reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-5 - Identification and filing

Current through Vol. 41, No. 20, July 1, 2024
(a) A system of
				identification and filing to insure the prompt location of a patient's medical
				record shall be maintained.
(b) A
				system of retrieval bearing at least the full name of the patient, the address,
				the birth date, and the medical record number shall be available.
(c) Filing equipment and space shall be
				adequate to house the records and facilitate retrieval and ensure an
				environment secure from unauthorized individuals.
(d) A unit record shall be maintained so that
				both inpatient and outpatient treatments are in one folder. Records maintained
				in an electronic format will be considered a unit record if they are
				retrievable by a single patient identifier and immediately available for review
				by physicians, practitioners and patient care staff.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-6 - Centralization of reports

Current through Vol. 41, No. 20, July 1, 2024
(a) All clinical
				information pertaining to a patient's stay shall be centralized in the
				patient's record.
(b) The original
				of all reports shall be filed in the medical record.
(c) All reports or records shall be completed
				and filed within a period consistent with good medical practice and not longer
				than thirty (30) days following discharge.
(d) A report or record requiring a physician
				or licensed independent practitioner signature is not considered complete until
				signed by the physician or licensed independent practitioner.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-7 - Indices

Current through Vol. 41, No. 20, July 1, 2024
(a) Records shall be indexed according to
				disease, operation, and physician or licensed independent practitioner and kept
				up-to-date. For indexing, any recognized system may be used. The factors
				explaining the standard are as follows:
(1)
				As additional indices become appropriate due to advances in medicine, their use
				shall be adopted.
(2) The index
				list for a specific disease or operation, according to a recognized
				nomenclature, shall include all essential data on each patient having that
				particular condition. "Essential data" shall include at least the medical
				record number of the patient so that the record may be located. All conditions
				for which the patient is treated during the hospitalization shall be so
				indexed.
(3) Diagnoses and
				operations shall be expressed in terminology which describes the morbid
				condition as to site and etiological factors or the method of
				procedure.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-9 - Authorship

Current through Vol. 41, No. 20, July 1, 2024
Documentation of services shall be in accordance with The
				  Centers of Medicare and Medicaid Services, Medicare Claims Processing Manual,
				  Revision 4173, published November 30, 2018, incorporated herein by
				  reference.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-11 - Emergency medical records

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Complete medical records shall be kept on every patient seen and/or treated in
				the emergency room and shall contain as a minimum the following:
(1) Patient identification.
(2) Time and means of arrival.
(3) History of disease or injury.
(4) Physical findings.
(5) Laboratory and x-ray reports, if
				any.
(6) Diagnosis and therapeutic
				orders.
(7) Record of treatment,
				including vital signs.
(8)
				Disposition of the case.
(9)
				Signature of the registered nurse.
(10) Signature of the licensed independent
				practitioner, if applicable.
(11)
				Signature of the physician, if applicable.
(12) Documentation if patient left against
				medical advice.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-12 - Outpatient medical records

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Outpatient medical records shall be maintained and correlated with other
				hospital medical records.
(b) The
				outpatient medical record shall be filed in a location which ensures
				accessibility to the physicians and licensed independent practitioners, nurses,
				and other personnel of the department.
(c) The outpatient medical record shall be
				integrated with the patient's overall hospital record.
(d) Information contained in the medical
				record shall be complete and sufficiently detailed relative to the patient's
				history, physical examination, laboratory and other diagnostic tests,
				diagnosis, and treatment to facilitate continuity of care.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-13 - Promptness of record completion

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Current records and those on discharged patients shall be completed
				promptly.
(b) All dictated reports
				shall include the date of dictation and the date of transcription.
(c) Medical record transcription shall be
				timely. Current records; e.g. progress notes, consultation reports, operative
				notes, radiology reports, shall be transcribed and available for review in the
				medical record within forty-eight (48) hours of dictation.
(d) History and physical examinations shall
				be completed, signed, and placed in the medical record within forty-eight (48)
				hours following admission or not more than thirty (30) days prior to
				admission.
(e) When the medical
				history and physical examination are completed within thirty (30) days before
				admission, the hospital must ensure that an updated medical record entry
				documenting an examination for any changes in the patient's condition is
				completed. A timely review of the prior history and physical examination or an
				updated examination must be completed and documented in the patient's medical
				record within forty-eight (48) hours.
(f) Records of patients discharged shall be
				completed within thirty (30) days following discharge.
(g) If a patient is readmitted within thirty
				(30) days for the same condition, reference to the previous history and
				physical examination with an interval note shall suffice.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03; Amended at 24 Ok Reg 1189, eff 4-2-07 (emergency);
				  Amended at 25 Ok Reg 2472, eff 7-11-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 19 - Medical Records Department › Section 310:667-19-14 - Retention and preservation of records

