Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 101 - GENERAL INFORMATION › GENERAL PROVISIONS › Section 101.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this subpart,
						have the following meanings, unless the context clearly indicates
						otherwise:
Act
-Health Care Facilities Act
						(35
						P. S. §§
												448.101-448.904).
Advanced life support
-The invasive
						prehospital and interhospital emergency medical care of serious illness or
						injury by trained health professional and allied health professional personnel
						under the medical command of a physician.
Anesthetist
-A generic term used to
						identify anesthesiologists, other qualified physician anesthetists, or
						qualified nurse or dentist anesthetists.
Authenticate
-To verify authorship, for
						example, by written signature, identifiable initials, or computer key; the use
						of rubber stamp signatures shall be acceptable under the following strict
						conditions:
(i) The practitioner whose
					 signature the rubber stamp represents is the only one who has possession of the
					 stamp and is the only one who uses it.
(ii) The hospital maintains in its
					 administrative offices a signed statement by the practitioner to the effect
					 that he is the only person who possesses the stamp and is the only one who will
					 use it.
Certified medical records
						practitioner
-Either an Accredited Records Technician or a Registered
						Records Administrator, approved by the American Medical Records
						Association.
Chairman, chief
-The director of a
						medical, clinical service; the term always connotes a physician unless
						otherwise stated.
Chief executive officer
-A job
						descriptive term used to identify the individual appointed by the governing
						body to act in its behalf in the overall management of the hospital.
Clinical privileges
-Permission to render
						medical care in the granting institution rendered pursuant to Chapter 107
						(relating to medical staff).
Compliance directive
-A directive issued
						by the Department citing deficiencies which have come to the attention of the
						Department through the survey process or by on-site inspection and directing
						the hospital to take corrective action as the Department directs or to submit a
						plan of correction.
Consultant
-One who provides professional
						advice or services on request.
Deficiency
-Any condition which exists
						contrary to, in violation of, or in noncompliance with this subpart.
Department
-The Department of Health of
						the Commonwealth. Where a provision of this subpart confers powers or imposes
						duties upon the Department, which under a statute may be exercised by or
						imposed on only the Secretary, the reference to the Department shall be
						construed to mean the Department acting by and through the Secretary, or the
						person for the time being acting as the Secretary, personally.
Dietetic assistant
-A person who has
						completed a program in food service administration and nutritional care which
						meets the training standards established by the American Dietetic Association
						and provides at least 90 clock hours of coursework.
Dietetic technician
-A person who has
						completed an associate degree program which meets the educational standards
						established by the American Dietitian Association; this person works under the
						direction of a qualified dietitian.
Direction
-Authoritative policy or
						procedural guidance for the accomplishment of a function or activity.
Director
-An individual with
						administrative responsibility for the direction of a division or service of the
						hospital. When this term is used in connection with a medical, clinical
						service, it is synonymous with chairman and does not necessarily imply a
						salaried or otherwise remunerated individual.
Division
-An organizational division in
						the hospital.
Drug administration
-An act in which a
						single dose of an identified drug is given to a patient.
Drug dispensing
-The issuance of floor
						stocks or of one or more doses of a prescribed medication in containers that
						are correctly labeled to indicate the name of the patient, the contents of the
						container, and all other vital information needed to facilitate correct patient
						usage and drug administration.
Emergency contraception
-
(i) A drug, drug regime or device approved by
					 the Food and Drug Administration that is used after sexual intercourse to
					 inhibit or prevent ovulation or fertilization.
(ii) The term also includes a drug, drug
					 regime or device approved by the Food and Drug Administration that is used
					 after sexual intercourse to inhibit or prevent the implantation of a fertilized
					 ovum within the uterus.
Existing hospital
-A facility erected or
						remodeled for use as a hospital prior to the effective date of this
						subpart.
Ex officio
-Position by virtue of or
						because of an office, with no reference to specific voting power.
Facilities
-Buildings, equipment, and
						supplies necessary for implementation of hospital services by personnel.
