				Electrical Code, Standard 99, Chapter 3, Use of Anesthetics (Flammable and
				Nonflammable) and Standard 99, Nonflammable Medical Gas Systems.
(B) Any room or space in which flammable
				anesthetics or volatile flammable materials are stored or used, shall be
				considered a hazardous area.
(C)
				Facilities electing to use only nonflammable anesthetic agents or to provide a
				mixed facility using both flammable and nonflammable anesthetics, must document
				the recommendations and approval of such determination by the medical staff of
				the facility and the adoption of such a regulation by the facility's governing
				body. Precautionary signs shall be posted at conspicuous points throughout the
				surgical suite and within the operating rooms. All such signs must be large
				enough to be read from at least 8' distance.
(D) Each room shall have a minimum clear area
				of 250 square feet exclusive of fixed and movable cabinets and shelves. An
				emergency communications system connecting with the surgical-suite control
				station shall be provided.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-4 - Janitors' closet(s)

Current through Vol. 41, No. 20, July 1, 2024
Each janitor's closet shall contain a floor receptor or
				  service sink and storage for housekeeping supplies and equipment. Provide at
				  least one janitors' closet per floor.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-5 - Employees' facilities

Current through Vol. 41, No. 20, July 1, 2024
Locker rooms, lounges, toilets, or shower facilities, as
				  required, shall be provided to accommodate the needs of all personnel and
				  volunteers.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-7 - Construction, including fire-resistive requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
Construction.
Construction,
				of freestanding ambulatory surgical centers shall comply with NFPA 101, Life
				Safety Code, 1991 edition, section 12-6, along with applicable building codes
				and minimum requirements contained in this Chapter. Ambulatory surgical centers
				which are an integral part of a hospital or connected to a hospital and which
				accommodate hospital ambulatory patients shall comply with the construction
				requirements for general hospitals.
(b)
Interior finishes.
Interior-finish materials shall comply with the flame-spread limitations and
				the smoke-production limitations shown in Appendix G of this Chapter. If a
				separate under layment is used with any floor-finish materials, the under
				layment and the finish material shall be tested as a unit or equivalent
				provisions made to determine the effect of the under layment on the
				flammability characteristics on the floor-finish material. Tests shall be
				performed by an independent testing laboratory.
(c)
Insulation materials.
Building insulation materials, unless sealed on all sides and edges, shall have
				a flame-spread rating of 25 or less and a smoke-developed rating of 150 or less
				when tested in accordance with ASTM Standard E84.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-8 - Elevators

Current through Vol. 41, No. 20, July 1, 2024
(a)
Required.
All buildings
				having examination rooms, treatment rooms, or diagnostic services located on
				other than the main-entrance floor, shall have electric or electro-hydraulic
				elevators. The elevators shall be installed in sufficient quantity, capacity,
				and speed that the average interval of dispatch time will not exceed one
				minute, and average peak loading can be accommodated.
(1) Cars shall have a minimum inside floor
				dimension of not less than 5prime;-0Prime;. The car door shall have a clear
				opening of not less than 3prime;-0Prime;.
(2) Elevators shall be equipped with an
				automatic leveling device of the two-way automatic maintaining type with an
				accuracy of +-1/2Prime;.
(3)
				Elevators, except freight elevators, shall be equipped with a two-way special
				service switch to permit cars to bypass all landing-button calls and be
				dispatched directly to any floor.
(4) Elevator call buttons, controls, and door
				safety stops shall be of a type that will not be activated by heat or
				smoke.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-9 - Mechanical requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
(1) Prior to completion
				and acceptance of the facility, all mechanical systems shall be tested,
				balanced, and operated to demonstrate to the design engineer or his/her
				representative that the installation and performance of these systems conform
				to the requirements of the plans and specifications. Test results shall be
				documented for maintenance files.
(2) Upon completion of the installation
				contract, the owner shall be furnished with a complete set of manufacturer's
				operating, maintenance, and preventive maintenance instructions, and parts list
				with numbers and description for each piece of equipment. Operating staff
				personnel shall be provided with instruction in the operational use of systems
				and equipment as required.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 5 - Minimum Standards › Section 310:615-5-10 - Electrical requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
(1) All material,
				including equipment, conductors, controls, and signaling devices, shall be
				installed to provide a complete electrical system with, the necessary
				characteristics and capacity to supply the electrical facilities shown in the
				specifications or indicated on the plans. All materials shall be listed as
				complying with available standards of Underwriters' Laboratories, Inc., or
				other similarly established standards.
(2) All electrical installations and systems
				shall be tested to show that the equipment is installed and operates as planned
				or specified. A written record of performance tests on special electrical
				systems and equipment shall be supplied to the owner. Such tests shall show
				compliance with the governing codes and shall include conductive floors,
				isolated power systems, grounding continuity, and alarm systems.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 7 - Codes and Standards › Section 310:615-7-1 - General