Current through Vol. 41, No. 20, July 1, 2024
(a)
State retention
				requirements.
Medical records shall be retained a minimum of five (5)
				years beyond the date the patient was last seen or a minimum of three (3) years
				beyond the date of the patient's death. Records of newborns or minors shall be
				retained three (3) years past the age of majority.
(b)
Preservation of records.
(1) Hospitals may microfilm, put on optical
				disk, or adopt similar recording technology to record the medical records and
				destroy the original record in order to conserve space.
(2) Records reconstituted from the technology
				employed to conserve space shall be considered the same as the original and the
				retention of the technically retained record constitutes compliance with
				preservation laws.
(3) The minimum
				contents of a medical record to be recorded shall be as required by OAC
				310:667-19-8.
(4) In the event of closure of a hospital,
				the hospital shall inform the Department of the disposition of the records.
				Disposition shall be in a manner to protect the integrity of the information
				contained in the medical record. These records shall be retained and disposed
				of in a manner consistent with the statute of limitations.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-1 - General

Current through Vol. 41, No. 20, July 1, 2024
(a)
Distribution of Drugs.
Every
				hospital shall provide routine and emergency drugs and biologicals in a safe
				and accurate manner to meet the needs of its patients, through an organized
				pharmacy directed by a pharmacist or a drug room under the supervision of a
				consultant pharmacist. Hospitals not having a licensed pharmacy shall have a
				drug room supervisor under the direction of a consultant pharmacist.
(b)
Scope of services.
Each
				hospital shall have drug and medication services commensurate with the size of
				the hospital and scope of services offered.
(c)
Organization.
An
				organizational chart shall be provided to display the distinct function of the
				pharmacy department in the hospital.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-3 - Supervision of pharmacy services

Current through Vol. 41, No. 20, July 1, 2024
(a) At
				least one (1) pharmacist or drug room supervisor shall be assigned to the
				pharmacy or drug room during standard operating hours.
(b) Consultant pharmacist services shall be
				used when a staff pharmacist is not available.
(c) Consultant pharmacist services shall be
				provided in accordance with a written job description and a written agreement,
				which shall discuss the duties and responsibilities of the pharmacist, the
				terms of the agreement, be signed by both parties, and be dated.
(d) If the hospital maintains a drug room,
				only the functions of storage and distribution of properly packaged and labeled
				drugs may be performed by the drug room supervisor within the hospital. Drug
				products requiring repackaging and labeling shall be dispensed by a qualified
				pharmacist.
(e) The prescriber's
				original order or a copy shall be made available to the pharmacy or drug room
				prior to distributing or dispensing drugs and medications.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-4 - Delivery of service

Current through Vol. 41, No. 20, July 1, 2024
(a) Records shall
				be maintained of the transactions of the pharmacy (or drug room) to account for
				the receipt, distribution, disposition, and destruction of drugs and
				biologicals.
(b) A record of the
				stock of controlled dangerous drug substances on hand shall be maintained and
				the record shall be maintained in such a manner that the disposition of any
				particular item may be readily traced.
(c) Methods shall be provided of
				reconciliation of drugs distributed to the nurses station for administration to
				a patient.
(d) Floor stock shall be
				controlled. Distribution shall be in accordance with the floor stock drug list.
				A method shall be provided of reconciliation of floor stock drugs distributed
				for use in a procedure or for a particular patient.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-5 - Physical facilities of pharmacy