Full-time
-The normal or standard working
						period established by the hospital.
General hospital
-A hospital equipped and
						staffed for the treatment of medical or surgical conditions, or both, in the
						acute or chronic stages, on an inpatient basis of 24 or more hours.
Graduate nurse
-A graduate of an approved
						program of professional nursing practicing his profession pursuant to and in
						accordance with The Professional Nursing Law (63 P. S. §§
												211-225).
Graduate social worker
-A person
						qualified by a graduate degree from a school of social work accredited by the
						Council on Social Work Education.
Hospital
-A facility having an organized
						medical staff and providing equipment and services primarily for inpatient care
						to persons who require definitive diagnosis or treatment, or both, for injury,
						illness, pregnancy, or other disability.
House staff/House staff
						officers
-Physicians in training whose clinical privileges are
						delineated pursuant to Chapter 107.
Licensed practical nurse
-A person
						licensed to practice practical nursing pursuant to The Practical Nurse Law
						(63
						P. S. §§
												651-667).
May
-A term used to indicate an
						acceptable but not mandatory standard, method, process, or result.
Medical
-Of, pertaining to, or dealing
						with the healing art and the science of medicine or osteopathy.
Must
-Synonymous with shall.
New construction
-New buildings,
						additions to existing buildings, conversion of existing buildings or portions
						thereof, or portions of buildings undergoing alterations other than
						repair.
Nuclear medicine
-The scientific and
						clinical discipline concerned with diagnostic, therapeutic-exclusive of sealed
						radium sources, and investigative use of radionuclides.
Nursing care unit
-An organized
						jurisdiction of nursing service in which nursing services are provided on a
						continuous basis.
Nursing service
-Patient care services
						pertaining to the curative, restorative, and preventative aspects of nursing
						that are performed or supervised by a registered nurse pursuant to the medical
						care plan of the practitioner and the nursing care plan.
Nursing station
-The physical area within
						a patient care unit from which nursing services are provided and where nursing
						records and supplies are maintained.
Organized
-Administratively and
						functionally structured.
Organized medical staff
-A formal
						organization of physicians, and dentists with the delegated responsibility and
						authority to maintain proper standards for medical care.
Outpatient service
-An organizational
						unit of the hospital which is designed to support the provision of nonemergency
						health care services to patients who do not remain in the hospital overnight;
						the term includes a short-term procedure unit when applicable.
Paramedic
-An emergency medical
						technician specifically trained in an advanced program of emergency cardiac and
						noncardiac care and certified by the Department as qualified to render the
						services enumerated in section 3 of the act of November 30, 1976 (P. L. 1205,
						No. 264) (35 P. S. §
												6803)
						otherwise known as an emergency medical technician-paramedic or
						EMT-paramedic.
Patient care unit
-A designated area of
						the hospital where nursing services are provided on a continuous basis.
Pharmacy
-Any place where the practice of
						pharmacy is conducted pursuant to the Pharmacy Act (63 P. S. §§
												390-1-390-13).
Physician
-A person licensed to practice
						medicine or osteopathy. The term is more fully defined in
						1
						Pa.C.S. §
												991.
Policy
-A heading designating a section
						of this subpart which is a duty or responsibility only of the Department.
						Policy regulations carry the force of law when applied to the Department but do
						not apply to hospitals under this subpart.
Practice privileges
-Synonymous with
						clinical privileges.
Practitioner
-A licensed physician,
						dentist, or podiatrist.
Principle
-A term used to indicate the
						general approach or objective to be accomplished by meeting the standards or
						other regulations appearing after the stated principle.
Professional nurse/registered professional
						nurse
-A person licensed to practice professional nursing pursuant to
						The Professional Nursing Law (63 P. S. §§
												211-225).
Provider
-An individual; a trust or
						estate; a partnership; a corporation including associations, joint stock
						companies, and insurance companies; and the Commonwealth or a political
						subdivision or instrumentality thereof including a municipal corporation or
						authority that operates a health care facility.