Current through Vol. 41, No. 20, July 1, 2024
Nothing stated herein shall relieve the sponsor from
				  compliance with building codes, State safety glass requirements, ordinances,
				  and regulations which are enforced by city, county, or State jurisdictions.
				  Where such codes, ordinances, and regulations are not in effect, the sponsor
				  shall consult one of the national building codes generally used in the area for
				  all components of the building type which are not specifically covered by these
				  minimum requirements, provided that the requirements of the national code are
				  consistent with the minimum requirements set forth herein.
Revoked and reenacted at
				  9 Ok Reg 2021, eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Subchapter 7 - Codes and Standards › Section 310:615-7-2 - List of referenced codes and standards

Current through Vol. 41, No. 20, July 1, 2024
Editions of publications, of year indicated, containing codes
				  and standards which have been used in whole or in part as references in various
				  sections of the minimum requirements in this Chapter, are listed below.
(1) American National Standards Institute
				(ANSI):
(A) Standard A17.1 American National
				Standard Safety Code for Elevators, Dumbwaiters, Escalators and Moving
				Stairs.
(B) Standard A117.1
				American standard Specification for Making Buildings and Facilities Accessible
				to and Usable by the Physically Handicapped.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Appendix D - Flame-Spread and Smoke-Production Limitations of Interior Finishes in Ambulatory Surgical Centers

Current through Vol. 41, No. 20, July 1, 2024
Figure
				1
Added at 9 Ok Reg 2021,
				eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 615 - Ambulatory Surgical Centers › Appendix F - Filter Efficiencies for Central Ventilation and Air Conditioning Systems in Outpatient Facilities

Current through Vol. 41, No. 20, July 1, 2024
Figure
				1
Added at 9 Ok Reg 2021,
				eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 1 - General Provisions › Section 310:616-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This Chapter establishes the minimum criteria for the
				  issuance and renewal of a birthing center license and the procedures for
				  enforcement thereto.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 3 - Administration › Section 310:616-3-1 - Licensure

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicant.
Any individual,
				public or private organization desiring to establish a birthing center may
				apply and obtain a license from the Department. A license is not mandatory to
				operate a birthing center.
(b)
Application.
The application for a birthing center license shall
				be filed on a form prescribed by the Department.
(c)
Expiration/renewal.
The
				birthing center license shall expire one year from the date of issue, unless
				suspended or revoked. An application for renewal shall be submitted according
				to the act.
(d)
Conditions
				for licensure.
(1) The license is
				valid only for the location indicated on the license.
(2) The license is not transferable or
				assignable.
(3) The Department
				shall be notified within thirty days of change of administrator.
(4) The Department shall be notified within
				thirty days of change in business name and/or address.
(5) The Department shall be notified in
				writing when the center closes and the administrator shall return the license
				to the Department.
(6) A licensed
				birth attendant shall be available twenty-four hours a day.
(7) A transfer agreement shall be in place
				between the birthing center and a hospital which has obstetrical services where
				the medical director has obstetrical admitting privileges. The hospital shall
				be located not more than 30 minutes from the birthing center.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 3 - Administration › Section 310:616-3-2 - Organization

