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 .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5409 - STAFF TRAINING FOR INPATIENT REHABILITATION FACILITIES OR UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
Prior to the provision of care, all rehabilitation
					 personnel, excluding physicians, assigned to the rehabilitation unit shall be
					 provided training or shall provide documentation of training that includes at a
					 minimum the following:
(1) active and
				  passive range of motion;
(2)
				  assistance with ambulation;
(3)
				  transfers;
(4) maximizing
				  functional independence;
(5) the
				  psycho-social needs of the rehabilitation patient;
(6) the increased safety risks of
				  rehabilitation training (including falls and the use of restraints);
(7) proper body mechanics;
(8) nutrition, including dysphagia and
				  restorative eating;
(9)
				  communication with the aphasic and hearing impaired patient;
(10) behavior modification;
(11) bowel and bladder training;
				  and
(12) skin care.
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 .5410 - EQUIPMENT REQUIREMENTS/COMPREHENSIVE INPATIENT REHABILITATION PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility shall provide each
				  discipline with the necessary equipment and treatment methods to achieve the
				  short and long-term goals specified in the comprehensive inpatient
				  rehabilitation interdisciplinary treatment plans for patients admitted to these
				  facilities or units.
(b) Each
				  patient's needs for a standard wheelchair or a specially designed wheelchair or
				  additional devices to allow safe and independent mobility within the facility
				  shall be met.
(c) Special physical
				  therapy and occupational therapy equipment for use in fabricating positioning
				  devices for beds and wheelchairs shall be provided including splints, casts,
				  cushions, wedges and bolsters.
(d)
				  Physical therapy devices shall be provided, including a mat, table, parallel
				  bars, sliding boards, and special adaptive bathroom equipment.
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 .5411 - REPEALED - PHYSICAL FACILITY REQUIREMENTS/INPATIENT REHABILITATION FACILITIES OR UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
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 .5412 - ADDITIONAL REQUIREMENTS FOR TRAUMATIC BRAIN INJURY PATIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Inpatient rehabilitation facilities
				  providing services to patients with traumatic brain injuries shall provide
				  staff to meet the needs of patients in accordance with the patient assessment,
				  treatment plan, and physician orders.
(b) The facility shall provide special
				  equipment to meet the needs of patients with traumatic brain injury, including
				  specially designed wheelchairs, tilt tables and standing tables.
(c) The facility shall provide the consulting
				  services of a neuropsychologist.
(d) The facility shall provide continuing
				  education in the care and treatment of brain injury patients for all
				  staff.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of statutory authority Eff. January 18, 1996;
Eff. May 1,
					 1996;
Readopted Eff. April 1,
					 2020.
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 .5413 - ADDITIONAL REQUIREMENTS FOR SPINAL CORD INJURY PATIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Inpatient rehabilitation facilities providing services to patients with spinal
				  cord injuries shall provide staff to meet the needs of patients in accordance
				  with the patient assessment, treatment plan, and physician orders.
(b) The facility shall provide special
				  equipment to meet the needs of patients with spinal cord injury, including
				  specially designed wheelchairs, tilt tables and standing tables.
(c) The facility shall provide continuing
				  education in the care and treatment of spinal cord injury patients for all
				  staff.
(d) The facility shall
				  provide specific staff training and education in the care and treatment of
				  spinal cord injury.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of statutory authority Eff. January 18, 1996;
Eff. May 1,
					 1996;
Readopted Eff. April 1,
					 2020.
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 .5414 - DEEMED STATUS FOR INPATIENT REHABILITATION FACILITIES OR UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) If an inpatient rehabilitation facility
				  or unit with a comprehensive inpatient rehabilitation program is surveyed and
				  accredited by The Joint Commission (TJC) or the Commission on Accreditation of
				  Rehabilitation Facilities (CARF) and has been approved by the Department in
				  accordance with G.S. 131E, Article 9, the Department deems the facility to be
				  in compliance with Rules.5401 through .5413 of this Section.
