reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:09 - Diagnostic services › Section 44:76:09:06 - Radiological service policies and manuals required

Current through Register Vol. 51, page 10, July 15, 2024
There shall be a policy and procedural manual for all phases
				  of the radiological services. If radioactive isotopes are to be used within the
				  facility, policies which are approved by the medical staff shall be
				  established.
General Authority:
SDCL
					 34-12-13(11).
Law Implemented:
SDCL
					 34-12-13(11).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:09 - Diagnostic services › Section 44:76:09:07 - Radiological department personnel

Current through Register Vol. 51, page 10, July 15, 2024
There shall be trained personnel to provide the scope of
				  services offered by the facility. If therapeutic radiological services are
				  provided, the services shall be under the direct supervision of a
				  radiologist.
General Authority:
SDCL
					 34-12-13(11).
Law Implemented:
SDCL
					 34-12-13(11).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:09 - Diagnostic services › Section 44:76:09:08 - Radiological reports

Current through Register Vol. 51, page 10, July 15, 2024
Complete signed reports of the interpretations of all
				  radiological examinations made by practitioners shall be made a part of the
				  patient's clinical record. The radiological department shall have a policy that
				  requires any record to be retained for at least ten years and any film to be
				  retained for at least five years.
General Authority:
SDCL
					 34-12-13(10).
Law Implemented:
SDCL
					 34-12-13(10).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:01 - Scope of surgical services

Current through Register Vol. 51, page 10, July 15, 2024
The ambulatory surgery center services are limited to those
				  surgical and other medical procedures that may be safely performed in a
				  dedicated operating room or procedure rooms and which may require a
				  postoperative recovery room or short-term, not overnight, convalescent room. An
				  ambulatory surgery center may not retain patients overnight. Surgical
				  procedures which may not be performed in an ambulatory surgery center includes
				  those that:
(1) Generally result in
				extensive blood loss;
(2) Require
				major or prolonged invasion of body cavities;
(3) Directly involve major blood
				vessels;
(4) Are generally emergent
				or life-threatening in nature; or
(5) Require admission to a hospital on an
				inpatient basis in order to have the procedure performed or to recover from the
				procedure.
General Authority:
SDCL
					 34-12-13.
Law Implemented:
SDCL
					 34-12-13.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:02 - Surgical services

Current through Register Vol. 51, page 10, July 15, 2024
Each facility in which surgery is performed shall maintain
				  an operating suite with appropriate equipment, including an X-ray view box or
				  film illuminator. The suite shall be supervised by a registered nurse with
				  training and experience in operating room services. A circulating nurse shall
				  be assigned to each operating or procedure room during each procedure and shall
				  be present for the duration of the surgical procedure unless it becomes
				  necessary for the nurse to leave the operating or procedure room as part of the
				  procedure or the nurse is relieved by another circulating nurse. There shall be
				  written policies for surgical services which govern surgical staff privileges,
				  supportive services of other professional and paramedical personnel, and
				  operating suite procedures. Policies and procedures pertaining to safety
				  controls shall be developed and implemented. Safety controls shall be posted. A
				  roster of surgical staff members which delineates the surgical privileges of
				  each member shall be maintained on file in the operating
				  suite.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:03 - Surgical records

Current through Register Vol. 51, page 10, July 15, 2024
When surgery is performed, the following record requirements
				  apply:
(1) An operating room register
				shall be maintained and shall include the patients name, identification number
				or medical record number, date of operation, inclusive or total time of the
				operation or procedure, name of surgeon and all assistants, nursing personnel,
				type of anesthesia and name of person administering, operation or procedure
				performed, preoperative and postoperative diagnosis, and age of
				patient;
(2) The patient's medical
				record, including at least a medical history, a copy of the physician's
				examination, copies of laboratory tests, radiology reports, a signed consent
				for the surgical procedure to be performed, and a preoperative diagnosis, shall
				be made available in the surgical suite at the time of surgery; and
(3) An accurate and complete description of
				the operative procedure that includes a preoperative and postoperative
				diagnosis shall be recorded by the operating surgeon within 48 hours following
				completion of surgery.
General Authority:
SDCL
					 34-12-13(10) and
					 (12).
Law Implemented:
SDCL
					 34-12-13(10) and
					 (12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:04 - Anesthesia services.