Current through Vol. 41, No. 20, July 1, 2024
(a)
Policies and procedures.
Each birthing center which falls within the purview of these regulations shall
				develop and maintain operational policy and procedures which describe the
				functions, staffing, services available to the patient and other basic
				information relating to the fulfillment of the facility's objectives.
(b)
Governing body.
A birthing
				center shall have a governing body that assumes full legal responsibility for
				determining, implementing and monitoring policies governing the total
				operations of the center. The governing body must also ensure that all services
				provided are consistent with accepted standards of practice, including contract
				services.
(c)
Personnel
				requirements.
Policies shall be developed concerning the following and
				placed in personnel records:
(1) Job
				descriptions for all personnel.
(2)
				A requirement for orientation of all employees.
(3) Inservice education.
(4) Evidence that all birth attendants are
				currently certified by the American Heart Association or the American Red Cross
				in infant and adult cardiopulmonary resuscitation.
(5) Verification that all staff meet state
				licensure requirements.
(6)
				Certification of the midwife by the American College of Nurse-Midwives (ACNM),
				and a certificate of recognition from the Oklahoma Board of Nursing permitting
				the use of the title of Certified Nurse-Midwife (CNM).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 3 - Administration › Section 310:616-3-3 - Reports and records

Current through Vol. 41, No. 20, July 1, 2024
(a)
Reports.
Reports shall be made by the birthing center to the
				appropriate agency, including but not limited to the following:
(1) Communicable diseases.
(2) Births and deaths.
(3) Periodic reports to the Department on
				forms supplied for this purpose.
(4) Newborn hearing screening
				report.
(5) Newborn metabolic
				screening.
(6) Birth
				defects.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 3 - Administration › Section 310:616-3-4 - Confidentiality

Current through Vol. 41, No. 20, July 1, 2024
(a) Medical records shall be kept
				confidential. Only authorized personnel shall have access to the record.
				Written consent of the patient, the court appointed guardian, or a court order
				must be presented as authority for release of medical information.
(b) Patient access to medical records. Any
				person who is or has been a patient of a physician, hospital, or other medical
				facility, except psychiatric, shall be entitled to access information contained
				in his/her medical records upon request. Request for minors may be made by
				parents or legal guardian. A copy of the medical record pertaining to his/her
				case shall be furnished upon tender of the expense of such copy or copies. The
				cost of each copy shall not exceed the statutory fee.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 5 - Minimum Standards › Section 310:616-5-1 - Admission

Current through Vol. 41, No. 20, July 1, 2024
(a) Admission to the birthing center shall be
				limited to low risk, uncomplicated pregnancies, with an anticipated spontaneous
				vaginal delivery, which, determined by history of prenatal care and risk
				criteria, predicts a normal, uncomplicated birth. Regional or general
				anesthesia shall not be utilized in the birthing center.
(b) Each birthing center shall have
				sufficient space to accommodate participating family members and support
				personnel of the patient's choice and shall provide care for childbearing women
				during pregnancy, birth and puerperium with public service standards accessible
				to acute care obstetrical and newborn services.
(c) A woman who develops any condition that
				causes her to deviate from having a low-risk birth shall be referred and
				transferred to the appropriate referral hospital when the abnormal condition is
				recognized.
(d) Infants who are
				born with or develop problems following birth shall also be referred to the
				appropriate hospital or physician.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 5 - Minimum Standards › Section 310:616-5-2 - Quality assurance

Current through Vol. 41, No. 20, July 1, 2024
The birthing center shall have a quality assurance program to
				  monitor and assure that all requirements are met, including but not limited
				  to:
(1)
Sanitation.
(A) A safe and sanitary environment shall be
				properly constructed, equipped and maintained according to established policies
				and procedures to protect the health and safety of the patient.
(B) An infection control program shall be
				developed which includes the utilization of universal precautions.
(C) Properly functioning equipment shall be
				available to sterilize instruments, equipment and supplies prior to use in the
				center using current standards and principles of sterilization in processing
				sterile supplies.
(D) All waste,
				including biomedical waste, shall be disposed of by a state approved method.
				Placentas shall not be placed in the trash or dumpster for disposal. Infectious
				or pathological wasted shall be double-bagged in plastic bags not less than 1.5
				mile thick each and conspicuously marked. Biomedical waste shall not be
				commingled with routine solid waste.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 5 - Minimum Standards › Section 310:616-5-4 - Construction