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Facilities shall be provided for the storage, safeguarding, preparation and
				dispensing of drugs.
(b) The drug
				preparation area shall be clean, well lighted, and of sufficient size to ensure
				the safe preparation of drugs for administration.
(c) The drug preparation areas shall be
				located so that the person preparing the drugs shall not be
				disturbed.
(d) All drug storage
				areas shall be properly ventilated with appropriate humidity and temperature to
				eliminate drug deterioration.
(e)
				Suitable sinks with hot and cold water, toileting, and handwashing facilities
				shall be available to the pharmacy/drug room.
(f) Equipment and supplies shall be provided
				to adequately protect the personnel from toxic substances, including
				antineoplastic medications, and disposal of waste products in conjunction with
				local, federal and state laws.
(g)
				Equipment, facilities, and floor space shall be provided for the preparation,
				storage, safeguarding, compounding, record keeping, packaging, distribution,
				dispensing, and methods of administration of drugs and biologicals.
(h) Space, equipment, and facilities shall be
				available for the operation, record keeping, planning, training, administrative
				management, and facilitation of pharmacy services.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-6 - Drug-information services

Current through Vol. 41, No. 20, July 1, 2024
(a) The hospital
				shall assure that current information on drugs and drug interactions is
				available to physicians, practitioners, nurses, and other health-care staff.
				The system for communicating drug information shall be appropriate for the
				size, scope, and complexity of the hospital.
(b) Suitable, current, library of drug
				reference materials, books, journals, and teaching aids in hard copy or
				electronic format shall be available for drug information reference by pharmacy
				services and physicians and practitioners.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 21 - Drug Distribution › Section 310:667-21-7 - Access to pharmacy or drug room

Current through Vol. 41, No. 20, July 1, 2024
(a) All
				drugs and biologicals shall be kept in a secure area. Drugs listed in Schedules
				II, III, IV, and V of the Comprehensive Drug Abuse and Control Act of 1970 must
				be kept locked within a secure area.
(b) Provisions shall be made for obtaining
				drugs after the pharmacy or drug room is closed. The procedure shall specify
				the personnel permitted access to the drug storage area, method of maintaining
				drug control, and inventory and methods of record keeping of drugs and
				biologicals removed. Access to the drug room/pharmacy shall be restricted to
				authorized individuals.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 24 Ok
				  Reg 1189, eff 4-2-07 (emergency); Amended at 25 Ok Reg 2472, eff
				  7-11-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-1 - General

Current through Vol. 41, No. 20, July 1, 2024
The hospital shall have diagnostic and treatment services
				  available to patients, either on site or by arrangement. Each service shall
				  have written policies and procedures including, but not limited to, the
				  following:
(1) A job description for
				every type of employee in the service.
(2) A written list of procedures performed by
				the service that is available to the active staff physicians and
				practitioners.
(3) Procedure for
				orientation of each new employee into the service.
(4) Infection control procedures specific to
				the service.
(5) Hospital safety
				plan.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-2 - Radiological, computerized tomography, magnetic resonance imaging services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Radiology.
The hospital
				shall maintain or have available radiological services according to needs of
				the hospital.
(1)
Hazards for patients
				and personnel.
(A) The radiological
				department shall be free of health and safety hazards for patients and
				personnel.
(B) Proper safety
				precautions shall be maintained against fire and explosion hazards, electrical
				hazards, and radiation hazards.
(C)
				Inspection of x-ray equipment shall be made once every two (2) years by a
				certified health physicist or members of the Diagnostic x-ray section of the
				Department, and hazards so identified shall be promptly corrected.
(D) The hospital shall identify those
				employees who are subject to significant occupational exposure to radiation
				while performing their job duties. All such workers shall be checked
				periodically for amounts of radiation exposure by the use of exposure meters or
				badge tests.
(E) With fluoroscopes,
				attention shall be paid to modern safety design and good operating procedures;
				records shall be maintained for the output of all fluoroscopes.
(F) Regulations based upon medical staff
				recommendations shall be established as to the administration of the
				application and removal of radium element, its disintegration products, and
				other radioactive isotopes.
(G) If
				mammography is performed at the facility, the facility shall have a current
				certificate from the Food and Drug Administration as required by the
				Mammography Quality Standards Act.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-3 - Nuclear medicine