Current through Register Vol. 51, page 10, July 15, 2024
Each facility shall provide anesthesia services organized,
				  directed, and integrated with other related services commensurate with the
				  scope and needs of patients. The delivery of anesthesia care to patients shall
				  be provided by qualified persons according to written policies relating to
				  anesthesia procedures approved by the medical staff.
Safety and sanitation controls shall be established. All
				  anesthetizing locations which are not protected against potential explosive
				  hazards shall have a legible sign posted prohibiting the use of flammable gas
				  as anesthetics. The requirements for anesthesia services in ambulatory surgery
				  centers are as follows:
(1) A
				physician shall be on the premises during the post-anesthetic recovery period
				until all patients are alert or discharged;
(2) When a general anesthetic is used, at
				least one registered nurse shall be in the recovery room during the patient's
				post-anesthetic recovery period;
(3) Policies and procedures on the
				administration of anesthetics shall be developed by the medical staff and
				approved by the governing body;
(4)
				Prior to undergoing general anesthesia, a patient shall have a history and
				physical examination by a physician, including necessary laboratory
				examinations;
(5) Before discharge
				from the facility, each patient shall be evaluated by a physician for proper
				anesthesia recovery;
(6) No
				flammable anesthetic is allowed; and
(7) All anesthetics shall be administered by
				an anesthesiologist or anesthetist, except for local anesthetic agents which
				may be administered by the attending physician.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:05 - Emergency equipment

Current through Register Vol. 51, page 10, July 15, 2024
The facility governing body and medical staff shall
				  coordinate, develop, and revise policies and procedures to specify the type of
				  emergency equipment required for use in the facilities operating and procedure
				  rooms. The emergency equipment shall meet the following requirements;
(1) Be immediately available for use during
				emergency situations;
(2) Be
				appropriate for the facilitys patient population; and
(3) Be maintained by appropriate
				personnel.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:10 - Surgical services › Section 44:76:10:06 - Emergency services

Current through Register Vol. 51, page 10, July 15, 2024
A facility referring patients for transfer must initiate
				  essential life-saving measures and provide emergency procedures within the
				  capacity of the facility that will minimize aggravation of a patients condition
				  during transfer. The medical staff shall determine appropriate personnel,
				  equipment, drugs, and supplies for emergency care and shall maintain them
				  readily available.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:01 - Application of chapter

Current through Register Vol. 51, page 10, July 15, 2024
The provisions of this chapter apply to any new facility and
				  to any renovation, addition, or change in space use of any currently approved
				  existing facility. Accessible and usable accommodations shall be available to
				  the public, staff, and patients with disabilities.
Each facility shall comply with
NFPA 101 Life Safety
				  Code,
2012 edition.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
NFPA 101 Life Safety Code,
2012 edition,
					 National Fire Protection Association. Copies may be obtained from the National
					 Fire Protection Association, P.O. Box 9101, Quincy, MA 02269-9101. Phone:
					 1-800-344 -3555. Cost: $93.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:02 - Administration department

Current through Register Vol. 51, page 10, July 15, 2024
The administration department shall include a business
				  office, information center, administrator's office, admitting office, staff
				  lounge, medical library, lobby, and public and staff toilet rooms. There shall
				  be space for in-service training.
General Authority:
SDCL
					 34-12-13(3) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:03 - Medical records unit

Current through Register Vol. 51, page 10, July 15, 2024
The medical records unit shall include an active record
				  storage area; record review and dictating area; work area for sorting,
				  recording, or microfilming; and an inactive record storage area which may be
				  omitted if microfilming or electronic medical records are
				  used.
General Authority:
SDCL
					 34-12-13(3) and
					 (10).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (10).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:04 - Storage rooms

Current through Register Vol. 51, page 10, July 15, 2024
There shall be at least 20 square feet (1.858 square meters)
				  of central storage provided for each operating or procedure room. General
				  storage shall be concentrated in one area in the facility, but up to 50 percent
				  of the general storage space may be provided on the premises. Each patient
				  shall be provided with closet or locker to secure personal
				  belongings.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:05 - Service area in care units

