reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.22 - Physicians' services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There shall
					 be a physician available at all times. This physician shall be either certified
					 by the American Board of Pediatrics or an equivalent board, have attained
					 preboard certification status, or have successfully completed an approved
					 residency in pediatrics.
(b) All
					 infants shall have a complete physical examination at or near the time of
					 delivery consistent with the recommendations contained in the Guidelines and
					 the results of the examinations shall be recorded in the infant's medical
					 record.
(c) An infant who displays
					 abnormal signs and symptoms at any time shall be examined by a physician as
					 soon as possible.
(d) Every infant
					 shall be examined by the attending physician or his authorized delegate within
					 1 day prior to discharge, and the findings recorded shall be in the infant's
					 medical record.
(e) There shall be
					 a method for the proper identification of each infant and mother or other
					 responsible person at the time of discharge from the hospital. Infants
					 discharged or transferred to another neonatal care unit or hospital shall be
					 carefully identified.
This section cited in 28 Pa. Code §
													139.21 (relating to policies and
						  procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.23 - Delivery suite services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Delivery
					 suite facilities shall include a neonatal recovery area specifically equipped
					 for evaluation and treatment of the infant immediately after birth. An area of
					 the delivery room set aside for infant care is acceptable.
(b) The director of obstetrics and the
					 director of neonatal services shall formulate policies and procedures for
					 delivery room care of infants. These policies and procedures shall be written
					 and shall include provisions for:
(1)
					 Notification of the physician in charge of the infant and the nurse responsible
					 for the provision of nursing services in the neonatal care unit when the
					 delivery of a potentially high-risk infant is expected.
(2) Continuity of care for all infants and
					 especially for high-risk infants to be initiated in the delivery area, with
					 constant observation of neonates for distress.
(3) The umbilical cord to be clamped or tied
					 in accordance with standard medical practice.
(4) The collection of sample of cord blood
					 and performance of laboratory studies for blood type, Rh and Coombs Test on
					 every infant born to an Rh negative mother or having a family history of blood
					 incompatibility.
(5) Infant
					 identification, by an accepted duplicate system, for both mother and infant to
					 be carried out in the delivery room and checked by the nurse or physician and,
					 if possible, by the mother.
(6)
					 Prophylaxis with medication under §
												27.98 (relating to prophylactic
					 treatment of neonates), to be carried out as soon as the condition of the
					 infant permits.
(7) Every neonate
					 to be examined at the time of delivery and the following noted on his medical
					 record:
(i) Condition at birth including Apgar
					 score or its equivalent.
(ii) Time
					 of sustained respirations.
(iii)
					 Physical abnormalities or pathological states.
(iv) Evidence of distress.
(8) A carefully planned procedure
					 to be instituted for the transportation of infants to the neonatal care unit
					 from the delivery room to insure maximum protection of the infant. Transfer of
					 distressed infants to the unit shall be done in a manner that minimizes heat
					 loss and to insure adequate oxygenation.
(9) The record of the infant to accompany the
					 infant from the place of delivery to the neonatal care unit and be immediately
					 available to unit personnel. This record shall include information concerning
					 prenatal history, course of labor, delivery, drug administration to mother and
					 infant, Apgar score, relevant conditions of the mother, procedures performed on
					 the infant in the delivery room, complications of any type, and other facts and
					 observations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.24 - Neonatal intensive care units (Levels II and III)

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In hospitals with neonatal intensive care
					 units, the director of the neonatal services shall develop written policies and
					 procedures regarding admission of infants to neonatal intensive care
					 units.
(b) Policies for neonatal
					 intensive care units shall include:
(1)
					 Requirements, in accordance with the Guidelines, for staffing of neonatal
					 intensive care units. In addition, these units shall be staffed on every shift
					 by at least one registered professional nurse who has special training,
					 experience and interest in infants requiring special care and who is assigned
					 no other responsibilities.
(2) A
					 requirement that a pediatrician designated by the director of the neonatal
					 services shall be on call 24 hours a day.
(3) A provision that private physicians or
					 specialists may care for their patients in neonatal intensive care units.
					 However, the final authority for policy in neonatal intensive care units shall
					 reside with the director of neonatal services.
(4) A requirement that ancillary personnel
					 employed to meet the needs of infants shall have appropriate, specified skills
					 and training.
(5) Provisions for
					 physicians, nurses and social service staff to assist parents of special care
					 infants to become acquainted with their infant and any problems during the
					 infant's hospitalization.
(6) A
					 definite written policy, developed by the director of neonatal services, which
					 provides for the unique problems involved in the total care of infants in
					 neonatal intensive care units to be met, by making arrangements with the
					 hospital nursing and social service departments and community health and social
					 agencies, and by specifying what provisions will be made for continuing care,
					 follow-up and home assistance.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.25 - Control of infection