(b) Deemed status shall be provided only if
				  the inpatient rehabilitation facility or unit provides copies of survey reports
				  to the Department. The TJC report shall show that the facility or unit was
				  surveyed for rehabilitation services. The CARF report shall show that the
				  facility or unit was surveyed for comprehensive rehabilitation services. The
				  facility or unit shall sign an agreement (Memorandum of Understanding) with the
				  Department specifying these terms.
(c) The inpatient rehabilitation facility or
				  unit shall be subject to inspections or complaint investigations by
				  representatives of the Department at any time. If the facility or unit is found
				  not to be in compliance with the rules listed in Paragraph (a) of this Rule,
				  the facility shall submit a plan of correction and be subject to a follow-up
				  visit to ensure compliance.
(d) If
				  the inpatient rehabilitation facility or unit loses or does not renew its
				  accreditation, the facility or unit shall notify the Division in writing within
				  30 days.
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 .5500 - SUPPLEMENTAL RULES FOR HOSPITALS PROVIDING LIVING ORGAN DONATION TRANSPLANT SERVICES › Section 13B .5501 - APPLICABILITY OF RULES

Current through Register Vol. 39, No. 2, July 15, 2024
The rules contained in this Section shall apply to
					 hospitals providing living organ donation transplant
					 services.
Authority
					 G.S.
					 131E-75;
					 131E-79;
					 143B-165;
Eff. April
					 1, 2006;
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 .5500 - SUPPLEMENTAL RULES FOR HOSPITALS PROVIDING LIVING ORGAN DONATION TRANSPLANT SERVICES › Section 13B .5502 - INDEPENDENT DONOR ADVOCATE TEAM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility
				  shall appoint an Independent Donor Advocate Team (IDAT) whose sole purpose is
				  to represent and ensure the well-being of the potential donor, making sure he
				  or she is aware of the risks and benefits of donation and that the choice to
				  donate is voluntary. The IDAT shall ensure the potential donor learns about the
				  entire donation process. This would include the selection of recipients for the
				  transplant, the procedures to be employed for both the donor and recipient, and
				  possible outcomes. Sufficient time for the discussion, supplemented with
				  written materials, must be allowed for comprehension and assimilation of the
				  information about transplantation and the ramifications of donation. Written
				  and verbal presentations shall be in language in accordance with the person's
				  ability to understand.
(b) The IDAT
				  shall consist of a physician, a clinical transplant coordinator, and a social
				  worker or qualified mental health professional as defined in Rule.5202(k) of
				  this Subchapter. The physician shall be the leader of the IDAT. The IDAT
				  members shall have experience in organ transplantation processes and programs
				  and shall be able to act for the interests of the potential donor independent
				  of any financial or facility influence. Based on the outcome of the evaluation
				  of the potential donor pursuant to Rule.5504 of this Section, if the IDAT
				  determines any potential donor is unsuitable for donation, it shall provide the
				  reasons both verbally and in writing.
(c) In order to ensure the well-being of the
				  potential donor, the IDAT shall:
(1) Protect
				  and represent the interests of the potential donor;
(2) Make it clear to the potential donor that
				  the choice to donate is entirely his or hers;
(3) Inform and discuss with the potential
				  donor the medical, psychosocial and financial aspects related to the live
				  donation;
(4) Explain to the
				  potential donor the evaluation process, what it means and his or her option to
				  stop at any time;
(5) Determine the
				  intellectual and emotional ability of the potential donor to understand the
				  legal and ethical aspects of informed choice;
(6) Assess if the potential donor has
				  understood the risks and the benefits and how they impact on his or her own
				  core beliefs and values; and
(7)
				  Identify for the potential donor resources that will be available to provide
				  continuous care during hospitalization and referrals in medicine, psychiatry or
				  social work, which may be needed or required following discharge.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5500 - SUPPLEMENTAL RULES FOR HOSPITALS PROVIDING LIVING ORGAN DONATION TRANSPLANT SERVICES › Section 13B .5503 - INFORMED CHOICE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The potential
				  donor must be free to make an informed independent decision, which has been
				  termed informed choice. Informed choice addresses the decision process of the
				  potential donor as he or she determines whether or not to donate. Informed
				  choice has several aspects. First, the potential donor must know he or she has
				  a choice, meaning he or she can freely decide either to donate or not to donate
				  an organ. Second, the potential donor must be aware of both the risks and
				  benefits of donation. The potential donor must be able to weigh the positive
				  aspects of the donation as well as take into account the technical aspects such
				  as the surgery, recovery, financial impact and any unexpected but potential
				  consequences that may result such as a change in the patient's life, health,
				  insurability, employment or emotional stability.