Current through Register Vol. 51, page 10, July 15, 2024
Each care unit shall contain a service area which includes
				  the following:
(1) Staff station with
				convenient access to handwashing facilities;
(2) Staff charting;
(3) Communications;
(4) Storage for supplies and personal
				effects;
(5) Staff toilet
				room;
(6) Nurses' office;
(7) Clean workroom for the storage and
				assembly of supplies for nursing procedures which contains a work counter and
				sink;
(8) Soiled workroom which
				contains a work counter with a handwashing facility, a waste receptacle, soiled
				linen receptacles, a clinical sink with an exposed water trap seal, siphon jet
				or blowout action, and a bedpan flushing device;
(9) Medicine room adjacent to the staff
				station with a sink, refrigerator, locked storage, and facilities for
				preparation and administration of medication;
(10) Clean linen storage area in an enclosed
				storage space;
(11) Nourishment
				station containing refrigerated storage, self-dispensing ice machine, and a
				sink for serving between-meal nourishments;
(12) Equipment storage room on each patient
				wing or floor for storage of patient care equipment;
(13) Janitor's closet for storage of
				housekeeping supplies and equipment which contains a floor receptor or service
				sink. The janitor's closet space and equipment may be incorporated into the
				soiled utility room;
(14)
				Multipurpose rooms for staff, patients, and patients' families for conferences,
				reports, education, training sessions, and consultation; and
(15) Preoperative and postoperative holding
				rooms or spaces.
Any modification to the standard may be made. A modification
				  shall be requested in writing by the facility and approved by the
				  department.
General Authority:
SDCL
					 34-1-17,
					 34-12-13.
Law Implemented:
SDCL
					 34-12-13.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:06 - Dietary department

Current through Register Vol. 51, page 10, July 15, 2024
Construction, equipment, and installation of the dietary
				  department if provided shall comply with or exceed the minimum standards in
				  §§
									44:02:07:01,
				  44:02:07:02, and 44:02:07:04 to
				  44:02:07:95, inclusive, the Food Service Code. The installation shall comply
				  with §
									44:76:11:07 unless a commercially
				  prepared dietary service, meals, or disposables are used. If a commercial
				  service is used, dietary areas and equipment shall meet the requirements for
				  sanitary storage, processing, and handling.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
Note:
Article 44:02, Lodging and Food Service,
					 Administrative Rules of South Dakota, contains the Food Service Code and may be
					 obtained from Legislative Mail, 1320 East Sioux Avenue, Pierre, South Dakota
					 57501, telephone (605) 773-4935, for
					 $4.14.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:07 - Food preparation services and equipment

Current through Register Vol. 51, page 10, July 15, 2024
Any dietary area shall be completely cleanable by
				  conventional methods. The location and design of the dietary area if provided
				  shall enable convenient handling of incoming supplies, preparation of meals,
				  including tray service, and disposal of rubbish and garbage. If a dietary area
				  is provided it shall contain equipment and space provided shall include the
				  following:
(1) A dishwashing area
				including a commercial dishwasher supplied with 180 degree Fahrenheit (82
				degrees centigrade) rinse water or a chemical sanitizing cycle, a garbage
				disposal, a garbage can, a clean dish table, and handwashing
				facilities;
(2) Aisles within the
				dietary area not less than three feet (0.91 meters) wide. Aisles adjoining
				equipment locations with doors or aisles utilized for cart traffic shall be at
				least four feet (1.22 meters) wide;
(3) Pot and pan washing facilities, including
				a three-compartment sink with 18 inch drainboards on both sides and drying and
				storage facilities for pots and pans;
(4) A vegetable preparation area with a
				two-compartment sink with drainboards on both sides;
(5) Cart storage areas;
(6) Waste disposal facilities;
(7) Employee dining facilities;
(8) Janitor's closet with storage for
				housekeeping supplies and equipment and floor receptor or service
				sink;
(9) Food production equipment
				sized and designed to prepare a complete meal for the patients, staff, and
				guests;
(10) Food holding and
				transportation equipment capable of protecting food from contamination and of
				maintaining cold food at 41 degrees Fahrenheit (five degrees centigrade) or
				below and hot food at 135 degrees Fahrenheit (57.2 degrees centigrade) or above
				during the total serving period;
(11) Ventilation equipment sized and designed
				to effectively remove steam, heat, cooking vapors, and grease from food
				production areas, dishwashing areas, and serving areas;
(12) Handwashing facilities that are
				convenient to each work area, consisting of hot and cold running water, towel
				dispenser with single-service towels or hand drying device and wall mounted
				hand cleanser;
(13) In dietary
				areas shall have a bin or self-dispensing ice maker. Any ice maker accessible
				to patients or visitors shall be self-dispensing.
Any modification to the standard may be made. A modification
				  shall be requested in writing by the facility and approved by the
				  department.
General Authority:
SDCL
					 34-12-13(1), (2), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (2), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:08 - Laundry

