reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1000 - MEDICATION MANAGEMENT › Section 61-91.1000.1006 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, safety and security. Medications shall be stored in accordance with manufacturer's directions and in accordance with all applicable state and federal laws and regulations.
B. Medications shall be properly stored and safeguarded to prevent access by unauthorized persons. Expired or discontinued medications shall not be stored with current medications. Storage areas shall be of sufficient size for clean and orderly storage, and shall be locked when not under direct observation by a licensed healthcare provider. Storage areas shall not be located near sources of heat, humidity, or other hazards that may negatively impact medication effectiveness or shelf-life.
C. Medications requiring refrigeration shall be stored in a refrigerator at the temperature established by the U. S. Pharmacopeia (36 - 46 degrees F.). Food and drinks shall not be stored in the same refrigerator in which medications and biologicals are stored. Blood and blood products may be stored in the same refrigerator with medications and biologicals if stored in a separate compartment from the medications and biologicals.
D. Medications shall be stored:
1. Separately from poisonous substances, blood, or body fluids;
2. In a manner that provides for separation between oral and topical medications;
3. Separately from food.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1000 - MEDICATION MANAGEMENT › Section 61-91.1000.1007 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications shall not be retained in stock after the expiration date on the label and no contaminated or deteriorated medications shall be maintained. Expired, damaged, or deteriorated medications and biologicals shall be disposed of in the following manner:
1. When noncontrolled legend medications are destroyed, the following shall be documented: date of destruction, medication name, strength, quantity, mode of destruction, and the names of the individual performing the destruction and a witness. (This shall not be applicable to partial unused doses of medications.) The medications may also be disposed of by returning them to the dispensing pharmacy and obtaining a receipt from the pharmacy.
2. The destruction of controlled substances shall be accomplished pursuant to the requirements of R.61-4.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1101 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All facilities that prepare food on-site shall be approved by the Department, and shall be regulated, inspected, and graded pursuant to R.61-25.
B. When meals or snacks are catered to a facility, such meals shall be obtained from a food service establishment graded by the Department, pursuant to R.61-25, and there shall be a written executed contract with the food service establishment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1102 - Food Storage (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All food items shall be stored at a minimum of six inches above the floor on clean surfaces and in such a manner as to be protected from splash and other contamination.
B. Food stored in the refrigerator or freezer shall be covered, labeled, and dated. Prepared food shall not be stored in the refrigerator for more than 72 hours.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1103 - Food Equipment and Utensils (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The equipment and utensils utilized, and the cleaning, sanitizing, and storage of such shall be in accordance with R.61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1104 - Ice and Drinking Water (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ice from a water system that is in accordance with R.61-58, shall be available and precautions taken to prevent contamination. The ice scoop shall be stored in a sanitary manner outside of the ice container.
B. Potable drinking water shall be available and accessible to patients at all times.
C. The use of common drinking cups shall be prohibited.
D. Ice delivered to patient areas in bulk shall be in nonporous, covered containers that shall be cleaned after each use.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1105 - Equipment (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Liquid or powder soap in dispensers and sanitary paper towels shall be available at each food service handwash lavatory.