(b) The person who consents to be a live
				  organ donor shall be:
(1) Legally
				  competent;
(2) Willing to
				  donate;
(3) Free from coercion,
				  including financial coercion, actual or implied;
(4) Medically suitable;
(5) Informed and able to express
				  understanding of the risks and benefits of donation; and
(6) Informed of the risks, benefits and
				  alternative treatment regimens available to the recipient.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5500 - SUPPLEMENTAL RULES FOR HOSPITALS PROVIDING LIVING ORGAN DONATION TRANSPLANT SERVICES › Section 13B .5505 - PERIOPERATIVE CARE AND FACILITY SUPPORT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The donor
				  surgical team shall have primary concern and responsibility for the donor's
				  care and welfare throughout his or her entire hospital stay. The donor surgical
				  team consists of the donor surgeon, his or her surgical and medical partners,
				  fellows, residents, and physician assistants or nurse practitioners.
(b) Preoperative Preparation
(1) The facility shall have the ability to
				  allow donors to bank a minimum of one unit of blood before surgery. Facilities
				  shall have the ability to store and transfuse autologous blood;
(2) The transplant coordinator or another
				  team member shall be assigned the responsibility of providing updates to the
				  families of both the donor and transplant recipient during the surgical
				  procedures; and
(3) For live donor
				  liver procedures, surgeries shall be scheduled only when staffing will be
				  available for the postoperative period. If surgery is scheduled on a Thursday
				  or Friday, the hospital shall ensure that there is adequate attending
				  physician, resident physician, physician assistant or nurse practitioner, and
				  registered nursing coverage during the weekend.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5500 - SUPPLEMENTAL RULES FOR HOSPITALS PROVIDING LIVING ORGAN DONATION TRANSPLANT SERVICES › Section 13B .5506 - DISCHARGE PLANNING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Pre-Donation.
				  At the time of evaluation by the IDAT, a discussion shall be held between the
				  IDAT social worker and the potential donor and his or her family or next of kin
				  to address the following areas:
(1) Living
				  arrangements after discharge from the surgery or while the donor recuperates
				  until able to travel;
(2)
				  Transportation arrangements from the hospital to the donor's accommodations or
				  back to follow up appointments;
(3)
				  Caregivers to provide assistance or support upon discharge; if the donor has
				  children or other dependents, a plan for the children's or dependent's care
				  while the donor recuperates;
(4)
				  Financial considerations: Encourage donor to discuss with employer about
				  medical leave or disability. This discussion shall include checking with health
				  or life insurance carriers about future "pre-existing conditions" or
				  "exclusions" that may result from donation;
(5) Provided consent is first obtained,
				  referrals to other living organ donors from that particular facility and
				  suggestions from other resources such as publications and websites;
				  and
(6) Emotional issues
				  surrounding the organ donation process.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6000 - PHYSICAL PLANT › Section 13B .6001-.6002

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Repealed Eff. January 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6000 - PHYSICAL PLANT › Section 13B .6003 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the definitions set forth in
					 G.S.
					 131E-76, the following definitions shall
					 apply in Sections.6000 through.6200 of this Subchapter:
(1) "Addition" means an extension or increase
				  in floor area or height of a building.
(2) "Alteration" means any construction or
				  renovation to an existing building other than construction of an
				  addition.