Current through Register Vol. 51, page 10, July 15, 2024
The laundry shall include the following:
(1) Linen cart storage;
(2) Storage for laundry supplies;
(3) A lavatory conveniently accessible to
				soiled, clean, and processing rooms; and
(4) Laundry processing room with separate
				soiled and clean work areas with commercial equipment. Each clothes dryer shall
				have a galvanized metal vent pipe for exhaust: and
The space and equipment layout shall be sized and designed to
				  produce quality linen with a work flow that minimizes potential for
				  cross-contamination of clean linen by soiled linen, contaminated equipment,
				  contaminated air, or splash. Any modification to the standard may be made if
				  the services are contracted to an outside organization. A modification shall be
				  requested in writing by the facility and approved by the
				  department.
General Authority:
SDCL
					 34-12-13(1) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:09 - Employee facilities

Current through Register Vol. 51, page 10, July 15, 2024
The male and female locker rooms for employees shall have
				  lockers and a separate toilet room with handwashing facility.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:10 - Corridor restrictions

Current through Register Vol. 51, page 10, July 15, 2024
Drinking fountains, telephone booths, fire extinguisher
				  cabinets, and vending machines shall be located so that they do not project
				  into the required width of exit corridors. Handrails installed in corridors
				  shall return to the wall at the ends. Handrails if installed shall be installed
				  with the top 34 to 38 inches, inclusive, from the floor. Handrails shall be
				  installed with one and one half inch spacing between the wall and the
				  handrail.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:11 - Doors

Current through Register Vol. 51, page 10, July 15, 2024
Any door to a patient toilet shall be equipped with hardware
				  that permits access in any emergency. A pocket or sliding door may not be
				  installed except on a clothes closet or restroom in a patient room. Any
				  hardware on a restroom pocket or sliding door shall provide for ease of
				  operation for a patient with limited mobility. Any door opening onto a
				  corridor, except an elevator door, shall be hinged on the side. An alcove or
				  similar space which generally does not require doors are excluded from this
				  requirement. No door may swing into the corridor except a closet door.
				  Thresholds and expansion joint covers, if used, shall be flush with the floor.
				  Any cross-corridor door shall be provided with vision panels.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:12 - X ray protection

Current through Register Vol. 51, page 10, July 15, 2024
Protection of X ray and gamma ray installations shall
				  conform to requirements in "Medical X ray, Electron Beam, and Gamma ray
				  Protection for Energies up to 50 MeV--Equipment Design and Use," NCRP Report
				  No. 102, 1989, and in "Structural Shielding Design and Evaluation for Medical
				  Use of X rays and Gamma rays of Energies up to 10 MeV," NCRP Report No. 49,
				  1976.
General Authority:
SDCL
					 34-12-13(1) and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (14).
"Medical X ray, Electron Beam, and Gamma ray Protection
					 for Energies up to 50 MeV--Equipment Design and Use," NCRP Report No. 102,
					 National Council on Radiation Protection and Measurements, June 30, 1989.
					 Copies may be obtained from National Council on Radiation Protection and
					 Measurements, 7910 Woodmont Avenue, Suite 400, Bethesda, MD 20814. Cost:
					 $45.
"Structural Shielding Design and Evaluation for Medical Use
					 of X rays and Gamma rays of Energies up to 10 MeV," NCRP Report No. 49,
					 National Council on Radiation Protection and Measurements, September 15, 1976.
					 Copies may be obtained from National Council on Radiation Protection and
					 Measurements, 7910 Woodmont Avenue, Suite 400, Bethesda, MD 20814. Cost:
					 $40.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:13 - Ceiling heights

