New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS › Part 18 - REQUIREMENTS FOR FACILITIES PROVIDING OUTPATIENT MEDICAL SERVICES AND INFIRMARIES › Section 8.370.18.60 - SPECIAL REQUIREMENTS FOR AMBULATORY SURGICAL CENTERS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to all other requirements contained in these
				  regulations ambulatory surgical centers will provide the following.
A. A covered entrance for pickup of patients
				after surgery.
B. A medical records
				room equipped for recording, and retrieval of medical records.
C. At least one examination or treatment room
				meeting the requirements outlined in Sections 57 and 58 of 8.370.18 NMAC shall
				be provided for examination and testing of patients prior to surgery.
D. Operating rooms or surgical suites:
(1) Each operating room will have a minimum
				clear area of at least 250 square feet.
(2) An emergency communication system
				connected with the surgical control station shall be provided.
(3) At least one x-ray film illuminator shall
				be provided in each operating room.
(4) Closed storage space for splints and
				traction equipment shall be provided for orthopedic surgery.
(5) Room(s) for post-anesthesia recovery of
				outpatient surgical patients shall be provided meeting the following
				requirements:
(a) at least three feet shall be
				provided at each side and at the foot of each bed as needed for work or
				circulation;
(b) if pediatric
				surgery is part of the services, separation from the adult section and space
				for parents shall be provided.
(6) A designated supervised recovery lounge
				shall be provided for patients who do not require post-anesthesia recovery but
				need additional time for their vital signs to stabilize before safely leaving
				the facility. This lounge shall contain:
(a)
				control station;
(b) space for
				family members;
(c) provisions for
				privacy; and
(d) convenient patient
				access to toilets large enough to accommodate patient, wheelchair, and an
				assistant.
(7) The
				following shall be provided in the surgical service areas:
(a) a control station located to permit
				visual surveillance of all traffic entering the operating suite;
(b) a drug distribution station; provision
				shall be made for storage and preparation of medications administered to
				patients;
(c) scrub facilities
				shall be provided near the entrance to each operating room which is arranged to
				minimize incidental splatter on nearby personnel or supply carts;
(d) a soiled workroom which shall contain a
				clinical sink or equivalent flushing type fixture, a work counter, a sink for
				hand washing, and waste receptacle(s);
(e) fluid waste disposal facilities which
				shall be convenient to the general operating rooms; a clinical sink or
				equivalent equipment in a soiled workroom shall meet this
				requirement;
(f) a clean workroom
				or a clean supply room:
(i) a clean workroom
				is required when clean materials are assembled within the facility prior to use
				and shall contain: work counter; sink equipped for hand washing; and, space for
				clean and sterile supplies;
(ii) a
				clean supply room may be used when the facility does not assemble the material
				and has procedures for the storage of sterile and clean supplies;
(g) anesthesia storage facilities
				which meet the standards as outlined in national fire protection association
				life safety code pamphlet 99; anesthesia may be stored inside or outside as
				long as the standards are met;
(h)
				anesthesia workroom for cleaning, testing, and storing anesthesia equipment
				which shall contain: work counter and sink;
(i) equipment storage room(s) for equipment
				and supplies used in the surgical area;
(j) staff clothing change area which shall
				contain: lockers; showers; toilets; lavatories for hand washing; and, space for
				donning scrub attire;
(k)
				outpatient surgery change areas for patients to change from street clothing
				into hospital gowns and to prepare for surgery which shall have the following:
				waiting room(s); lockers; clothing change or gowning areas; space for
				administering medications; and, provisions for securing patients' personal
				effects;
(l) stretcher storage area
				which shall be convenient for use and out of the direct line of
				traffic;
(m) for facilities having
				three or more operating rooms, a lounge and toilet facilities will be provided
				for the surgical staff;
(n) a
				nurse's toilet room shall be provided near the recovery room(s);
(o) a janitor's closet exclusively for the
				surgical suite which shall have: a floor receptor or service sink, and storage
				space exclusively for house keeping supplies and equipment for the surgical
				suite;
(p) space for the temporary
				storage of wheelchairs; and
(q)
				provisions for convenient access to and use of emergency crash carts at both
				the surgical and recovery areas.