(3) "Construction
				  documents" means final building plans and specifications for the construction
				  of a facility that a governing body submits to the Construction Section for
				  approval as specified in Rule.3102 of this Subchapter.
(4) "Construction Section" means the
				  Construction Section of the Division of Health Service Regulation.
(5) "Division" means the Division of Health
				  Service Regulation of the North Carolina Department of Health and Human
				  Services.
(6) "Facility" means a
				  hospital as defined in
				  G.S.
				  131E-76.
Authority
					 G.S.
					 131E-76;
					 131E-79; S.L.
					 2017-174;
Temporary Adoption Eff. December 1, 2017;
Eff. March 21, 2019
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6100 - GENERAL REQUIREMENTS › Section 13B .6102 - GENERAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A new facility
				  or any addition or alteration to an existing facility whose construction
				  documents were approved by the Construction Section on or after April 1, 2019
				  shall comply with the requirements provided in the codes, regulations, rules,
				  and standards incorporated by reference in Rule.6101(1) through (3) of this
				  Section. An existing facility whose construction documents were approved by the
				  Construction Section prior to April 1, 2019 shall comply with the codes,
				  regulations, rules, and standards incorporated by reference in Rule.6101(1)
				  through (3) of this Section that were in effect at the time construction
				  documents were approved by the Construction Section.
(b) The facility shall develop and maintain
				  an emergency preparedness program as required by 42 CFR Part 482.15 Condition
				  of Participation: Emergency Preparedness. The emergency preparedness program
				  shall be developed with input from the local fire department and local
				  emergency management agency. Documentation required to be maintained by 42 CFR
				  Part 482.15 shall be maintained at the facility for at least three years and
				  shall be made available to the Division during an inspection upon
				  request.
(c) The facility shall
				  comply with the "Rules Governing the Sanitation of Hospitals, Nursing Homes,
				  Adult Care Homes, and Other Institutions,"15A NCAC
				  18A.1300 of the North Carolina Division of
				  Public Health, Environmental Health Services Section.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Readopted Eff. April 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6100 - GENERAL REQUIREMENTS › Section 13B .6103 - EQUIVALENCY AND CONFLICTS WITH REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Division may grant an equivalency to allow an alternate design or functional
				  variation from the requirements in Rule.3102 and the Rules contained in
				  Sections.6000 through.6200 of this Subchapter. The equivalency may be granted
				  by the Division if a governing body submits a written equivalency request to
				  the Division that states the following:
(1)
				  the rule citation and the rule requirement that will not be met;
(2) the justification for the equivalency;
				  and
(3) how the proposed
				  equivalency meets the intent of the corresponding rule requirement.
In determining whether to grant an equivalency request the
					 Division shall consider whether the request will reduce the safety and
					 operational effectiveness of the facility design and layout. The governing body
					 shall maintain a copy of the approved equivalence issued by the
					 Division.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6100 - GENERAL REQUIREMENTS › Section 13B .6104 - REPEALED - ACCESS AND SAFETY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Repealed Eff. January 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6100 - GENERAL REQUIREMENTS › Section 13B .6105 - INCORPORATION BY REFERENCE AND APPLICATION OF THE REQUIREMENTS OF THE FGI GUIDELINES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For the
				  purposes of Sections.6000 through.6200 of this Subchapter, the Guidelines for
				  the Design and Construction of Hospitals and Outpatient Facilities shall be
				  referred to as the FGI Guidelines.
(b) The FGI Guidelines are incorporated
				  herein by reference, including all subsequent amendments and editions; however,
				  the following chapters of the FGI Guidelines shall not be incorporated herein
				  by reference:
(1) Chapter 3.1;
(2) Chapter 3.2;
(3) Chapter 3.3;
(4) Chapter 3.4;
(5) Chapter 3.5;
(6) Chapter 3.6;
(7) Chapter 3.7;
(8) Chapter 3.8;
(9) Chapter 3.9;
(10) Chapter 3.10;
(11) Chapter 3.11;
(12) Chapter 3.12; and
(13) Chapter 3.14.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6200 - CONSTRUCTION REQUIREMENTS › Section 13B .6201-.6206

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Amended Eff. November 1, 2004;
Repealed Eff.