Current through Vol. 41, No. 20, July 1, 2024
Nuclear medicine services may be provided. If provided, the
				  entity providing nuclear medicine services shall be licensed by the Nuclear
				  Regulatory Commission.
(1) Nuclear
				medicine procedures shall be under the supervision of a physician who is a
				member of the medical staff.
(2)
				Nuclear medicine services shall be supervised by a qualified and trained
				nuclear medicine technologist.
(3)
				There shall be a sufficient number of qualified technical and supportive staff
				to perform the procedures provided by nuclear medicine.
(4) Personnel that provide nuclear medicine
				services shall have written authorization by the physician director to provide
				these services.
(5) All radioactive
				materials shall be purchased, stored, and administered in accordance with the
				standards approved by the medical staff and shall be in compliance with local,
				state, and federal laws. A record of the receipt and disposition of all
				radiopharmaceuticals shall be maintained for a minimum of five (5) years. The
				dose of radiopharmaceuticals shall be reverified prior to patient
				administration.
(6) Equipment shall
				be appropriate for the types of services offered and shall be maintained,
				tested, and calibrated as required by the manufacturer.
(7) There shall be written policies and
				procedures for all services offered which shall additionally include the
				following:
(A) Safety rules.
(B) Steps to take in the event of an adverse
				reaction.
(C) Clean up of
				spills.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-4 - Laboratory

Current through Vol. 41, No. 20, July 1, 2024
(a) The hospital shall have a well-organized,
				adequately supervised clinical laboratory with the necessary staff, space,
				facilities, and equipment to perform those services commensurate with the
				hospital's needs for its patients. All or part of these services may be
				provided by arrangements with certified reference laboratories.
(b) If a hospital directly provides
				laboratory services, it shall meet all conditions as set forth in 42 CFR part
				493 and be certified to perform testing on human specimens under the Clinical
				Laboratory Improvement Amendments of 1988 (CLIA '88). The hospital shall
				possess a current, unrevoked or unsuspended certificate appropriate for the
				extent of testing performed issued by the Department of Health and Human
				Services applicable to the category of examinations or procedures performed by
				the facility.
(c) If a hospital
				provides laboratory services under arrangement, the referral laboratory shall
				also meet the requirements of this section.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-5 - Rehabilitation, physical therapy, and occupational therapy departments

Current through Vol. 41, No. 20, July 1, 2024
(a) The rehabilitation, physical therapy, and
				occupational therapy departments, if offered, shall have effective policies and
				procedures relating to the organization and functions of the service(s) and
				shall be staffed by qualified therapists.
(b) Policies and procedures shall include, in
				addition to the above named items, the following:
(1) Standards of care.
(2) Criteria for assuring communication of
				the patient's therapy and progress to the physician or licensed independent
				practitioner.
(3) Assembly and
				operation of the equipment.
(4)
				Each procedure performed by each employee shall be designated in writing by the
				department head and shall include the amount of supervision required when
				performing the procedure.
(5)
				Cleaning, disinfecting, and sterilizing procedures.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-6 - Respiratory therapy

Current through Vol. 41, No. 20, July 1, 2024
(a) The respiratory
				therapy service shall be under the supervision of a qualified physician or
				physicians. Respiratory therapy services, including equipment, shall be
				supervised by a licensed respiratory therapist.
(b) Services may be performed by other
				respiratory care practitioners as long as a licensed respiratory therapist is
				readily available for consultation.
(c) Respiratory care practitioners shall be
				on the premises whenever continuous ventilatory support is provided to
				patients.
(d) All respiratory
				therapy personnel shall be trained in the following:
(1) CPR techniques.
(2) Patient isolation techniques.
(3) Safety rules and regulations for oxygen
				and oxygen equipment.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 23 - Diagnostic and Treatment Services › Section 310:667-23-7 - Pet therapy