B. The facility shall include a separate handwash sink, convenient to serving, food preparation, and dishwashing areas.
C. All walk-in refrigerators and freezers shall be equipped with opening devices that will permit opening of the door from the inside at all times. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1100 - MEAL SERVICE › Section 61-91.1100.1106 - Refuse Storage and Disposal (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Refuse storage and disposal shall be in accordance with R.61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1200 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-91.1200.1201 - Emergency Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Appropriate equipment and services shall be provided to render emergency resuscitative and life-support procedures pending transfer to a hospital. The emergency equipment must meet the following requirements:
1. Be immediately available for use during emergency situations;
2. Be appropriate for the facility's patient population; and
3. Be maintained by appropriate personnel in accordance with manufacturer's instructions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1200 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-91.1200.1202 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A facility that participates in a community disaster plan shall establish plans, based on its capabilities, to meet its responsibilities for providing emergency care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1200 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-91.1200.1203 - Emergency Call Numbers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Although the facility may have access to "911," emergency call data shall be immediately available and shall include, at a minimum, the telephone numbers of fire and police departments, ambulance service, and the Poison Control Center. Other emergency call information shall be available, to include the names, addresses, and telephone numbers of staff members to be notified in case of emergency.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1200 - EMERGENCY PROCEDURES/DISASTER PREPAREDNESS › Section 61-91.1200.1204 - Continuity of Essential Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be a written plan to be implemented to assure the continuation of essential patient support services for reasons such as power outage, water shortage, or in the event of the absence of any portion of the staff resulting from inclement weather or other causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1300 - FIRE PREVENTION › Section 61-91.1300.1301 - Arrangements for Fire Department Response/Protection (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each facility shall develop, in coordination with its supporting fire department and/or disaster preparedness agency, suitable written plans for actions to be taken in the event of fire,
i.e.
, fire plan and evacuation plan.
B. Facilities located outside a service area or range of a public fire department shall arrange for the nearest fire department to respond in case of fire by written agreement with that fire department. A copy of the agreement shall be kept on file in the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1300 - FIRE PREVENTION › Section 61-91.1300.1302 - Tests and Inspections (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Fire protection and suppression systems shall be maintained and tested in accordance with NFPA 10, 13, 14, 15, 25, 70, 72, and 96.
B. Fire alarm systems shall be maintained in a safe, operable condition in accordance with NFPA 70 and 99 and shall be inspected at least annually.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1300 - FIRE PREVENTION › Section 61-91.1300.1303 - Fire Response Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each staff member shall receive training within 24 hours of his or her first day of employment in the facility and at least annually thereafter, addressing at a minimum, the following:
1. Fire plan;
2. Reporting a fire;
3. Use of the fire alarm system, if applicable;
4. Location and use of fire-fighting equipment;
5. Methods of fire containment; and
6. Specific responsibilities, tasks, or duties of each staff member.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1300 - FIRE PREVENTION › Section 61-91.1300.1304 - Fire Drills (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An unannounced fire drill shall be conducted at least quarterly for all shifts. Each staff member shall participate in a fire drill at least once each year. Records of drills shall be maintained at the facility, indicating the date, time, shift, description and evaluation of the drill, and the names of staff members directly involved in responding to the drill. If fire drill requirements are mandated by statute or regulation, the provisions of the statute or regulation shall be complied with and shall supersede the requirements of this section.
B. Drills shall be designed and conducted in consideration of and reflecting the content of the fire response training described in Section 1303 above.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1400 - MAINTENANCE › Section 61-91.1400.1401 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The structure, including its component parts and equipment, shall be properly maintained to perform the functions for which it is designed.
B. The facility shall keep its component parts and all equipment in good repair and operating condition and documented.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1400 - MAINTENANCE › Section 61-91.1400.1402 - Equipment (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Equipment used in the provision of care, treatment, procedures, surgery, and/or services shall meet appropriate specifications and calibrations and shall be monitored and operated in accordance with the manufacturer's guidelines and with local, State, and Federal laws.
B. If utilized, all equipment for the administration of anesthesia shall be readily available, clean or sterile, and operating properly.
1. Anesthesia apparatus shall be equipped with a device to measure the oxygen component of the gas being inhaled by the patient. The device shall emit audible and visual alarms should the proportion of oxygen fall below a safe level. (I)
2. Inspections shall be made prior to each use of the anesthesia equipment, as well as a record of all service and repair performed on all anesthesia machines, vaporizers, and ventilators, shall be maintained and retained for a minimum of two years or until the next Department's inspection, whichever is longer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1400 - MAINTENANCE › Section 61-91.1400.1403 - Preventive Maintenance of Life Support Equipment (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A written preventive maintenance program shall be developed and implemented for all life support equipment, to include, but not be limited to:
1. Patient monitoring equipment;
2. Isolated electrical systems;
3. Patient ground systems; and
4. Medical gas systems.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1501 - Staff Practices (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Staff and volunteer practices shall promote conditions that prevent the spread of infectious, contagious, or communicable diseases and provide for the proper disposal of toxic and hazardous substances. These preventive measures and practices shall be in compliance with applicable guidelines of the Bloodborne Pathogens Standard of the Occupational Safety and Health Act (OSHA) of 1970; the Centers for Disease Control and Prevention (CDC) Immunization of Health-Care Workers: Recommendations of the Advisory Committee on Immunization Practices and the Hospital Infection Control Practices Advisory Committee; the Department's
Guidelines For Prevention and Control of Antibiotic Resistant Organisms in Health Care Settings
, and R.61-105; and other applicable federal, state, and local laws and regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1502 - Vaccinations (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hepatitis B.