					 January 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6200 - CONSTRUCTION REQUIREMENTS › Section 13B .6207 - OUTPATIENT SURGICAL FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) If a
				  facility elects to share outpatient surgical facilities with inpatient surgical
				  facilities, the outpatient operating room and support areas shall meet the
				  requirements set forth in Sections.6000 through.6200 of this
				  Subchapter.
(b) If a facility
				  elects to provide separate, non-sharable outpatient surgical facilities, the
				  operating rooms and support areas shall meet the requirements set forth in
				  10A NCAC
				  13C.1400.
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Readopted Eff. April 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6200 - CONSTRUCTION REQUIREMENTS › Section 13B .6208-.6227

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-79;
Eff. January 1,
					 1996;
Amended July 1, 1996;
Repealed Eff. January 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .6200 - CONSTRUCTION REQUIREMENTS › Section 13B .6228 - NEONATAL LEVEL I, II, III, AND IV NURSERIES

Current through Register Vol. 39, No. 2, July 15, 2024
A facility that provides neonatal services as specified in
					 Rule.4305 of this Subchapter shall meet the requirements of the FGI Guidelines
					 as follows:
(1) a Neonatal Level I
				  nursery shall comply with the requirements of Sections 2.2-2.12 Nursery Unit
				  and 2.2-2.12.3.1 Newborn Nursery;
(2) a Neonatal Level II nursery shall comply
				  with the requirements of Sections 2.2-2.12 Nursery Unit and 2.2-2.12.3.3
				  Continuing Care Nursery;
(3) a
				  Neonatal Level III nursery shall comply with the requirements of Section
				  2.2-2.10 Neonatal Intensive Care Unit; and
(4) a Neonatal Level IV nursery shall comply
				  with the requirements of Section 2.2-2.10 Neonatal Intensive Care
				  Unit.
Authority
					 G.S.
					 131E-79; S.L. 2017-174;
Temporary
					 Adoption Eff. December 1, 2017;
Eff. March 21,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0201 - APPLICATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A person shall
				  submit an application for a license to establish or maintain an ambulatory
				  surgical facility to the Department in writing on the form provided by the
				  Department. Each application shall contain all necessary and reasonable
				  information that the Department may by rule require, including the following
				  and other pertinent information the Department may deem appropriate to carry
				  out its responsibilities for statistical data collection and long range health
				  planning:
(1) name of facility,
(2) address of facility,
(3) telephone number of facility,
(4) names of owners,
(5) names of operator and governing
				  authority,
(6) name of chief
				  executive officer,
(7) composition
				  of medical and paramedical staff,
(8) name of chief of staff,
(9) director of nursing service,
(10) number of operating rooms and recovery
				  beds,
(11) list of surgical
				  procedures to be performed in facility,
(12) qualification of persons responsible for
				  anesthesia services,
(13)
				  information regarding use and storage of flammable anesthesia,
(14) description of laboratory and pathology
				  services,
(15) name of hospital(s)
				  with which transfer agreement has been made,
(16) description of arrangements for
				  emergency transportation of patients from the facility,
(17) description of arrangements for food
				  service, and
(18) information
				  regarding sanitation inspection and fire inspection.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0202 - REQUIREMENTS FOR ISSUANCE OF LICENSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon
				  application for a license from a facility never before licensed, a
				  representative of the Department shall make an inspection of that facility.
				  Every building, institution, or establishment that has been issued a license
				  shall be inspected for compliance with the rules found in this Subchapter. An
				  ambulatory surgery facility shall be deemed to meet licensure requirements if
				  the ambulatory surgery facility is accredited by The Joint Commission, AAAHC,
				  or AAAASF. Accreditation shall not exempt a facility from statutory or rule
				  requirements for licensure nor shall it prohibit the Department from conducting
				  inspections as provided in this Rule to determine compliance with all
				  requirements.