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 director of neonatal services through the hospital's infection control program
					 shall establish procedures for the control of infection, governing matters such
					 as appropriate attire, isolation and cleaning of equipment in the neonatal care
					 unit. Infection control procedures for neonatal services may be included among
					 the responsibilities of the committee established under other licensure
					 regulations. These procedures shall be written, reviewed at least annually and
					 dated to indicate the date of last review.
(b) Infection control procedures shall do the
					 following:
(1) Prohibit common or group
					 carriers from transporting infants to their mothers.
(2) Require and specify procedures for
					 scrupulous hand cleansing by all neonatal care unit personnel and visitors
					 before and after each infant contact.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.26 - Care given by parents

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 obstetrical and neonatal care departments of any hospital which provides
					 rooming-in services shall have written policies governing the services. These
					 procedures shall be designed to prevent cross contamination.
(b) When rooming in is provided, it shall be
					 under professional nurse supervision.
(c) "Rooming-in services," as used in this
					 section, shall include any of a variety of arrangements which allows the mother
					 and her infant to be cared for together in a setting that gives the mother
					 access to her infant during all or a substantial part of the day and which
					 allows the father to have extensive contact with the mother and the infant
					 during their hospital stay.
(d)
					 Whether or not a hospital provides rooming-in services, it shall provide new
					 parents with orientation, instructions, and demonstration in neonatal care and
					 hygiene.
This section cited in 28 Pa. Code §
													139.21 (relating to policies and
						  procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.27 - Laboratory services and radiological services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Laboratory services shall be available on
					 a 24-hour-a-day, 7-day-a-week basis for, at a minimum, hemoglobin; hematocrit;
					 Coombs test; blood type; Rh type; urinalysis; bacteriologic cultures; spinal
					 fluid analysis; and microchemical determinations for bilirubin, blood glucose,
					 sodium, potassium, chloride and total protein.
(b) Radiological equipment and services shall
					 be available on a 24-hour-a-day, seven-day-a-week basis.
(c) Each hospital with a neonatal service
					 shall provide immediately available blood transfusion services.
(d) A hospital in which a neonatal intensive
					 care unit is located shall have a licensed blood bank, available or on call to
					 the unit on a 24-hour-a-day, 7-day-a-week basis.
This section cited in 28 Pa. Code §
													139.21 (relating to policies and
						  procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.28 - Patient medical records

Current through Register Vol. 54, No. 28, July 13, 2024
Patient medical records shall be maintained in accordance
						with Chapter 115 (relating to medical records services). The following
						information shall also be included in the neonatal record if the entire
						maternal records are not maintained as the neonatal records in §
											115.23(b) 
						(relating to preservation of medical records):
(1) Obstetrical history of mother's previous
					 pregnancies.
(2) Description of
					 complications of pregnancy or delivery.
(3) List of complicating maternal
					 disease.
(4) Drugs taken by the
					 mother during pregnancy, labor and delivery.
(5) Duration of ruptured membranes.
(6) Maternal antenatal blood serology,
					 rubella titer, blood typing, Rh factors, and, when indicated, a Coombs test for
					 maternal antibodies.
(7) Complete
					 description of progress of labor including reasons for induction and operative
					 procedures, if any, signed by the attending physician or an authorized
					 delegate.
(8) Anesthesia, analgesia
					 and medications given to mother and infant.
(9) Condition of infant at birth, including
					 the 1-and 5-minute Apgar Score or its equivalent, resuscitation, time of
					 sustained respirations, details of physical abnormalities, pathological states
					 observed and treatments given before transfer to the neonatal care
					 unit.
(10) Abnormalities of the
					 placenta and cord vessels.
(11)
					 Date and hour of birth, birth weight and length, and period of
					 gestation.
(12) A written
					 verification of eye prophylaxis.
(13) Report of initial physical examination,
					 including abnormalities, signed by the attending physician or an authorized
					 delegate.
(14) Discharge physical
					 examination, including head circumference and body length, unless previously
					 done; recommendations; and signature of attending physician or a
					 delegate.
(15) A listing of all
					 diagnoses since birth, including discharge diagnosis.
(16) Specific follow-up plans for care of
					 infant.
The provisions of this §
													139.28 issued under section
						  2102(g) of The Administrative Code of 1929 (71 P. S. §
														532(g)); and section 803 of
						  the Health Care Facilities Act (35 P. S. §
														448.803).
This section cited in 28 Pa. Code §
													139.21 (relating to policies and
						  procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › POLICIES › Section 139.29 - Infant nursing records