1. All direct care staff who perform tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps shall have the hepatitis B vaccination series unless the vaccine is contraindicated or an individual is offered the series and declines. In either case the decision shall be documented.
2. Each staff member who elects vaccination shall have completed the initial dose of the three-dose series within 30 days of employment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1503 - Live Animals

Current through Register Vol. 48, No. 6, June 28, 2024
Live animals shall not be permitted in facilities.
EXCEPTION
: This standard does not apply to patrol dogs accompanying security or police officers, guide dogs, or other service animals accompanying individuals with disabilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1504 - Sterilization Procedures (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Sterilizing equipment of appropriate type shall be available and of adequate capacity to properly sterilize instruments and operating room materials as well as laboratory equipment and supplies. The sterilizing equipment shall have approved control and safety features. The accuracy of instrumentation and equipment shall be tested at least quarterly; periodic calibration and/or preventive maintenance shall be provided as necessary and a history of testing and service maintained.
B. The dates of sterilization and expiration shall be marked on all supplies sterilized in the facility.
EXCEPTION
: Facilities may utilize "event-related" methodologies for determining sterile integrity in lieu of "time-related" methods provided there is an established policy and procedure.
C. The facility shall provide for appropriate storage and distribution of sterile supplies and equipment pursuant to facility policies and procedures.
D. Cleaning and disinfection, as needed, of equipment used and/or maintained in each area, appropriate to the area and the equipment's purpose or use, shall be accomplished. A recognized method of monitoring disinfectant performance shall be employed. Disinfectants,
e.g.
, glutraldehyde, Cidex, Sporox, hydrogen peroxide, shall be tested and maintained according to manufacturer's instructions and shall include, at a minimum, a record of readings/testings and change dates of the disinfectant solution.
E. Collection, transportation, and storage of contaminated or used equipment must be performed in a safe manner and in accordance with approved policies and procedures of the Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1505 - Tuberculosis Risk Assessment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All facilities shall conduct an annual tuberculosis risk assessment in accordance with CDC guidelines (See Section 102.B.6) to determine the appropriateness and frequency of tuberculosis screening and other tuberculosis related measures to be taken.
B. The risk classification,
i.e.
, low risk, medium risk, shall be used as part of the risk assessment to determine the need for an ongoing TB screening program for staff and patients and the frequency of screening. A risk classification shall be determined for the entire facility. In certain settings,
e.g.
, healthcare organizations that encompass multiple sites or types of services, specific areas defined by geography, functional units, patient population, job type, or location within the setting may have separate risk classifications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1506 - Staff Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to date of hire or initial patient contact, the tuberculosis status of direct care staff shall be determined in the following manner in accordance with the applicable risk classification:
B. Low Risk:
1. Baseline two-step Tuberculin Skin Test (TST) or a single Blood Assay for
Mycobacterium tuberculosis
(BAMT): All staff (within three (3) months prior to contact with patients) unless there is a documented TST or a BAMT result during the previous twelve (12) months. If a newly employed staff has had a documented negative TST or a BAMT result within the previous twelve (12) months, a single TST (or the single BAMT) can be administered to serve as the baseline.
2. Periodic TST or BAMT is not required.
3. Post-exposure TST or a BAMT for staff upon unprotected exposure to
M. tuberculosis
: Perform a contact investigation when unprotected exposure is identified.