(b) If the applicant
				  has been issued a Certificate of Need and is found to be in compliance with the
				  rules found in this Subchapter, then the Department shall issue a license to
				  expire on December 31 of each year.
(c) The Department shall be notified at the
				  time of:
(1) any change of the owner or
				  operator;
(2) any change of
				  location;
(3) any change as to a
				  lease; and
(4) any transfer,
				  assignment, or other disposition or change of ownership or control of 20
				  percent or more of the capital stock or voting rights thereunder of a
				  corporation that is the operator or owner of an ambulatory surgical facility,
				  or any transfer, assignment, or other disposition of the stock or voting rights
				  thereunder of such corporation that results in the ownership or control of more
				  than 20 percent of the stock or voting rights thereunder of such corporation by
				  any person.
A new application shall be submitted to the Department in
					 the event of such a change or changes.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0203 - SUSPENSION OR REVOCATION: AMBULATORY SURGICAL FACILITY

Current through Register Vol. 39, No. 2, July 15, 2024
License suspensions and revocations shall be governed by
					 G.S.
					 131E-148.
Authority
					 G.S.
					 131E-148;
					 131E-149;
					 143B-165;
Eff.
					 October 14, 1978;
Amended Eff. November 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23, 2017;
Amended Eff.
					 January 1, 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0204 - TYPE OF FACILITY DEEMED TO BE LICENSED

Current through Register Vol. 39, No. 2, July 15, 2024
An ambulatory surgical facility shall be deemed a suitable
					 facility for the performance of abortions pursuant to
					 G.S.
					 14-45.1(a).
Authority
					 G.S.
					 14-45.1;
					 131E-147;
					 131E-149;
Eff. June
					 30, 1980;
Amended Eff. November 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0205 - ITEMIZED CHARGES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility
				  shall either present an itemized list of charges to all discharged patients or
				  include on patients' bills that are not itemized notification of the right to
				  request an itemized bill within three years of receipt of the non-itemized bill
				  or so long as the facility, collections agency, or other assignee asserts the
				  patient has an obligation to pay the bill.
(b) If requested, the facility shall present
				  an itemized list of charges to each patient or his or her representative. This
				  list shall detail in language comprehensible to an ordinary layperson the
				  specific nature of the charges or expenses incurred by the patient.
(c) The listing shall include each specific
				  chargeable item or service in the following service areas:
(1) Surgery (facility fee);
(2) Anesthesiology;
(3) Pharmacy;
(4) Laboratory;
(5) Radiology;
(6) Prosthetic and Orthopedic appliances;
				  and
(7) Other professional
				  services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0200 - LICENSING PROCEDURES › Section 13C .0206 - REPORTING REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Department
				  shall establish the lists of the statewide 20 most common outpatient imaging
				  procedures and 20 most common outpatient surgical procedures performed in the
				  ambulatory surgical facility setting to be used for reporting the data required
				  in Paragraphs (c) and (d) of this Rule. The lists shall be determined annually
				  based upon data provided by the certified statewide data processor. The
				  Department shall make the lists available on its website. The methodology to be
				  used by the certified statewide data processor for determining the lists shall
				  be based on the data collected from all licensed facilities in the State in
				  accordance with
				  G.S.