Current through Vol. 41, No. 20, July 1, 2024
If pet therapy is to be incorporated into therapeutic
				  regimens, procedures shall require the animals to be utilized in this modality
				  to be restricted to dogs (canis familiarus), cats (felis domesticatis), birds,
				  and fish. Mammals shall be vaccinated annually for rabies and leptospirosis by
				  a licensed veterinarian. Animals shall be evaluated for the presence of
				  internal parasites semi-annually by a licensed veterinarian and shall be
				  evaluated for the presence of external parasites as needed. Birds obtained for
				  use in pet therapy shall be from breeding establishments free from avian
				  chlamydiosis (psittacosis). Animals shall be humanely housed in designated
				  areas under staff control. The infection control committee and the medical
				  staff shall approve any program prior to initiation. The facility shall
				  evaluate the temperament of animals before they are considered appropriate for
				  pet therapy.
Added at 20 Ok Reg 1664,
				  eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 25 - Surgical Services › Section 310:667-25-1 - Department of surgery

Current through Vol. 41, No. 20, July 1, 2024
The department of surgery shall have effective policies and
				  procedures regarding surgical privileges, maintenance of the operating rooms,
				  and evaluation of the surgical patient.
(1) Surgical privileges shall be delineated
				for all physicians and practitioners doing surgery in accordance with the
				competencies of each physician or practitioner. A roster of physicians and
				practitioners, specifying the surgical privileges of each, shall be kept in the
				confidential files of the operating room supervisor and in medical staff
				credential records.
(2) In any
				procedure with unusual hazard to life, as defined by the medical staff, there
				shall be present and scrubbed as first assistant a physician designated by the
				credentials committee as being qualified to assist in major surgery.
(3) Second and third assistants at major
				operations, and first assistants at lesser operations, may be nurses,
				technicians, or other practitioners if designated by the medical staff as
				having sufficient training to properly and adequately assist at such
				procedures.
(4) The operating room
				log shall be complete and up to date and include the following information:
(A) Patient's name.
(B) Medical record number.
(C) Name of surgeon.
(D) Name of assistant(s).
(E) Type of anesthetic and person
				administering.
(F) Circulating
				nurse.
(G) Scrub nurse.
(H) Procedures performed.
(I) Time surgery began and ended.
(J) Other people present.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 25 - Surgical Services › Section 310:667-25-2 - Anesthesia services

Current through Vol. 41, No. 20, July 1, 2024
(a) Anesthesia
				services may be provided through a separately organized department or as a
				service of the department of surgery. The service shall have effective policies
				and procedures regarding staff privileges, the administration of anesthetics,
				and the maintenance of strict safety controls.
(b) Each anesthesia service shall have
				written policies and procedures. These policies and procedures shall include,
				but not be limited to:
(1) Pre-anesthesia
				evaluation.
(2) Intraoperative
				anesthesia report.
(3)
				Post-anesthesia follow-up report.
(4) Approved anesthesia agents.
(5) Drug accountability procedures in
				accordance with hospital policies.
(6) Infection control in anesthesia
				procedures.
(7) Safety procedures
				for oxygen and gas anesthetics.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 27 - Outpatient Department › Section 310:667-27-1 - Outpatient department

Current through Vol. 41, No. 20, July 1, 2024
(a)
Organization.
The outpatient department, if utilized, shall be
				organized into sections (clinics), the number of which depends upon the size
				and the degree of departmentalization of the medical staff, available
				facilities, and the needs of the patients for whom it accepts responsibility.
(1) The outpatient department shall have
				appropriate cooperative arrangements and communications with community
				agencies, such as other outpatient departments, public health nursing agencies,
				the department of health, and welfare agencies.
(2) Clinics shall be integrated with
				corresponding inpatient services.
(3) Clinics shall be maintained for the
				following purposes:
(A) Care of ambulatory
				patients unrelated to admission or discharge.
(B) Study of pre-admission
				patients.
(C) Follow-up of
				discharged hospital patients.
(4) Patients, on their initial visit to the
				department, shall receive a general medical evaluation, and patients under
				continuous care shall receive an adequate periodic reevaluation.
(5) Established medical screening procedures
				shall be employed routinely.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 29 - Emergency Services › Section 310:667-29-1 - Emergency service or department