Administer one (1) TST or a BAMT as soon as possible to all staff who have had unprotected exposure to an infectious TB case/suspect. If the TST or the BAMT result is negative, administer another TST or a BAMT eight to ten (8-10) weeks after that exposure to
M. tuberculosis
ended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1507 - Housekeeping (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility and its grounds shall be uncluttered, clean, and free of vermin and offensive odors.
A. Interior housekeeping shall at a minimum include:
1. Cleaning each specific area of the facility (dry sweeping and dusting shall be prohibited in restricted areas as identified in facility policies and procedures);
2. Cleaning of operating/procedure rooms in accordance with established written procedures after each operation/procedure.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1508 - Infectious Waste (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Accumulated waste, including all contaminated sharps, dressings, and/or similar infectious waste, shall be disposed of in a manner compliant with OSHA Bloodborne Pathogens Standard, the Department's Guidelines For Prevention and Control of Antibiotic Resistant Organisms in Health Care Settings, and R.61-105.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1500 - INFECTION CONTROL AND ENVIRONMENT › Section 61-91.1500.1509 - Clean/Soiled Linen and Surgical Clothing (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A supply of clean, sanitary linen/surgical clothing shall be available at all times. In order to prevent the contamination of clean linen/surgical clothing by dust or other airborne particles or organisms, it shall be stored and transported in a sanitary manner,
i.e.
, enclosed and covered. Linen/Surgical clothing storage rooms shall be used only for the storage of linen/surgical clothing. Clean linen/Surgical clothing shall not be stored with other items.
B. Soiled linen/Surgical clothing.
1. Provisions shall be made for collecting, transporting, and storing soiled linen and surgical clothing;
2. Soiled linen/Surgical clothing shall be kept in enclosed/covered containers.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1600 - QUALITY IMPROVEMENT PROGRAM › Section 61-91.1600.1601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a written, implemented quality improvement program that provides effective self-assessment and implementation of changes designed to improve the care, treatment, procedures, surgery, and/or services provided by the facility.
B. The quality improvement program, at a minimum, shall:
1. Establish desired outcomes and the criteria by which policy and procedure effectiveness is systematically, objectively, and regularly accomplished at a frequency as determined by the facility to ensure that policies and procedures and this regulation are met, but not less than every three months;
2. Identify, evaluate, and determine the causes of any deviation from the desired outcomes;
3. Identify the action taken to correct deviations and prevent future deviation, and the person(s) responsible for implementation of these actions;
4. Establish ways to measure the quality of patient care and staff performance as well as the degree to which the policies and procedures are followed;
5. Analyze the necessity of care, treatment, procedures, surgery, and/or services rendered;
6. Analyze the effectiveness of the fire plan;
7. Analyze all serious incidents and accidents, to include all patient deaths and significant medication errors;
8. Analyze any other unusual occurrences that threaten the health, safety, or well-being of the patients;
9. At least every three months, review an established percentage of patient records to verify the accuracy and integrity of the system, and take corrective action as needed;
10. Establish a systematic method of obtaining feedback from patients and other interested persons,
e.g.
, family members and peer organizations, as expressed by the level of satisfaction with care, treatment, procedures, surgery, and/or services received.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1700 - DESIGN AND CONSTRUCTION › Section 61-91.1700.1701 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall be planned, designed, and equipped to provide and promote the health, safety, and well-being of each patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1700 - DESIGN AND CONSTRUCTION › Section 61-91.1700.1702 - Local and State Codes and Standards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Buildings shall comply with pertinent local and state laws, codes, ordinances, and standards with reference to design and construction. No facility shall be licensed unless the Department has assurance that responsible local officials (zoning and building) have approved the facility for code compliance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1700 - DESIGN AND CONSTRUCTION › Section 61-91.1700.1703 - Applicable Code Editions (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facility design and construction shall comply with provisions of the codes officially adopted by the South Carolina Building Codes Council and the South Carolina State Fire Marshal applicable to ambulatory surgical facilities.
B. Unless specifically required otherwise by the Department, all facilities shall comply with the construction codes and construction regulations applicable at the time its license was issued.