				  131E-214.2 as follows:
(1) the 20 most common imaging procedures
				  shall be based upon all outpatient data for ambulatory surgical facilities and
				  represent all occurrences of the diagnostic radiology imaging codes section of
				  the CPT codes, then selecting the top 20 to be provided to the Department;
				  and
(2) the 20 most common
				  outpatient surgical procedures shall be based upon the primary procedure code
				  from the ambulatory surgical facilities and represent all occurrences of the
				  surgical codes section of the CPT codes, then selecting the top 20 to be
				  provided to the Department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0301 - GOVERNING AUTHORITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility's
				  governing authority shall adopt bylaws or other operating policies and
				  procedures to assure that:
(1) a named
				  individual is identified who is responsible for the overall operation and
				  maintenance of the facility. The governing authority shall have methods in
				  place for the oversight of the individual's performance;
(2) annual meetings of the governing
				  authority shall be conducted if the governing authority consists of two or more
				  individuals. Minutes shall be maintained of such meetings;
(3) a policy and procedure manual is created
				  that is designed to ensure professional and safe care for the patients. The
				  manual shall be reviewed annually and revised in accordance with facility
				  policy. The manual shall include provisions for administration and use of the
				  facility, compliance, personnel quality assurance, procurement of outside
				  services and consultations, patient care policies, and services offered;
				  and
(4) annual reviews and
				  evaluations of the facility's policies, management, and operation are
				  conducted.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0302 - CHIEF EXECUTIVE OFFICER OR ADMINISTRATOR

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  governing authority shall appoint a qualified person as chief executive officer
				  of the facility to represent the governing authority and shall define his
				  authority and duties in writing. He shall be responsible for the management of
				  the facility, implementation of the policies of the governing authority and
				  authorized and empowered to carry out the provisions of these
				  regulations.
(b) The chief
				  executive officer shall designate, in writing, a qualified person to act in his
				  behalf during his absence. In the absence of the chief executive officer, the
				  person on the grounds of the facility who is designated by the chief executive
				  officer to be in charge of the facility shall have reasonable access to all
				  areas in the facility related to patient care and to the operation of the
				  physical plant.
(c) When there is a
				  planned change in ownership or in the chief executive officer, the governing
				  authority of the facility shall notify the Department.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0303 - ADMINISTRATIVE RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The following
				  essential documents and references shall be on file in the administrative
				  office of the facility:
(1) appropriate
				  documents evidencing control and ownerships, such as deeds, leases, or
				  corporation or partnership papers;
(2) bylaws of policies and procedures of the
				  governing authority;
(3) minutes of
				  the governing authority meetings if applicable;
(4) minutes of the facility's professional
				  and administrative staff meetings;
(5) a current copy of these
				  regulations;
(6) reports of
				  inspections, reviews, and corrective actions taken related to licensure;
				  and
(7) contracts and agreements
				  related to licensure to which the facility is a party.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0304 - SURGICAL PROCEDURES PERFORMED

Current through Register Vol. 39, No. 2, July 15, 2024
A current listing of all types of surgical procedures
					 offered by the facility shall be available.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0305 - PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Personnel
				  Records
(1) A record of each employee shall
				  be maintained which includes the following:
(A) employee's identification;
(B) resume of education and work
				  experience;
(C) verification of
				  valid license (if required), education, training, and prior employment
				  experience; and
(D) verification of
				  references.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0300 - GOVERNING AUTHORITY MANAGEMENT › Section 13C .0306 - QUALITY ASSURANCE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The governing
				  authority shall establish a quality assurance program for the purpose of
				  providing standards of care for the facility. The program shall include the
				  establishment of a committee which shall evaluate:
(1) appropriateness and necessity of surgical
				  procedures performed, and
(2)
				  compliance with facility procedure and policies.
The committee shall determine corrective action if
					 indicated.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0400 - MEDICAL AND SURGICAL SERVICES › Section 13C .0401 - MEDICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All patients
				  admitted to the facility shall be under the direct care of a physician or
				  dentist.
(b) The facility shall
				  have available an anesthetist and he or she shall be available to administer
				  regional or general anesthesia.
(c)
				  Any patient undergoing general or regional anesthesia shall, prior to surgery,
				  have a history and physical examination, relative to the intended procedure,
				  performed by a licensed physician or a dentist who has successfully completed a
				  postgraduate program in oral and maxillofacial surgery accredited by the
				  American Dental Association. Results of the examination and the preoperative
				  diagnosis shall be recorded in the patient's chart prior to surgery.