Current through Register Vol. 54, No. 28, July 13, 2024
Upon admission to a neonatal care unit, nurses shall
						initiate and maintain records on all infants as to weight, type and volume of
						feedings; time of first voiding; time of passage of first stool; number, color
						and consistency of stools; and temperature. If abnormalities are suspected or
						recognized, nurses shall also make notations on respiratory rate, dyspnea,
						color, cyanosis, jaundice, pallor, lethargy, twitching, motor activity, skin
						and buttocks, vomiting, condition of the eyes and umbilical cord, and other
						relevant factors as indicated and warranted by the condition of the infant.
						Treatments, medication and special procedures ordered by a physician should
						also be recorded with time, date and the name and title of the individual who
						administers them.
This section cited in 28 Pa. Code §
													139.21 (relating to policies and
						  procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › FORMULA SERVICES › Section 139.31 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Written policies and procedures for infant feeding shall
						be established and shall be available to the medical and nursing
						staffs.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › FORMULA SERVICES › Section 139.32 - Commercial formula

Current through Register Vol. 54, No. 28, July 13, 2024
Precautions shall be taken to prevent the contamination
						and expiration of commercial formulas.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › FORMULA SERVICES › Section 139.33 - Formula preparation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 registered professional nurse or dietitian shall be in charge of formula
					 preparation.
(b) Formula shall be
					 individually bottled and sterilized by pressure method 230DF. for 25 minutes,
					 with the following exceptions:
(1) If
					 hermetically sealed commercial formula products are used and the hospital's
					 method of dispensing the formula has been approved by the Department.
(2) Special mixtures which cannot be
					 subjected to terminal heating shall be prepared by aseptic technique.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 139 - NEONATAL SERVICES › FORMULA SERVICES › Section 139.34 - Breastfeeding

Current through Register Vol. 54, No. 28, July 13, 2024
Management of breastfeeding mothers and infants shall be
						consistent with the Guidelines.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
When a hospital provides dental services, the services
						shall be an integral part of comprehensive health care and should be readily
						available to meet the needs of patients, in accordance with accepted ethical
						and professional practices.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.2 - Dental director

Current through Register Vol. 54, No. 28, July 13, 2024
In hospitals that provide dental services, there shall be
						a director of dental services who is a dentist qualified to assume
						professional, organizational and administrative responsibility, and who serves
						either full-time or part-time as the activity of the services
						requires.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.3 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
The dental service shall be staffed by a sufficient
						number of competent personnel, in keeping with the size and scope of dental
						services of the hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.4 - Special area of dental practices