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
The hospital shall have procedures for the treatment of
				emergency cases. The hospital may meet this requirement through an organized
				emergency service department or by establishing emergency protocols.
				Appropriate emergency signage shall be displayed when the hospital has an
				organized service or department.
(b)
Organization and direction.
The department or service shall be directed by qualified personnel and
				integrated with other departments of the hospital.
(1) There shall be written policies which
				shall be enforced to control emergency room procedures. Hospitals that do not
				offer maternity service shall have policies and procedures for treatment of
				this type of patient.
(2) The
				policies and procedures governing medical care provided in the emergency
				service or department shall be established. This shall be a continuing
				responsibility of the medical staff.
(3) The emergency service shall be supervised
				by a qualified member of the medical staff. Nursing functions shall be the
				responsibility of a registered nurse.
(4) The administrative functions shall be a
				responsibility of a member of the hospital administration.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 29 - Emergency Services › Section 310:667-29-2 - Patient transfers

Current through Vol. 41, No. 20, July 1, 2024
Patient transfers shall be conducted in accordance with 42
				  U.S.C. (1395dd) and 42 U.S.C. (1395cc) and with the regulations at 42 CFR part
				  489.20 and 489.24.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Added at 20 Ok
				  Reg 1664, eff 6-12-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 31 - Social Work Services › Section 310:667-31-1 - Social work services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Availability of service.
Social work services shall be available
				to the patient, the patient's family, and other persons significant to the
				patient, in order to facilitate adjustment of the individuals to the impact of
				illness and to promote maximum benefits from the health-care services provided.
				Services may be provided as follows:
(1) An
				organized social work department or service within the hospital that has a
				fulltime, qualified social work director.
(2) A qualified social worker employed on a
				part-time basis.
(3) An outside
				social work service that is obtained through a written agreement, defining the
				role and responsibility of the outside services (consultant social
				workers).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 31 - Social Work Services › Section 310:667-31-2 - Review and evaluation

Current through Vol. 41, No. 20, July 1, 2024
The quality and appropriateness of social work services
				  provided to patients shall be regularly reviewed, evaluated, and assured
				  through the establishment of quality improvement mechanisms regardless of the
				  mechanisms used to provide social services. This shall be accomplished and
				  coordinated through the hospital quality improvement program.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 33 - Specialized Requirements - Psychiatric › Section 310:667-33-1 - General

Current through Vol. 41, No. 20, July 1, 2024
(a) In addition to meeting requirements
				listed for general medical surgical hospitals in Subchapters 1 through 31 of
				this Chapter, psychiatric hospitals and psychiatric units of general medical
				surgical hospitals shall meet the additional requirements listed in this
				Subchapter.
(b) The psychiatric
				facility may be a distinct unit of a general medical surgical hospital or a
				freestanding psychiatric hospital which shall be licensed as a specialized
				hospital. If the facility is a unit of a general medical surgical hospital,
				this unit shall be distinctly identified. Beds shall not be commingled with
				acute care beds.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 33 - Specialized Requirements - Psychiatric › Section 310:667-33-2 - Specialized requirements - personnel and policy

Current through Vol. 41, No. 20, July 1, 2024
(a)
Personnel.
(1) A physician with training and experience
				in psychiatry shall be appointed as medical director of the hospital or unit by
				the governing body based upon a recommendation from the medical staff. The
				medical director shall coordinate with other services provided by the hospital,
				and shall be responsible for developing policies concerning treatment and
				staffing.
(2) The diagnosis and
				treatment rendered to each patient in psychiatric hospitals or units shall be
				under the direction of a physician or licensed independent practitioner with
				training and experience in psychiatry.
(3) A registered nurse with experience in
				psychiatric nursing shall be responsible for nursing administration. At least
				one (1) registered nurse shall be assigned to care and provide active treatment
				for every fifteen (15) patients on each shift, except that if the unit census
				exceeds fifteen (15) patients but does not exceed twenty (20) patients during
				the shift, a licensed practical nurse may be substituted for the second
				required registered nurse. Licensed practical nurses and/or psychiatric nurse
				support staff shall be assigned by the registered nurse to support the care
				provided by the registered nurse and provide necessary active
				treatment.
(4) All personnel
				working within an area of psychiatric patients shall be trained in psychiatric
				patient care.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 35 - Specialized Requirements Rehabilitation › Section 310:667-35-1 - General