(d) The attending physician and dentist,
				  prior to surgery, shall obtain written, informed consent of the patient or
				  legal guardian for surgery and shall record this in the patient's medical
				  record.
(e) The facility shall have
				  the capability of obtaining blood and blood products to meet emergency
				  situations.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Amended Eff. November 1, 1985;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0400 - MEDICAL AND SURGICAL SERVICES › Section 13C .0402 - SURGICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The governing
				  authority shall delineate surgical privileges for each physician and dentist
				  performing surgery in accordance with criteria which it has established
				  provided, however, that no physician or dentist may be given privileges to
				  perform surgical procedures for which he or she does not have privileges to
				  perform at the hospital with which the facility has a transfer agreement as
				  provided in Paragraph (a) in Rule .0403 of this Section.
(b) A roster of medical personnel having
				  surgical and anesthesia privileges at the facility specifying the privileges
				  and limitations of each, shall be readily obtainable by the person in charge of
				  the surgical suite.
(c) The
				  administrator or his designee shall maintain a chronological register of all
				  surgical procedures performed. This shall include type of procedure performed,
				  type of anesthesia used, personnel participating, post operative diagnosis and
				  any unusual or untoward occurrence.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Amended Eff. April 1, 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0400 - MEDICAL AND SURGICAL SERVICES › Section 13C .0403 - EMERGENCY CASES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall have a written plan for the transfer of emergency cases to a nearby
				  hospital when hospitalization becomes necessary.
(b) There shall be procedures, personnel and
				  suitable equipment to handle medical emergencies which may arise in connection
				  with services provided by the facility.
(c) There shall be a written agreement
				  between the facility and a nearby hospital to facilitate the transfer of
				  patients who are in need of emergency care. A facility which has documentation
				  of its efforts to establish such a transfer agreement with a hospital which
				  provides emergency services and has been unable to secure such an agreement
				  shall be considered to be in compliance with this Rule.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0500 - ANESTHESIA SERVICES › Section 13C .0501 - PROVIDING ANESTHESIA SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Only a physician, dentist, qualified anesthetist, or
					 qualified anesthesiologist as defined in Rule.0103 of this Subchapter, shall
					 administer anesthetic agents. Podiatrists shall administer only local
					 anesthesia. The governing authority shall establish written policies and
					 procedures concerning the provision of anesthesia services, including the
					 designation of those persons authorized to administer anesthetics in accordance
					 with State law.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Readopted Eff. January 1,
					 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0500 - ANESTHESIA SERVICES › Section 13C .0502 - EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
All equipment for the administration of anesthetics shall
					 be readily available, kept clean or sterile, and maintained in good working
					 condition.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0500 - ANESTHESIA SERVICES › Section 13C .0503 - POST ANESTHESIA NOTE

Current through Register Vol. 39, No. 2, July 15, 2024
Patient's anesthesiologist or anesthetist shall write a
					 post anesthetic follow-up note prior to the patient's discharge. The note shall
					 include the general condition of the patient and any instructions to the
					 patient pertaining to his care and protection.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0500 - ANESTHESIA SERVICES › Section 13C .0504 - REQUIREMENT OF PERSON TRAINED IN CPR

Current through Register Vol. 39, No. 2, July 15, 2024
A person with training and experience in cardio-pulmonary
					 resuscitation shall be on the premises of the facility until all surgical
					 patients are discharged.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter C - LICENSING OF AMBULATORY SURGICAL FACILITIES › Section .0600 - PATHOLOGY SERVICES › Section 13C .0601 - PROVISION FOR LABORATORY TESTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each
				  facility shall have the capability of providing or obtaining laboratory tests
				  required in connection with the surgery to be performed.
(b) The governing authority shall establish
				  written policies requiring examination by a pathologist of all surgical
				  specimens except for those types of specimens which the governing authority has
				  determined do not require examination.
Authority
					 G.S.
					 131E-149;
Eff. October 14,
					 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 23,
					 2017.