Current through Vol. 41, No. 20, July 1, 2024
(a)
Location.
The facility shall
				be serviced by all weather roads and available to private and emergency
				vehicles at all times.
(b)
Parking.
Parking shall be made available for patients, staff and
				visitors. (See Uniform Federal Accessibility Standards [UFAS] and American
				National Standards Institute Standard A117.1 [ANSI), American Standard
				Specification for Making Buildings and Facilities Accessible to and Useable by
				the Physically Handicapped).
(c)
Building plans and specifications.
Before the start of
				construction, plans and specifications covering the construction of new
				buildings or major alterations to existing buildings, shall be submitted to the
				Department for review and approval.
(d)
Staged submission.
Prepared
				plans and specifications shall be submitted in two stages.
(1) Stage one shall contain sufficient
				information to establish the scope of the project, project location, required
				fire safety and exiting criteria, building construction type, bed count and
				services, and assignment of all spaces for all floors.
(2) Stage two shall be the final drawings and
				specifications. This submittal shall be complete and adequate for proposed
				contract purposes. All final plans and specifications shall be sealed and
				signed by an architect registered by the State of Oklahoma. All construction
				modifications of approved documents are subject to review and approval by the
				Department and shall be submitted as is timely.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 7 - Enforcement › Section 310:616-7-1 - Inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) Any duly authorized representative of the
				Department shall have the right to conduct inspections as necessary in order to
				determine compliance with the provisions of the Act and this Chapter in force
				pursuant thereto.
(b) Inspections
				shall be conducted by authorized representatives of the Department at least
				annually, but more frequently if there is a reasonable basis for such
				action.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 7 - Enforcement › Section 310:616-7-2 - Complaints and investigations

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				complaint may be registered with the Department by any person who believes the
				birthing center is operating contrary to the Act or is posing a serious threat
				to the health and welfare of a patient in its care. The complaint may be
				registered verbally or in writing.
(b) An investigation will be conducted by the
				Department to determine the validity of the complaint and instigate necessary
				action applicable to the situation. The complainant will be notified, in
				writing, of the findings, if a name and address is furnished.
(c) If the Department determines there are
				reasonable grounds to believe the birthing center is operating in violation of
				the regulations, the Department shall follow the notice and hearing procedure
				established by the Act and as contained in the Procedure of the State
				Department of Health, Chapter 2 of this Title.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 7 - Enforcement › Section 310:616-7-3 - Penalties

Current through Vol. 41, No. 20, July 1, 2024
After notice and hearing pursuant to the Act, the Department
				  may use any and all the remedies provided by the Act and by the general
				  statutory authority of the Commissioner of Health.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 616 - Birthing Centers Regulations › Subchapter 7 - Enforcement › Section 310:616-7-4 - Appeals

Current through Vol. 41, No. 20, July 1, 2024
Final orders of the Department may be appealed to the
				  District Court by any party directly affected or aggrieved by the
				  order.
Added at 9 Ok Reg 1715,
				  eff 4-23-92 (emergency); Added at 9 Ok Reg 1979, eff
				  6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 1 - General › Section 310:620-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This Chapter sets the standards against which the Department
				  shall review proposed acquisitions of facilities under the authority of 63 O.S.
				  Sections
				  1-850 et
				  seq., (Long-Term Care Certificate of Need Act) and 63 O.S. Sections
				  1-880.1 et
				  seq., (Psychiatric and Chemical Dependency Facility Certificate of Need Act)
				  and 75 O.S. Sections
				  250.1
				  through
				  323,
				  (Administrative Procedures Act).
Amended at 12 Ok Reg
				  3065, eff 7-27-95; Amended at 14 Ok Reg 2261, eff 6-12-971; Amended at 18 Ok
				  Reg 2496, eff 6-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 1 - General › Section 310:620-1-2 - Criterion [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 14 Ok Reg
				  2261, eff 6-12-97
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 1 - General › Section 310:620-1-3 - Applicability [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 12 Ok Reg 3065,
				  eff 7-27-95; Amended at 14 Ok Reg 2261, eff 6-12-97; Amended at 18 Ok Reg 2496,
				  eff 6-25-01; Revoked at 22 Ok Reg 2414, eff
				  7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 3 - Standards › Section 310:620-3-1 - Financial