Current through Register Vol. 54, No. 28, July 13, 2024
In hospitals where dental services are confined largely
						to one of the special areas of dental practice, the dental services
						organizational plan may be limited to a section of the department of surgery
						co-equal with other surgical specialities.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.5 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Each dentist member of the medical staff shall be
						qualified for membership and for the exercise of the clinical privileges
						granted to him, in accordance with the medical staff bylaws. The dental service
						shall be organized to include dentist members of the medical staff. If
						qualified dental hygienists, dental assistants, or dental laboratory
						technicians are employed, they shall be recommended by and be under the
						supervision of the director of dental services.
This section cited in 28 Pa. Code §
													141.23 (relating to medical
						  appraisal of dental patients).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › GENERAL PROVISIONS › Section 141.6 - Scope of services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
					 hospital provides dental services, the dental director shall develop, where
					 appropriate, a comprehensive oral health plan.
(b) The oral health plan should encompass at
					 least the following:
(1) Provision for
					 consultation and treatment in accordance with local needs.
(2) Provision for emergency
					 services.
(3) Provision for oral
					 hygiene, preventative dentistry and pain control.
(4) Provision for coordination of oral health
					 services, facilities and procedures with other services of the
					 hospital.
(5) Provision for a
					 continuing program of professional education.
(6) Provision for audit and utilization
					 review of health care in a manner consistent with policies of the medical
					 staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › FACILITIES › Section 141.11 - Facilities and equipment

Current through Register Vol. 54, No. 28, July 13, 2024
Facilities and supplies for the dental service shall be
						such as to foster effective and timely patient care. The dental service area
						shall have adequate space to facilitate effective care of dental patients.
						Equipment, instruments and supplies in the dental service shall be of the same
						high quality as is required by generally accepted standards of dental
						practice.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › FACILITIES › Section 141.12 - Availability of beds

Current through Register Vol. 54, No. 28, July 13, 2024
Hospital beds shall be available to the dental service in
						the same manner as they are to other services of the
						hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.21 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Policies and procedures for dental services shall be
						written and shall be available to medical staff members and nursing
						personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.22 - Medical supervision of dental patients

Current through Register Vol. 54, No. 28, July 13, 2024
A physician member of the medical staff shall be
						responsible for the care of any medical problem which may be present or
						suspected or which may arise during the hospitalization of a dental patient.
						The dentist shall be responsible for requesting consultation with physician
						members of the medical staff when medical complications are present or develop
						during hospitalization of a dental patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.23 - Medical appraisal of dental patients

Current through Register Vol. 54, No. 28, July 13, 2024
A patient admitted for dental services shall receive the
						same basic admission appraisal by a physician member of the medical staff or
						appropriate house staff as patients admitted for other service in accordance
						with §§
											105.12-105.14 (relating to admission
						criteria; alternate admissions arrangements; and admission diagnosis). However,
						oral surgeons who admit patients without known medical problems may perform a
						complete admission history and physical examination and assess the medical
						risks of the procedure on the patient if they are qualified to do so. The
						hospital, if it chooses to permit oral surgeons to perform these services,
						shall evaluate the qualifications of each oral surgeon as set forth in §
											141.5 (relating to
						staffing).
The provisions of this §
													141.23 issued under section
						  2102(g) of The Administrative Code of 1929 (71 P. S. §
														532(g)); and section 803 of
						  the Health Care Facilities Act (35 P. S. §
														448.803).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.24 - Dental surgical procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The scope and extent of surgical procedures which each
						dentist may perform shall be specifically defined and recommended by the
						medical staff in the same manner as all other surgical
						procedures.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.25 - Emergency dental services

Current through Register Vol. 54, No. 28, July 13, 2024
A well organized plan for emergency dental care shall be
						an integral part of the emergency plan of the hospital as required in
						§§
											117.11-117.15 (relating to emergency
						services planning). When the medical staff includes sufficient dentists, the
						emergency service of the hospital must have a policy whereby emergencies
						involving the oral cavity and associated structures are assessed by a dentist
						member of the medical staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 141 - DENTAL SERVICES › POLICIES › Section 141.26 - Patient dental records

Current through Register Vol. 54, No. 28, July 13, 2024
A record of any dental services provided for an
						inpatient, outpatient or emergency patient shall be made a part of the
						patient's medical record. Completion of dental records shall be in accordance
						with Chapter 115 (relating to medical record services).
This section cited in 49 Pa. Code §
													33.209 (relating to preparing,
						  maintaining and retaining patient
						  records).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Where a hospital provides podiatry services, they shall
						be an integral part of comprehensive health care and shall be readily available
						to meet the needs of patients, in accordance with accepted professional and
						ethical practices.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.2 - Podiatry director