Current through Vol. 41, No. 20, July 1, 2024
(a) In addition to meeting requirements
				listed for general medical surgical hospitals in Subchapters 1 through 31 of
				this Chapter, rehabilitation hospitals and rehabilitation units of general
				medical surgical hospitals shall meet the following additional requirements
				listed in this Subchapter.
(b) The
				rehabilitation facility may be a distinct unit of a general medical surgical
				hospital or a free-standing rehabilitation hospital which shall be licensed as
				a specialized hospital. If the facility is a distinct unit, the unit shall be
				at least ten (10) beds. The unit shall be distinctly identified. Beds shall not
				be commingled with acute care beds.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 35 - Specialized Requirements Rehabilitation › Section 310:667-35-2 - Services

Current through Vol. 41, No. 20, July 1, 2024
(a) Each rehabilitation facility shall have
				written admission criteria that relate to the facility's program capabilities
				which are applied uniformly to all potential patients.
(b) Services shall be provided by qualified
				professionals in accordance with a written plan of treatment. All services
				except rehabilitative medicine and nursing may be provided on a contractual
				basis as long as patients' needs are met. All rehabilitation facilities shall
				provide at a minimum, the following clinical services.
(1) Rehabilitative medicine.
(2) Rehabilitative nursing.
(3) Physical therapy.
(4) Occupational therapy.
(5) Speech therapy.
(6) Social services.
(7) Psychological services.
(8) Orthotic and prosthetic
				services.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 35 - Specialized Requirements Rehabilitation › Section 310:667-35-3 - Specialized requirements - policy and personnel

Current through Vol. 41, No. 20, July 1, 2024
(a)
Personnel.
(1) A physician with training and experience
				in rehabilitative medicine shall be appointed as medical director of the
				hospital or unit by the governing body based upon a recommendation from the
				medical staff. The medical director shall coordinate with other services
				provided by the hospital, and shall be responsible for developing policies
				concerning treatment and staffing.
(2) The diagnosis and treatment rendered to
				each patient in rehabilitation hospitals or units shall be under the direction
				of a physician or licensed independent practitioner with training and
				experience in rehabilitative medicine. Every patient, upon admission, shall
				have written orders from a physician or licensed independent practitioner for
				the immediate care of the patient.
(3) A registered nurse with experience in
				rehabilitation medicine shall be responsible for nursing administration. The
				number of registered nurses, licensed practical nurses and nursing support
				staff required on each shift to formulate and carry out the nursing components
				of the individual treatment plan for each patient shall be determined based
				upon acuity and the rehabilitative nursing needs of the patients.
(4) All other required services shall be
				supported by adequate qualified staff who may be employed or under contract to
				provide services. All professional staff whether employed or under contract
				shall be licensed or certified as required by state law.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 35 - Specialized Requirements Rehabilitation › Section 310:667-35-4 - Special requirements - medical records

Current through Vol. 41, No. 20, July 1, 2024
In addition to the basic medical record requirements for
				  general medical surgical records, medical records for rehabilitative patients
				  shall include the following:
(1) The
				reason for referral or admission to the rehabilitation facility.
(2) A summary of the patient's clinical
				condition, functional strengths and limitations, indications and
				contraindications for specific physical rehabilitation services, and
				prognosis.
(3) Initial and
				comprehensive treatment plans as specified in
				310:667-35-3(a)(5).
				The goals of treatment, any problems that may affect the outcome of
				rehabilitation, and criteria leading to the discontinuation of services shall
				be documented.
(4) Treatment and
				progress records, with appropriate ongoing assessments as required by the
				patient's condition. A description of the perception of the patient and family
				toward, and their involvement in, physical rehabilitation services.
(5) Assessment of physical rehabilitation
				achievement and estimates of further rehabilitation potential, entered on a
				timely basis, which shall be made at least monthly and included in the
				individualized comprehensive treatment plan.
(6) A discharge summary that includes the
				physical rehabilitation achieved, the medications and therapy prescribed at
				discharge, and recommendations for further rehabilitation.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 37 - Skilled Nursing Units › Section 310:667-37-1 - General