C. Any facility that closes, has its license revoked, or surrenders its license, and applies for re-licensure at the same site, shall be considered a new building and shall meet the current codes, regulations, and requirements for the building and its essential equipment and systems in effect at the time of application for re-licensing.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1700 - DESIGN AND CONSTRUCTION › Section 61-91.1700.1704 - Submission of Plans and Specifications

Current through Register Vol. 48, No. 6, June 28, 2024
A. Plans and specifications shall be submitted to the Department for review and approval for new construction, additions or alterations to existing buildings, replacement of major equipment, buildings being licensed for the first time, buildings changing license type, and for facilities increasing occupant load or licensed capacity. Final plans and specifications shall be prepared by an architect and/or engineer registered in South Carolina and shall bear their seals and signatures. Architectural plans shall also bear the seal of a South Carolina registered architectural corporation. Unless directed otherwise by the Department, submit plans at the schematic, design development, and final stages. All plans shall be drawn to scale with the title, stage of submission and date shown thereon. Any construction changes from the approved documents shall be approved by the Department. Construction work shall not commence until a plan approval has been received from the Department. During construction the owner shall employ a registered architect and/or engineer for observation and inspections. Upon approval of the Department, construction administration may be performed by an entity other than the architect. The Department shall conduct periodic inspections throughout each project.
B. Plans and specifications shall be submitted to the Department for review and approval for projects that have an effect on:
1. The function of a space;
2. The accessibility to or of an area;
3. The structural integrity of the facility;
4. The active and/or passive fire safety systems (including kitchen equipment such as exhaust hoods or equipment required to be under an exhaust hood);
5. Doors;
6. Walls;
7. Ceiling system assemblies;
8. Exit corridors;
9. Life safety systems; or
10. That increases the occupant load or licensed capacity of the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1700 - DESIGN AND CONSTRUCTION › Section 61-91.1700.1705 - Construction Inspections

Current through Register Vol. 48, No. 6, June 28, 2024
All projects shall obtain all required permits from the locality having jurisdiction. Construction without proper permitting shall not be inspected by Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1801 - Fire Alarms (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall include a partial, manual, automatic, supervised fire alarm system. The system shall be arranged to transmit an alarm automatically to a third party by an approved method. The alarm system shall notify by audible and visual alarm all areas and floors of the building. The alarm system shall shut down central recirculating systems and outside air units that serve the area(s) of alarm origination as a minimum.
B. There must be a fire alarm pull station at each required exit and in or near each nurses station.
C. All fire, smoke, heat, sprinkler flow, or manual fire alarming devices or systems must be connected to the main fire alarm system and trigger the system when they are activated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1802 - Gases (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Safety precautions shall be taken against fire and other hazards when oxygen is dispensed, administered, or stored. "No Smoking" signs shall be posted conspicuously inside the facility and on oxygen cylinders. All cylinders shall be properly secured in place.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1803 - Vertical Openings (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All vertical openings shall be protected in accordance with
				  applicable sections of the current building code as listed in Section102.B,
				  State Fire Marshal Regulations, and NFPA 101.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1804 - Wall and Partition Openings (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All wall and partition openings shall be protected in
				  accordance with applicable sections of the current building code as listed in
				  Section102.B and NFPA 101.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1805 - Ceiling Openings (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Openings into attic areas or other concealed spaces shall be
				  protected by material consistent with the fire-rating of the assembly
				  penetrated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1806 - Firewalls (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A building is
				defined by the outside walls and any interior four-hour firewalls and shall not
				exceed the height and area limitations set forth in the current building code
				as listed in Section102.B for the type of construction.
B. An addition shall be separated from an
				existing building by a two-hour, fire-rated wall, unless the addition is of
				equal fire-resistive rating.
C.
				When an addition of a different type of construction from the existing building
				is planned, the type of construction and resulting maximum area and height
				limitations allowed by the current building code as listed in Section102.B
				shall be determined by the lesser of the types of construction of the
				building.
D. If the addition is
				separated by a four-hour firewall, the addition is considered as a separate
				building, and the type of construction of the addition shall determine the
				maximum area and height limitations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1807 - Windows/Mirrors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The window
				dimensions and maximum height from floor to sill shall be in accordance with
				the current building code as listed in Section102.B and the Life Safety Code,
				as applicable.