Qualified dietitian
-A person who:
(i) Is registered or eligible for
					 registration by the Commission on Dietetic Registration and has at least one
					 year of experience in clinical dietetics and nutrition; or
(ii) Has a baccalaureate degree or advanced
					 degree with major studies in food or nutrition of dietetics and who has at
					 least one year of clinical experience.
Qualified nurse anesthetist
-A nurse who
						has been certified as a nurse anesthetist by the American Association of Nurse
						Anesthetists or who has the equivalent training and experience.
Qualified records administrator
-Either
						an Accredited Records Technician or a Registered Records Administrator,
						approved by the American Medical Records Association.
Radiologic technologist
-An individual
						who is a graduate of a program in radiologic technology approved by the Council
						on Medical Education of the American Medical Association or who has the
						equivalent of such education and training.
Rape crisis center
-An office,
						institution or center that offers assistance to a sexual assault victim or the
						victim's family through crisis intervention, medical and legal accompaniment
						and follow-up counseling.
Reportable communicable disease
-Any
						disease for which reports are required pursuant to the provisions of the
						Disease Prevention and Control Law of 1955 (35 P. S. §§
												521.1-521.21). Reference should also be made
						to Chapter 27, Subchapters B, E and F (relating to selected procedures for
						preventing disease transmission; and miscellaneous provisions).
Respiratory therapy
-The provision of
						ventilatory support and associated services to patients.
Secretary
-The Secretary of the
						Department.
Service
-Used to indicate a functional
						division of the hospital or of the nursing or medical staff; also used to
						indicate the delivery of care.
Sexual assault
-Any offense specified in
						18 Pa.C.S. Chapter 31, Subchapter B (relating to definition of offenses),
						except that the term does not include indecent exposure as defined in
						18 Pa.C.S. §
												3127
						(relating to indecent exposure) or sexual intercourse with an animal as defined
						in
						18 Pa.C.S. §
												129
						(relating to sexual intercourse with animal).
Sexual assault counselor
-A person who is
						engaged or employed by a rape crisis center that arranges for the provision of
						services to a sexual assault victim, who has undergone at least 40 hours of
						sexual assault training and is under the control of a direct services
						supervisor of a rape crisis center, whose primary purpose is the rendering of
						advice, counseling or assistance to victims of sexual assault.
Sexual assault emergency services
-A
						medical examination, forensic examination, or other procedure or service
						provided by a hospital to a sexual assault victim because of a sexual
						assault.
Sexual assault victim or victim
-A person
						who has been sexually assaulted.
Short-term procedure unit
-A unit
						organized for the delivery of nonemergency surgical services to patients who do
						not remain in the hospital overnight.
Small hospital
-A hospital maintaining
						100 beds or less, as licensed by the Department.
Special care unit
-An appropriately
						equipped area of the hospital where provision has been made for a concentration
						of physicians, nurses, and others who have special skills and experiences to
						provide medical care for critically ill patients.
Special hospital
-A hospital equipped and
						staffed for the treatment of disorders within the scope of specific medical
						specialties or for the treatment of limited classifications of diseases in
						their acute or chronic stages on an inpatient basis of 24 or more hours.
Survey
-The process of evaluation or
						reevaluation of the compliance of a hospital with this subpart.
Undergraduate social worker
-A person
						qualified by a bachelor's degree from an undergraduate program in social work
						accredited by the Council on Social Work Education.
Unit
-A functional facility of the
						hospital.
The provisions of this §
													101.4 issued under section 2102(g)
						  of The Administrative Code of 1929 (71 P. S. §
														532(g)); and under 803 of
						  the Health Care Facilities Act (35 P. S. §
														448.803); amended under sections 102,
						  201(12), 801.1 and 803(2) of the Health Care Facilities Act (35 P. S.
						  §§
														448.102,
						  448.201(12), 448,801a and
						  448.803(2)); and under section 2102(a) and (g) of The Administrative Code of
						  1929 (71 P. S. §
														532(a) and
						  (g)).