Current through Register Vol. 54, No. 28, July 13, 2024
When podiatry services are available, they shall be
						directed and (with the exception of surgery) supervised, by a podiatrist
						qualified by training and experience and currently licensed to practice in this
						Commonwealth.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.3 - Podiatry surgical procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The scope and extent of surgical procedures which each
						podiatrist may perform shall be specifically defined and recommended in the
						same manner as all other surgical privileges and shall be made known to the
						surgical suite nursing supervisor and personnel. Surgical procedures performed
						by podiatrists shall be under the supervision of the chief of
						surgery.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.4 - Medical appraisal of a podiatric patient

Current through Register Vol. 54, No. 28, July 13, 2024
A patient admitted for podiatric services shall receive
						the same basic admission appraisal by a physician member of the medical staff
						or appropriate house-staff as patients admitted for other services in
						accordance with §§
											105.12-105.14 (relating to admission
						criteria and diagnosis; alternate admissions arrangements; and admission
						diagnosis).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.5 - Medical supervision of podiatric patients

Current through Register Vol. 54, No. 28, July 13, 2024
A podiatrist with clinical privileges, may, with the
						concurrence of any physician member of the medical staff, initiate procedures
						for admitting a patient. This concurring physician shall assume responsibility
						for the nonpodiatrical medical care of the patient throughout the hospital
						stay, including the medical history and physical examination and any medical
						problem which may be present or which may arise during the
						hospitalization.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.6 - Podiatry policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Policies and procedures for podiatry services shall be
						written and shall be available to medical staff members, podiatrists granted
						clinical privileges, and nursing personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 143 - PODIATRY SERVICES › GENERAL PROVISIONS › Section 143.7 - Medical orders and patient records

Current through Register Vol. 54, No. 28, July 13, 2024
The podiatrist may write medical orders within the scope
						of his license and the medical staff bylaws, rules and regulations. He shall be
						responsible for the podiatry history and podiatry physical examination and all
						elements of the patient's medical record relating to podiatric
						care.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Library services shall be made available in the hospital
						to the medical and hospital staff. There shall be books, periodicals, and other
						materials appropriate to meet their needs.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.3 - Librarian

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Hospitals
					 providing extensive library services should have the services of at least one
					 full-time librarian.
(b) When there
					 is no full-time librarian, a suitably trained person should be available to
					 provide library services.
(c) The
					 librarian or person designated in charge of library services shall be a member
					 of the library committee if there is one.
The provisions of this § 145.3 issued under
						  67 Pa.C.S. §§
														6101-6104; and Reorganization Plan No. 2 of
						  1973 (71 P.S. §
														755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.4 - Services

Current through Register Vol. 54, No. 28, July 13, 2024
The professional library services of the hospital should
						include:
(1) The ability to suggest
					 references and sources of information, as well as the ability to find facts
					 within a reasonable period of time.
(2) The ability to respond to a reasonable
					 request, either to produce published matter from the library's own collection
					 or to acquire it from source libraries.
(3) The ability to provide audio-visual
					 material and equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.5 - Materials

Current through Register Vol. 54, No. 28, July 13, 2024
Commonly used current reference material shall be
						provided in the hospital. These shall include Index Medicus or an abridged
						Index Medicus and other pertinent indices, basic books, and journals in the
						fields in which the hospital provides services, as well as books in basic
						sciences such as anatomy, physiology, pathology, biochemistry, and
						pharmacology.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.6 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The librarian or library committee shall develop
						procedures governing the circulation of library materials, including accurate
						control of loans and the handling of photo-reproduction requests. Although a
						priority system of library privileges may be established, the professional
						library services shall be available to all hospital staff and employes,
						regardless of position.
The provisions of this § 145.6 issued under
						  67 Pa.C.S. §§
														6101-6104; and Reorganization Plan No. 2 of
						  1973 (71 P.S. §
														755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 145 - PROFESSIONAL LIBRARY SERVICES › GENERAL PROVISIONS › Section 145.7 - Catalogue