Current through Register Vol. 51, page 10, July 15, 2024
The ceilings of corridors, storage rooms, patient toilet
				  rooms, and other minor rooms may not be less than seven feet, eight inches
				  (2.34 meters). The ceilings of all other rooms may not be less than seven feet,
				  ten inches (2.39 meters).
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:14 - Insulation

Current through Register Vol. 51, page 10, July 15, 2024
Boiler rooms, food preparation centers, and laundries shall
				  be insulated and ventilated to prevent any floor surface above them from
				  exceeding a temperature of 85 degrees Fahrenheit (29.4 degrees centigrade). All
				  combustible insulation within the building shall be covered with a
				  fire-resistive material giving fire protection equivalent to one half inch
				  (0.01 meters) gypsum board, unless tested and acceptable by
International
				  Building Code
, 2012 edition, 2603.4 for use without a thermal barrier as
				  installed.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
International Building Code
, 2012 edition.
					 Copies may be obtained from International Conference of Building Officials,
					 5360 South Workman Mill Road, Whittier, California 90601-2298. Phone: (562)
					 699-0541. Cost: $89.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:15 - Floor surface finish

Current through Register Vol. 51, page 10, July 15, 2024
Floors shall be easily cleanable and shall have the wear
				  resistance appropriate for the location involved. Floors in kitchens and
				  related spaces shall be water-resistant. In all areas where floors are subject
				  to wetting, they shall have a nonslip finish. Adjacent dissimilar floor
				  materials shall be flush with each other to provide a level floor
				  surface.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:16 - Wall and ceiling finish

Current through Register Vol. 51, page 10, July 15, 2024
Walls shall be washable, and in the immediate area of
				  plumbing fixtures the finish shall be protected from water damage. Wall bases
				  in dietary areas shall be free of spaces that can harbor insects. Wall bases in
				  any areas used for surgical procedures shall be integral with either the wall
				  or the floor surface material and shall be without voids that can harbor
				  harmful bacteria. All surgical, X-ray film processing rooms, and dietary
				  ceilings shall be washable or easily cleanable. This requirement does not apply
				  to any boiler room, mechanical and building equipment room, shop, or similar
				  space. A ceiling in any surgical, central sterilization, isolation, and x-ray
				  film processing room shall be epoxy painted gypsum board
				  surface.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:17 - Elevators

Current through Register Vol. 51, page 10, July 15, 2024
All facilities where either patients beds or a critical
				  service, such as operating, diagnostic, dietary, laundry, central storage, or
				  therapy rooms, is located, other than the first floor, shall have an electrical
				  or electrohydraulic elevator. Each elevator car and platform shall be
				  constructed of noncombustible material, except that material treated with fire
				  retardant may be used if each exterior surface of the car is covered with
				  metal. A hospital-type elevator shall have inside dimensions that will
				  accommodate a patient's gurney and attendants and shall be at least five feet
				  (1.52 meters) wide by seven feet six inches (2.29 meters) deep. The car door
				  shall have a clear opening of not less than three feet eight inches (1.12
				  meters). Each elevator shall have automatic two-way leveling with accuracy
				  within plus or minus one half inch (0.01 meters). Elevators, except freight
				  elevators, shall be equipped with a two-way special service switch to permit
				  each car to bypass all landing button calls and to be dispatched directly to
				  any floor.
General Authority:
SDCL
					 34-12-13(3) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:18 - Steam and hot water systems

Current through Register Vol. 51, page 10, July 15, 2024
Boilers shall have the capacity to supply the normal
				  requirements of all systems and equipment. Supply and return mains and risers
				  of space heating and process steam systems shall be valved to isolate the
				  various sections of each system. Each piece of equipment shall be valved at the
				  supply and return end. Boilers, smoke breeching, steam supply piping, high
				  pressure steam return piping, and hot water space heating supply and return
				  piping shall be insulated with insulation having a flame spread of 25 or less
				  and a smoke emission rating of 50 or less using NFPA 255, 2006 edition,
				  "Standard Method of Test for Surface Burning Characteristics of Building
				  Materials" or equivalent test procedures.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
NFPA 255
, 2006 edition, "Standard Method of
					 Test for Surface Burning Characteristics of Building Materials." Copies may be
					 obtained from National Fire Protection Association, P.O. Box 9101, Quincy, MA
					 02269-9101. Cost: $35.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:20 - Filters