Current through Vol. 41, No. 20, July 1, 2024
The applicant shall provide proof of sufficient financial
				  resources to complete the acquisition and to maintain services and staffing
				  that meet licensure standards for at least twelve (12) months following
				  acquisition.
(1)
Financial proof
				for acquisition.
Proof of sufficient financial resources to complete the
				acquisition shall be provided in the following forms, as applicable:
(A) For conventional, bank, seller-carried,
				third party, or bond financing, a statement of the proposed principal amount,
				interest rate and repayment terms, and that the applicant has access to the
				required funds, signed under oath by a representative of the lending
				institution, seller, third party, or authority;
(B) For equity financing:
(i) An attested balance sheet for the
				acquiring party that is dated within the past twelve (12) months and that
				reflects cash or cash equivalents sufficient to fund the project; or
(ii) A certificate of deposit or other proof
				that funds are available and have not been pledged for some other
				purpose.
(C) For
				financing or other funding from or guaranteed by a third party that is not duly
				authorized or chartered as a bank:
(i) An
				attested balance sheet, certificate of deposit or other attested proof that is
				dated within the past twelve (12) months for the third party, unless the third
				party is a licensed insurer or surplus lines insurer, the United States of
				America, a state of the United States of America, or an agency or
				instrumentality thereof; and
(ii)
				Copies of organizational documents and contracts necessary to substantiate the
				relationship between the applicant and the third party.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 3 - Standards › Section 310:620-3-2 - Staffing

Current through Vol. 41, No. 20, July 1, 2024
The applicant shall provide documentation that sufficient
				  personnel shall be retained or employed to meet the needs of all residents and
				  to comply with all requirements for state licensure and Medicare/Medicaid
				  certification, if applicable. The documentation of staffing shall include
				  written statements from the administrator, the director of nursing, the
				  pharmacist, and the medical director, indicating their intentions to contract
				  or accept employment with the applicant.
Amended at 12 Ok Reg
				  3065, eff 7-27-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 3 - Standards › Section 310:620-3-3 - Experience

Current through Vol. 41, No. 20, July 1, 2024
If the applicant has less than sixty (60) months experience
				  in health care facility operation immediately preceding the filing of the
				  application, the applicant shall provide a plan which details how experienced
				  and competent staffing and leadership shall be responsible for the facility
				  operations. The operational plan shall include:
(1) Organizational papers, bylaws, articles
				of incorporation, partnership agreements, business plans, or other documents
				which confirm the applicant's claims about the policies, rights, duties and
				responsibilities of the applicant and its principals;
(2) Statements from the person or persons who
				shall fill management or administrative staffing and leadership positions,
				including but not limited to the director of nursing, the medical director, the
				administrator, and the applicant's policy body, with said statements to specify
				the minimum amount of time those persons shall spend working at the facility;
				and
(3) A statement from the
				applicant agreeing to advise the Department prior to any change in the staffing
				and leadership during the first six months of operation after the acquisition
				is finalized.
(4) A statement from
				the applicant agreeing that any person added to or replacing another person in
				the staffing or leadership plan during the first six months of operation shall
				comply with 63 O.S. Section
				1-853.F
				and OAC
				310:4-1-7.1.
Amended at 12 Ok Reg
				  3065, eff 7-27-95; Revoked at 14 Ok Reg 2261, eff 6-12-971; Amended at 18 Ok
				  Reg 2496, eff 6-25-01; Amended at 19 Ok Reg 2079, eff 6-27-02; Amended at 22 Ok
				  Reg 2414, eff 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 3 - Standards › Section 310:620-3-4 - Investigation [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Amended at 12 Ok Reg
				  3065, eff 7-27-95; Revoked at 14 Ok Reg 2261, eff
				  6-12-971
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 620 - Certificate of Need Standards for Health Care Facility Acquisitions › Subchapter 3 - Standards › Section 310:620-3-4.1 - Description of notice to residents and families

Current through Vol. 41, No. 20, July 1, 2024
The form used to notify residents and families as required in
				  63 O.S. Section
				  1-852(I)
				  requires the following information:
(1) The name of the applicant;
(2) The name and location of the facility to
				be acquired;
(3) A brief
				explanation of the public's opportunity to participate in the review of the
				certificate of need application;
(4) The location where and the times when the
				certificate of need application shall be available for public inspection;
				and
(5) The address and deadline
				for submitting written comments to the Department.
Added at 14 Ok Reg 2261,
				  eff 6-12-97; Amended at 18 Ok Reg 2496, eff 6-25-01; Amended at 22 Ok Reg 2414,
				  eff 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 625 - Certificate of Need Standards for ICF/MR › Section 310:625-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This Chapter shall apply to Certificate of Need applications
				reviewed by the Department for proposed Intermediate Care Facility/Mentally
				Retarded (ICF/NR) beds and implements part of the Long-term Care Certificate of
				Need Act. This Chapter shall not apply to ICF/MR 16s and smaller
				facilities.