Current through Register Vol. 54, No. 28, July 13, 2024
A cross-reference catalogue of the book holdings of the
						library should be maintained to provide access at least by subject and author.
						A complete record of all other holdings should be maintained.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 146 - INFECTION CONTROL › Section 146.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
				  multidisciplinary committee made up of representatives of the medical staff,
				  the administration, the microbiology laboratory, and the nursing service shall
				  establish effective measures for the control and prevention of
				  infections.
(b) The
				  multidisciplinary committee described in subsection (a) shall do the following:
(1) Develop written standards for hospital
				  sanitation and medical asepsis. Copies of the standards shall be made available
				  to all appropriate personnel. Adequate standards should comply with those
				  described in
Infection Control in the Hospital,
published by
				  The American Hospital Association, Chicago, Illinois.
(2) Develop isolation procedures.
(3) Develop, evaluate, and revise on a
				  continuing basis the procedures and techniques for meeting established
				  sanitation and asepsis standards.
(4) Develop a practical system to report,
				  evaluate, and keep records of infections which originate in the hospital among
				  patients and personnel to trace the sources of infection, and to identify
				  epidemic situations.
(5) Review
				  periodically the use of antibiotics as they relate to patient care within the
				  hospital.
(6) Provide assistance in
				  the development of the employe health program of the hospital.
(7) Submit a copy of pertinent findings and
				  recommendations to the chief executive officer, the director of nursing
				  service, and other appropriate personnel.
(8) Maintain written minutes of
				  meetings.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 146 - INFECTION CONTROL › Section 146.2 - Isolation procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The multidisciplinary infection control committee, in
					 cooperation with other appropriate personnel, shall establish procedures for
					 the physical separation of all isolation patients. Isolation facilities shall
					 be equipped in such a way as to enable good medical and nursing isolation
					 techniques to be practiced and shall include handwashing facilities. Isolation
					 of patients with communicable diseases shall be in accordance with Chapter 27,
					 Subchapter E (relating to procedure for treating each reportable
					 disease).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › GENERAL PROVISIONS › Section 147.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
A clean, safe environment shall be provided and
						maintained within the hospital in accordance with standards specified by the
						Department of Environmental Protection in 25 Pa. Code Chapter 173 (Reserved) in
						addition to the provisions of this subpart.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › GENERAL PROVISIONS › Section 147.2 - Maintenance of safety and sanitation

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall be equipped, operated, and maintained
						so as to sustain its safe and sanitary characteristics and to minimize all
						health hazards in the hospital, for the protection of both patients and
						employes.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Housekeeping, laundry and maintenance functions shall be
						effectively organized, directed and staffed by qualified
						personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.12 - Organization

Current through Register Vol. 54, No. 28, July 13, 2024
Each department or service shall have a current written
						organization plan. Each such plan shall indicate all categories of personnel
						employed in the department, and shall clearly define the lines of
						communication.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.13 - Directors

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
					 environmental service or department shall be supervised by a director who shall
					 be qualified for the position by education, training, or experience. Directors
					 shall develop departmental policies and procedures, train and supervise
					 personnel, schedule and assign responsibilities and maintain communication with
					 other department heads in the hospital. Directors of environmental services
					 shall be responsible to the chief executive officer of the hospital or his
					 designee.
(b) Each department
					 providing environmental services shall have written policies and procedures and
					 shall make them available to environmental services personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.14 - Personnel, environmental services

Current through Register Vol. 54, No. 28, July 13, 2024
Sufficient personnel shall be employed to fulfill the
						needs of each department or service. Supervisory personnel shall be employed to
						ensure the effective implementation of departmental goals and
						objectives.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.15 - Education programs

Current through Register Vol. 54, No. 28, July 13, 2024
An initial orientation and continuing in-service
						education program should be provided for all environmental services employes.
						Personnel assigned to environmental duties in special areas, such as the
						surgical suite, obstetrical units, emergency service, special care units and
						inhalation therapy units shall receive additional training in the execution of
						procedures unique to these departments.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › ENVIRONMENTAL SERVICES DEPARTMENTS › Section 147.16 - Reference material

Current through Register Vol. 54, No. 28, July 13, 2024
Current reference manuals, pamphlets, journals and books,
						as well as information and scientific data from manufacturers concerning their
						products should be available to environmental service employes for reference
						and guidance.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › INFECTION CONTROL › Section 147.21 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
This section cited in 28 Pa. Code §
													111.25 (relating to infection
						  control); and 28 Pa. Code §
													139.25 (relating to control of
						  infection).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 147.31 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
A manual shall be established setting forth policy and
						procedure for use, cleaning, and care of equipment; for establishment of
						cleaning schedules; for cleaning methods; and for proper use of cleaning
						supplies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 147.32 - Rodent and insect control