Current through Vol. 41, No. 20, July 1, 2024
(a) Skilled nursing units may be established
				as distinct units of general medical surgical hospitals. These units shall be
				licensed as part of the hospital and be included in the licensed bed capacity.
				If a hospital provides a skilled nursing unit, this unit shall be separate and
				distinctly identified. Beds shall not be commingled.
(b) In addition to requirements listed for
				general medical surgical hospitals in Subchapters 1 through 31 of this Chapter,
				skilled nursing units shall comply with the requirements listed in this
				Subchapter.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 37 - Skilled Nursing Units › Section 310:667-37-2 - Administration

Current through Vol. 41, No. 20, July 1, 2024
The skilled nursing unit shall be considered a department of
				  the hospital and therefore shall be administered by the governing body and the
				  administrator. The unit shall also have a full-time manager who may be the
				  nursing director of the unit. This manager shall have the administrative
				  authority and responsibility for the day to day operation of the
				  unit.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 37 - Skilled Nursing Units › Section 310:667-37-3 - Skilled Nursing

Current through Vol. 41, No. 20, July 1, 2024
All requirements of nursing service, Subchapter 15 of this
				  Chapter, shall apply. In addition to these requirements, each skilled nursing
				  unit shall have a full-time nursing director for the unit who is a registered
				  nurse. If the director has responsibilities outside the unit, a qualified
				  registered nurse shall serve as the assistant so that there is the equivalent
				  of a full-time nursing director employed. The nursing director of the unit
				  shall be responsible for development of nursing policies and procedures that
				  are specific for long term care patients requiring services of the unit. The
				  nursing director shall also assure appropriate nurse staffing is maintained in
				  the unit.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 37 - Skilled Nursing Units › Section 310:667-37-4 - Rehabilitation provisions

Current through Vol. 41, No. 20, July 1, 2024
Physical and occupational therapy shall be provided for
				  patients in the skilled nursing unit. These services shall conform to
				  requirements specified at
				  310:667-23-5.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 37 - Skilled Nursing Units › Section 310:667-37-5 - Patient restraint

Current through Vol. 41, No. 20, July 1, 2024
Patient restraint shall be in accordance with requirements
				  outlined at
				  310:667-3-5 and
				  310:667-15-8
				  & 9.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff
				  6-26-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 39 - Critical Access Hospital › Section 310:667-39-1 - General

Current through Vol. 41, No. 20, July 1, 2024
A critical access hospital (CAH)is a hospital determined by
				  the Department to be a necessary provider of health care services to residents
				  of a rural community. The CAH shall be the sole provider of hospital services
				  in the community and is to allow the provision of primary hospital care in a
				  rural community that is unable to support a general medical surgical
				  hospital.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 17 Ok
				  Reg 692, eff 12-16-99 (emergency); Amended at 17 Ok Reg 2992, eff
				  7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 667 - Hospital Standards › Subchapter 39 - Critical Access Hospital › Section 310:667-39-2 - Affiliations, communications and agreements

Current through Vol. 41, No. 20, July 1, 2024
(a)
Affiliations.
The CAH shall
				be affiliated with at least one (1) general medical surgical hospital to
				facilitate appropriate referrals and adequate support services. The affiliation
				shall be through a written agreement, contract for services, network
				affiliation, lease or through direct ownership by the supporting general
				medical surgical hospital.
(b)
Communications.
Direct communications shall be established between
				the CAH and any facility providing support services. These communications shall
				include the electronic sharing of patient data which may include telemetry and
				diagnostic imaging if local telecommunications have this capability. As a
				minimum, the CAH shall be able to send and receive patient information by
				facsimile and/or computer modem.
(c)
Agreements.
The CAH shall
				have a written agreement with an emergency medical service to accept and
				receive emergency transfers. This agreement shall provide arrangements for
				emergency and non-emergency transfers to and from the CAH and stipulate the
				stabilizing and treatment services available at the CAH. Direct communications
				shall be established between the emergency medical service and the CAH which
				allow the emergency medical service to directly contact the on-call physician
				or licensed independent practitioner and the on-call or on-site registered
				nurse providing emergency services.
Added at 12 Ok Reg 1555,
				  eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 17 Ok
				  Reg 692, eff 12-16-99 (emergency); Amended at 17 Ok Reg 2992, eff 7-13-00;
				  Amended at 20 Ok Reg 1664, eff 6-12-03