Current through Register Vol. 51, page 10, July 15, 2024
A ventilation system using a recirculated central air system
				  shall be equipped with a minimum of two filter beds. Filter bed number one
				  shall be located upstream of the conditioning equipment and shall have a
				  minimum efficiency of 30 percent. Each supply air unit shall have a minimum of
				  30 percent effective filters. Each central ventilation system shall have a
				  minimum of 80 percent effective filters. Each common use area, i.e., dining,
				  lounge, and corridor, shall have 80 percent effective filters on an air supply
				  system. Each air supply system serving solely an administrative area shall have
				  a minimum of 30 percent effective filters. These filter efficiencies shall be
				  warranted by the manufacturer and shall be based on the ASHRAE 52.2, 2007
				  edition, American Society of Heating, Refrigeration, and Air Conditioning
				  Engineers dust spot test method with atmospheric dust. Each filter frame shall
				  be durable and carefully dimensioned and shall provide an airtight fit with the
				  enclosing duct work. Each joint between filter segments and the enclosing duct
				  work shall be gasketed or sealed to provide a positive seal against air
				  leakage. A manometer shall be installed across each filter bed serving a
				  central air system.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
ASHRAE 52.2, 2007 edition, American Society of Heating,
					 Refrigeration, and Air Conditioning Engineers. Copies may be obtained from 1791
					 Tullie Circle, N.E., Atlanta, GA 30329. Phone: 1-800-527 -4723. Cost:
					 $39.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:21 - Ducts

Current through Register Vol. 51, page 10, July 15, 2024
Ducts shall be constructed of iron, steel, aluminum, or
				  other approved metal or materials as defined in
NFPA 101 Life Safety
				  Code
2012 edition. Duct linings, coverings, vapor barriers, and the
				  adhesives used for applying them shall have a flame spread classification of
				  not more than 25 and a smoke developed rating of not more than 50 using
NFPA 255
, 2006 edition, "Standard Method of Test for Surface
				  Burning Characteristics of Building Materials." A fire and smoke damper shall
				  be provided on each opening through each required two-hour or greater
				  fire-resistive wall or floor and on each opening through the walls of a
				  vertical shaft, unless the shaft has a fire and smoke damper at the floor
				  level. Ducts which pass through a required smoke barrier shall be provided with
				  smoke dampers. Access for maintenance shall be provided at all dampers. Duct
				  systems serving hoods shall be constructed of corrosion resistant material.
				  Duct systems serving hoods in which highly radioactive materials and strong
				  oxidizing agents are used shall be constructed of stainless steel for a minimum
				  distance of 10 feet (3.05 meters) from the hood and shall be equipped with
				  wash-down facilities. Cold air ducts shall be insulated wherever necessary to
				  maintain the efficiency of the system or to minimize condensation
				  problems.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
NFPA 255
, 2006 edition, "Standard Method of
					 Test for Surface Burning Characteristics of Building Materials." Copies may be
					 obtained from National Fire Protection Association, P.O. Box 9101, Quincy, MA
					 02269-9101. Cost: $35.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:22 - Food service ventilation

Current through Register Vol. 51, page 10, July 15, 2024
The air from dining areas may be used to ventilate the food
				  preparation areas only after it has been passed through a filter with 80
				  percent efficiency. Exhaust hoods in food preparation centers shall have a
				  minimum exhaust rate of 50 cubic feet a minute for each square foot (0.25 cubic
				  meters a second for each square meter) of hood face area. All hoods over
				  cooking ranges shall be equipped with fire extinguishing systems interconnected
				  to shut off the fuel source. Cleanout openings shall be provided every 20 feet
				  (6.10 meters) in horizontal exhaust duct systems serving
				  hoods.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:23 - Plumbing fixtures