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall have a program for the prevention and
						eradication of rodents, pests and insects.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 147.33 - Housekeeping and rubbish carts

Current through Register Vol. 54, No. 28, July 13, 2024
Housekeeping carts and carts used to transport rubbish
						shall not be stored on any patient unit unless enclosed storage space is
						provided for that purpose.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 147.34 - Storage areas

Current through Register Vol. 54, No. 28, July 13, 2024
Storage areas shall be kept uncluttered. The lower
						shelves in storage areas shall be so constructed as to allow access for
						cleaning beneath them.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 147.41 - Policies and procedure

Current through Register Vol. 54, No. 28, July 13, 2024
Written policies and procedures for the maintenance of
						the physical plant and equipment shall be available to all employes. Written
						procedures shall be readily available for employes to follow in the event of a
						breakdown in mechanical systems or utilities.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 147.42 - Mechanical systems

Current through Register Vol. 54, No. 28, July 13, 2024
Mechanical systems throughout the hospital shall be
						maintained in accordance with a written preventive maintenance
						program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 147.43 - Ventilation system

Current through Register Vol. 54, No. 28, July 13, 2024
The ventilation system shall be inspected and maintained
						in accordance with the written maintenance schedule to ensure that a properly
						conditioned air supply meeting minimum filtration, humidity and temperature
						requirements is provided in critical areas, such as the surgical and delivery
						suites, emergency operating rooms, nurseries, recovery and isolation
						units.
This section cited in 28 Pa. Code §
													119.43 (relating to basic
						  facilities for outpatient surgery).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › LAUNDRY SERVICE › Section 147.51 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall establish and maintain an organized
						laundry service with equipment on the premises or through a shared or
						commercial service or through both a shared and a commercial
						service.
This section cited in 28 Pa. Code §
													147.55 (relating to off-premises
						  laundry service).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › LAUNDRY SERVICE › Section 147.52 - Clean linen

Current through Register Vol. 54, No. 28, July 13, 2024
Clean linens shall be available to meet the daily and
						emergency needs of the hospital. Clean linen shall be handled and stored in
						such a way as to minimize contamination from surface contact or airborne
						deposits.
This section cited in 28 Pa. Code §
													147.55 (relating to off-premises
						  laundry service).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › LAUNDRY SERVICE › Section 147.53 - Soiled linen

Current through Register Vol. 54, No. 28, July 13, 2024
Soiled linen shall be collected and stored in such a
						manner as to avoid microbial dissemination into the environment. Soiled linen
						shall be kept segregated from clean linen at all times. Soiled linen from
						isolation areas shall be identified and separately bagged. Precautions shall be
						taken in the subsequent processing of soiled linen from isolation areas to
						prevent microbial dissemination and infection.
This section cited in 28 Pa. Code §
													147.55 (relating to off-premises
						  laundry service).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › LAUNDRY SERVICE › Section 147.54 - Laundry facilities

Current through Register Vol. 54, No. 28, July 13, 2024
The laundry areas shall be planned, equipped, and
						ventilated in such a way as to prevent the dissemination of contaminents.
						Laundry facilities, when located in the hospital, shall be separated from the
						clean linen processing area, patient rooms, food preparation and food storage
						areas, and areas used to store clean materials and equipment.
This section cited in 28 Pa. Code §
													147.55 (relating to off-premises
						  laundry service).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › LAUNDRY SERVICE › Section 147.55 - Off-premises laundry service

Current through Register Vol. 54, No. 28, July 13, 2024
Hospitals using off-premises or commercial linen
						processing shall require the agency providing the service to maintain at least
						the standards outlined in §§
											47.51-147.55 (relating to laundry
						service) and the contract shall so state. The off-premises laundry service must
						ensure that clean linen is completely packaged and is protected from
						contamination upon delivery to the hospital.
This section cited in 28 Pa. Code §
													147.55 (relating to off-premises
						  laundry service).