B. Where clear glass
				is used in windows, with any portion of the glass being less than 18 inches
				from the floor, the glass shall be of "safety" grade, or there shall be a guard
				or barrier over that portion of the window. This guard or barrier shall be of
				sufficient strength and design so that it will prevent an individual from
				injuring him/herself by accidentally stepping into or kicking the
				glass.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1808 - Floor and Wall Finishes (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Floor and wall coverings and finishes
				shall meet the requirements of the current building code as listed in
				Section102.B.
B. All floors in
				operating and recovery areas shall be smooth resilient tile and be free from
				cracks and finished to facilitate effective cleaning.
C. Carpeting shall not be utilized as floor
				covering in operating and recovery areas.
D. All floor coverings and finishes shall be
				appropriate for use in each area of the facility and free of hazards, e.g.,
				slippery surfaces.
E. Floor
				finishes shall be composed of materials that are conducive to frequent
				cleaning, and when appropriate, disinfection.
F. Wall bases in operating rooms, soiled
				workrooms and other areas subject to frequent wet cleaning shall be installed
				and tightly sealed without voids that could harbor vermin. Walls shall be
				washable, and, in the immediate area of plumbing fixtures, the finish shall be
				smooth, moisture resistant, and easily cleaned.
G. Floor and wall penetrations by pipes,
				ducts, conduits, etc., and joints of structural elements shall be tightly
				sealed to minimize entry of rodents and insects.
H. Thresholds and expansion joint covers
				shall be made flush with the floor surface to facilitate use of wheelchairs and
				carts.
I. Manufacturers'
				certifications or documentation of treatment for flame-spread and other safety
				criteria for combustible finishes shall be maintained.
J. All restroom floors shall have an approved
				nonabsorbent covering. Wall surfaces shall be nonabsorbent and washable to the
				highest level of splash.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1800 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-91.1800.1809 - Ceilings

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ceilings in
				operating rooms shall be washable and without crevices that can retain dirt
				particles.
B. Finished ceilings are
				not required in mechanical and equipment spaces, shops, general storage areas,
				and similar spaces, except where required for fire rating.
C. Rooms containing ceiling mounted equipment
				and those that have ceiling mounted surgical light fixtures shall have height
				required to accommodate the equipment or fixture. All other rooms shall have
				not less than 8-foot ceilings except that corridors, storage rooms, toilet
				rooms and other minor rooms shall not be less than 7 feet 8 inches. Suspended
				tracks, rails, pipe, etc., located in the path of normal traffic, shall be not
				less than 7 feet 6 inches above the floor.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1900 - ELECTRICAL › Section 61-91.1900.1901 - Signal System

Current through Register Vol. 48, No. 6, June 28, 2024
A. All facilities shall have a signal system consisting of a call button for each bed, bath, toilet and treatment/examination room. A light shall be at or over each patient room door visible from the corridor. There shall be an audio-visual master station in a location continuously monitored by staff.
B. Activation of signal system shall be by pull cord or electronic device. Pull cord shall hang to a maximum of four (4) inches above finished floor.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1900 - ELECTRICAL › Section 61-91.1900.1902 - Emergency Generator Service (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. With concurrence of the local authority having jurisdiction, facilities shall have an emergency generator with a ten (10) second startup and six (6) hour run time based on the maximum load rating of the generator. As a minimum, emergency power shall be provided for but not limited to:
1. Emergency and Exit lighting;
2. Lighting for staff work areas;
3. All lighting and power at patient care areas;
4. Fire alarm telephone and signal systems;
5. At least one (1) elevator where required;
6. Fire pump and associated equipment;
7. Public toilet rooms;
8. All HVAC equipment serving patient areas; and
9. All patient life safety equipment;
EXCEPTION
: In endoscopy facilities, an emergency power supply system is not required.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1900 - ELECTRICAL › Section 61-91.1900.1903 - Incinerators (I)

Current through Register Vol. 48, No. 6, June 28, 2024
If an incinerator is provided, it shall conform to the
				  requirements of the Department. When located within the licensed facility,
				  incinerators shall be separated by construction having at least 2-hour
				  fire-resistive rating with 1-1/2-hour fire-rated door(s) and
				  frame(s).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.1900 - ELECTRICAL › Section 61-91.1900.1904 - Furnishings/Equipment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The physical
				plant shall be maintained free of fire hazards and impediments to fire
				prevention.