Current through Register Vol. 51, page 10, July 15, 2024
The material used for plumbing fixtures shall be of
				  nonabsorptive acid-resistant material. Each lavatory and sink required in
				  patient care areas shall have the water supply spout mounted so that the
				  discharge is a minimum of five inches (0.13 meters) above the rim of the
				  fixture. Handwashing facilities used by medical and care staff, patients, and
				  food handlers shall be equipped with hands-free controls. Single lever devices
				  may be used. Handles on scrub sinks and clinical sinks may not be less than six
				  inches (0.15 meters) long. Each clinical sink shall have an integral trap in
				  which the upper portion of a visible trap seal provides a water surface. If
				  blade handles are used, proper clearance shall be maintained for operation.
				  Aerators are not approved for use on faucet spouts. Paper towel dispensers or
				  hand-drying devices shall be provided at each lavatory and sink used for
				  handwashing. A mirror or paper towel dispenser with reflective surfaces may not
				  be provided at each handwashing facility in the laboratory, nursery, clean
				  utility, central sterilizing, dietary, or other critical area where grooming
				  could potentially cause contamination.
Each water closet shall be an elongated bowl type and be
				  equipped with an open front seat.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:24 - Water supply systems

Current through Register Vol. 51, page 10, July 15, 2024
Water supply systems shall supply water to the fixtures and
				  equipment on the upper floors at a minimum pressure of 15 pounds a square inch
				  (1,055.9 kilograms a square meter) during maximum demand periods. Each water
				  service main, branch main, riser, and branch to a group of fixtures shall be
				  valved. Stop valves shall be provided at each fixture. Hot, cold, and chilled
				  water piping and waste piping on which condensation may occur shall be
				  insulated. Insulation of cold and chilled water lines shall include an exterior
				  vapor barrier.
Water supply systems in a health care facility must maintain
				  one part per million free residual chlorine at remote point-of-use fixtures in
				  the facility or may use another bacteriological control method (increasing
				  water temperature range from 122 degrees to 125 degrees Fahrenheit [50-52
				  degrees centigrade] is acceptable) that has been demonstrated to be equivalent
				  in control of
Legionella
. The facility must document water
				  temperatures to verify the hot water temperature is being maintained within the
				  acceptable range The chlorine testing must be done daily using photocell and
				  light source DPD (N, N, Diethyl-p-phenylenediamine) test kits and the test
				  results logged. When testing demonstrates that consistent chlorine levels are
				  maintained, the frequency of testing may be reduced to a level necessary to
				  demonstrate compliance.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:25 - Vacuum breakers

Current through Register Vol. 51, page 10, July 15, 2024
An antisiphon device or backflow preventer shall be
				  installed on hose bibs and on all fixtures to which hoses or tubing can be
				  attached such as laboratory and janitors' sinks, bedpan flushing attachments,
				  and handheld showers. An antisiphon device or backflow preventer shall be
				  installed on all plumbing and equipment where any possibility exists for
				  contamination of the potable water supply.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:26 - Hot water systems

Current through Register Vol. 51, page 10, July 15, 2024
Hot water distribution systems over 50 feet (15.24 meters)
				  long shall recirculate to provide hot water at each fixture at all times. The
				  hot water heating equipment shall have sufficient capacity to supply water at
				  the temperature and amounts needed for facility operations.
Each storage tank provided shall be fabricated of
				  noncorrosive metal or lined with noncorrosive material.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:27 - Drainage systems

Current through Register Vol. 51, page 10, July 15, 2024
Each drain line from sinks in which acid wastes may be
				  poured shall be fabricated from an acid resistant material. Any piping over
				  each operating and delivery room, nursery, food preparation center, food
				  serving facility, food storage area, and any other critical area shall be kept
				  to a minimum and may not be exposed. Special precautions shall be taken to
				  protect these areas from possible leakage of necessary overhead piping systems.
				  Floor drains may not be installed in operating and delivery rooms. Building
				  sewers shall discharge into a community sewerage system. Where such a system is
				  not available, a facility providing sewage treatment which conforms to
				  applicable local and state regulations is required.
Water from roof systems shall be collected and discharged
				  away from the building foundation. Rain gutters with downspouts and splash
				  blocks shall be provided for pitched roof systems. Provisions shall be made to
				  avoid having water accumulated on sidewalks and parking areas around the
				  building.
The building sewer system shall have a cleanout located
				  outside the perimeter of the building foundation.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).
Individual and small on-site wastewater systems, ch
					 74:53:01.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:28 - Electrical distribution system

Current through Register Vol. 51, page 10, July 15, 2024
All material including equipment, conductors, controls, and
				  signaling devices shall be installed to provide a complete electrical system
				  with the necessary characteristics and capacity to supply the electrical
				  facilities shown in the specifications or indicated on the plans. All materials
				  shall be listed as complying with applicable standards of Underwriters'
				  Laboratories, Inc., or other similarly established standards. Fixed and mobile
				  X ray units shall be connected by means of independent feeders or circuits.
				  Circuit breakers or fusible switches that provide disconnecting means and
				  overcurrent protection for conductors connected to switchboards and
				  distribution panel boards shall be enclosed or guarded to provide a dead front
				  type of assembly. The main switchboard shall be located in a separate enclosure
				  accessible only to authorized persons. The switchboard shall be convenient for
				  use, readily accessible for maintenance, clear of traffic lanes, and in a dry
				  ventilated space devoid of corrosive fumes or gases. Overload protective
				  devices shall be designed for operating in the ambient temperature conditions.
				  Lighting and appliance panel boards shall be provided for the circuits on each
				  floor. The provisions of this section do not apply to emergency system
				  circuits.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:29 - Lighting

Current through Register Vol. 51, page 10, July 15, 2024
Any space occupied by people, machinery, or equipment within
				  buildings, the approaches to the buildings, and parking lots shall have
				  artificial lighting approved by the department. Each patient treatment room
				  shall have general lighting of at least ten footcandles (0.929 lumens per
				  square meter). If task illumination is required, a light with an intensity of
				  at least 30 footcandles (2.79 lumens per square meter) at the work surface
				  shall be provided for each patient. Any fixed light not switched at the door
				  shall have a switch control convenient for use at the luminaire. Each switch
				  for control of lighting in a patient area shall be of the quiet operating type.
				  Illumination of at least 100 footcandles (9.29 lumens per square meter) shall
				  be provided at the medication set-up area. Illumination of at least 30
				  footcandles (2.79 lumens per square meter) shall be provided in each physical
				  and restorative therapy area, and at any bathing facility.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:30 - Receptacles or convenience outlets

Current through Register Vol. 51, page 10, July 15, 2024
Each operating room shall have at least three receptacles.
				  In locations where mobile X ray is used, an additional receptacle,
				  distinctively marked for X ray use, shall be provided. Each treatment room
				  shall have duplex receptacles as follows: one on each side of the head of each
				  patient table; receptacles for luminaires and motorized beds, if used; and one
				  receptacle on each wall. Single polarized receptacles marked for use of X ray
				  only shall be located in corridors of patient areas so that mobile equipment
				  may be used in any location within a patient room. If the same mobile X ray
				  unit is used in operating rooms, all receptacles for X ray use shall be the
				  same. Where capacitive discharge or battery-powered mobile X ray units are
				  used, polarized receptacles are not required. Duplex receptacles for general
				  use shall be installed approximately 50 feet apart in all corridors and within
				  25 feet of ends of corridors. Receptacles in pediatric units shall be of the
				  safety type.
General Authority:
SDCL
					 34-12-13(4) and
					 (14).
Law Implemented:
SDCL
					 34-12-13(4) and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:76 - Ambulatory surgery center facilities › Chapter 44:76:11 - Construction standards › Section 44:76:11:31 - Staff call system

Current through Register Vol. 51, page 10, July 15, 2024
A staff call system shall be provided for patient use at
				  each recovery station that will register a call from the patient both visually
				  and audibly at the staff call station and actuate a visual signal at the
				  patient recovery room door, and in the clean workroom, soiled workroom, and
				  nourishment station of the nursing unit. Nurses call systems which provide
				  two-way voice communication shall be equipped with an indicating light at each
				  calling station which lights and remains lighted as long as the voice circuit
				  is operating. An emergency calling station convenient for patient use shall be
				  provided at each patient toilet, bath, or shower and at toilets serving
				  patients in laboratory, physical therapy, preoperative and postoperative
				  holding space, and X ray departments. An emergency nurses calling station shall
				  be provided for staff use in each operating and recovery
				  room.
General Authority:
SDCL
					 34-1-17,
					 34-12-13.
Law Implemented:
SDCL
					 34-12-13.