B. No portable electric
				or unvented fuel heaters shall be permitted in the facility except as permitted
				by the State Fire Marshal Regulations.
C. Wastebaskets, window dressings, portable
				partitions, cubicle curtains, mattresses, and pillows shall be noncombustible,
				inherently flame-resistant, or treated or maintained flame-resistant in
				accordance with NFPA 701, Standard Methods of Fire Tests for Flame-Resistant
				Textiles and Films.
EXCEPTION: Window blinds require no flame treatments or
				  documentation thereof.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2001 - Surgical Suite(s)

Current through Register Vol. 48, No. 6, June 28, 2024
The size and design of the surgical suite(s) shall be in accordance with individual programs and this regulation. The following basic elements, designed to ensure no flow of through traffic, shall be incorporated in all facilities:
A. Operating/Procedure Room(s).
1. The number shall depend on the projected caseload and types of procedures to be performed. Rooms shall have adequate space to accommodate necessary equipment and staff.
2. Each operating room shall have a minimum clear area of 180 square feet exclusive of fixed and movable cabinets and shelves. The minimum width shall be 12 feet.
3. Each procedure room shall have a minimum clear area of 140 square feet exclusive of fixed and movable cabinets and shelves. The minimum width shall be 10 feet.
4. Additional clear area may be required as described in the narrative program to accommodate special functions in one or more of these rooms.
5. The facility shall include an emergency communication system connecting with the surgical suite work station.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2002 - Soiled Utility Room

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities shall have at least one soiled utility room per floor containing a clinical sink, work counter, waste receptacle and soiled linen receptacle.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2003 - Clean Utility Room

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities shall have at least one clean utility room per floor containing a counter with handwashing sink and space for the storage and assembly of supplies for nursing procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2004 - Corridors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Minimum public corridor width shall be five feet.
B. There shall be at least one corridor that is no less than eight feet clear width between doors from the recovery area and/or operating/procedure rooms and an exit door. In a one-story building or on the ground floor of a multi-story building, if there is less than eight feet clear width, the corridors shall be so arranged as to allow a stretcher to exit from the recovery area or operating rooms directly into the corridor without turning and move to the required exit without having to make a turn. Minimum width shall be five feet.
C. The location of items such as drinking fountains, telephone booths, vending machines, and portable equipment shall not restrict corridor traffic or reduce the required corridor width. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2005 - Handrails/Guardrails (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall have handrails on at least one side of each corridor/hallway, and on all stairways, ramps, and porches with two or more steps. Ends of all installed handrails shall return to the wall.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2006 - Restrooms (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be an appropriate number of restrooms in the facility, to accommodate patients, staff, and visitors.
B. The restrooms shall be accessible during all operating hours of the facility.
C. A restroom(s) shall be equipped with at least one toilet fixture, toilet paper installed in a holder, a lavatory supplied with hot and cold running water, liquid or granulated soap, single-use disposable paper towels or electric air dryer, and a covered waste receptacle.
D. The waiting/lobby area must have at least one restroom.
E. The facility shall have toilet fixtures in restrooms for patient use in ample number, located within or adjacent to the recovery area. The minimum requirement is one toilet fixture for every eight pre-operative and post-operative beds.
F. All toilet fixtures used by patients shall have approved grab bars securely fastened in a usable fashion.
G. Privacy shall be provided at toilet fixtures and urinals.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2007 - Janitor's Closets

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility shall include at least one (1) lockable janitor's closet throughout the facility.
B. Each shall contain a floor receptor or service sink and storage space for housekeeping equipment and supplies,
e.g.
, mops.