reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.600 - VIABILITY REQUIREMENTS › Section 61-9.600.4 - New Wastewater Systems and Transfers of Systems

Current through Register Vol. 48, No. 6, June 28, 2024
(a) Prior to issuance of a wastewater permit
				under R.61-9 or R.61-67, including a
				transfer of an NPDES or Land Application permit, the proposed owner must
				demonstrate viability per the definition of "Viable wastewater system
				owner."
(b) If the proposed
				wastewater system owner does not own other wastewater systems in South
				Carolina, the demonstration must include the submission of a business plan
				which demonstrates how the system will be self-sustaining and that the owner
				has the commitment and capability (financial, managerial, and technical
				capability) to consistently comply with applicable laws and regulations
				governing wastewater collection, treatment, and disposal.
(c) If the proposed wastewater system is
				connecting to an existing system where the ownership will be the same (proposed
				and existing system having the same owner), this demonstration is not
				required.
(d) If the proposed
				wastewater system owner already owns other wastewater systems in South
				Carolina, the Department may consider financial and managerial information
				related to the owner's other wastewater system operations in the
				state.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.600 - VIABILITY REQUIREMENTS › Section 61-9.600.5 - Existing Systems

Current through Register Vol. 48, No. 6, June 28, 2024
If an existing wastewater system has operation, maintenance
				  or compliance problems warranting a formal enforcement action, the Department
				  may require, in an order, the owner to submit a business plan to facilitate
				  viability by identifying the elements necessary to perform proper operation,
				  maintenance, and improvements and to stay in compliance (or come into
				  compliance) with applicable regulatory requirements.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.610 - OPERATION AND MAINTENANCE OF SATELLITE SEWER SYSTEMS › Section 61-9.610.1 - Purpose

Current through Register Vol. 48, No. 6, June 28, 2024
This regulation establishes rules for governing the operation
				  and maintenance of wastewater sewer systems, including gravity or pressure
				  interceptor sewers. It is the purpose of this rule to establish standards for
				  the management of sewer systems to prevent and/or minimize system failures that
				  would lead to public health or environmental impacts.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.610 - OPERATION AND MAINTENANCE OF SATELLITE SEWER SYSTEMS › Section 61-9.610.2 - Authority and applicability

Current through Register Vol. 48, No. 6, June 28, 2024
Under Section
				  48-1-30
				  of the Code of Laws of South Carolina (1976 as amended), the Department is
				  authorized to adopt such rules and regulations as may be necessary to implement
				  the Pollution Control Act. This regulation applies to all sewer systems that
				  have been or would be subject to a DHEC construction permit under Regulation
				  Regulation
				  61-67, except for those whose
				  owner owns or operates the wastewater treatment system to which the sewer
				  discharges and which discharges under NPDES or a State permit (see 122.41(e)(4)
				  and 505.41(e)(4)), and to systems approved pursuant to 61-9.505.8. Nothing in
				  this regulation supersedes a more stringent requirement that may be imposed by
				  sewer system owners that manage wastewater from satellite systems. This
				  regulation is effective when published in the State Register.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.610 - OPERATION AND MAINTENANCE OF SATELLITE SEWER SYSTEMS › Section 61-9.610.3 - General requirements

Current through Register Vol. 48, No. 6, June 28, 2024
The requirements to properly operate and maintain sewer
				  systems are the responsibility of the system owner. General Standards. The
				  sewer system owner must:
(a) Properly
				manage, operate, and maintain at all times all parts of its sewer system(s), to
				include maintaining contractual operation agreements to provide services, if
				appropriate;
(b) Provide adequate
				capacity to convey base flows and peak flows for all parts of the sewer system
				or, if capital improvements are necessary to meet this standard, develop a
				schedule of short and long term improvements;
(c) Take all reasonable steps to stop and
				mitigate the impact of releases of wastewater to the environment; and
(d) Notify the Department within 30 days of a
				proposed change in ownership of a sewer system.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.610 - OPERATION AND MAINTENANCE OF SATELLITE SEWER SYSTEMS › Section 61-9.610.6 - Permitting of satellite sewer systems

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may issue permits for the operation of a
				  satellite sewer system in cases where the sewer system owner does not have an
				  NPDES or Land Application discharge permit for the wastewater for that sewer
				  system. Such permits do not supersede or replace the requirement under
				  R.61-67.100.E.7 to obtain an approval to place a system into operation.
(a) Authority for general permits for sewer
				system operation. The requirements for operation and maintenance of a sewer
				system may be set forth in a general permit issued by the Department. If a
				general permit is issued, the Department has the authority to apply general
				permit coverage to system owners and subsequently enforce the provisions of the
				general permit. For existing systems, the provisions of the permit will be
				effective upon notice to individual system owners. For proposed systems, they
				will obtain coverage upon issuance of a construction permit issued pursuant to
				R.61-67 if the owner has
				demonstrated it will be a viable operator in accordance with
				R.61-9.600.
(b) Authority for
				individual permit for sewer system operation. If a general permit does not
				address the circumstances appropriate to a sewerage system proposed for
				permitting under R.61-67, the Department may
				require an individual operating permit.
(c) Sewer system permit coverage transfers.
				If a sewer system is sold, coverage under the permit must be transferred by the
				Department to a new owner before the previous owner is free of the
				responsibilities outlined in the permit. A request to transfer the permit may
				be denied if the new owner or proposed new owner cannot demonstrate that it
				will be a viable operator in accordance with R.61-9.600.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-9 - Water Pollution Control Permits › Subchapter 61-9.610 - OPERATION AND MAINTENANCE OF SATELLITE SEWER SYSTEMS › Section 61-9.610.7 - Sewer system permit (general and individual) administration

Current through Register Vol. 48, No. 6, June 28, 2024
(a) The Department
				may issue a permit to implement the requirements of R.61-9.610. Once a permit is
				issued and effective, the Department has the authority to grant or deny
				coverage or deny transfer of coverage.
(b) Where applicable, applicants for permits
				must submit their applications on permit application forms designated by the
				Department.
(c) Permit issuance or
				modification of a permit shall be preceded by a 30-day public comment
				period.
(d) Term of permits.
				Permits issued under R.61-9.610 may be issued
				without a finite term.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part I - DEFINITIONS AND REQUIREMENTS FOR LICENSURE › Section 61-12.I.102 - License Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				License. It shall be unlawful to operate an abortion clinic within South
				Carolina without possessing a valid license issued annually by the Department.
				(I)
B. Issuance of License. A
				license is issued pursuant to the provisions of Section
				44-41-10
				et seq., of the S.C. Code of Laws of 1976, as amended, and these standards, and
				shall be posted in a conspicuous place in a public area within the facility.
				The issuance of a license does not guarantee adequacy of individual care,
				treatment, personal safety, fire safety or the well-being of any occupant of a
				facility. A license is not assignable or transferable and is subject to
				revocation by the Department for failure to comply with the laws and
				regulations of the State of South Carolina.
C. Effective Date and Term of License. A
				license shall be effective for a 12-month period following the date of issue
				and shall expire one year following such date; however, a facility that has not
				been inspected during that year may continue to operate under its existing
				license until an inspection has occurred.
D. Separate Licenses. Separate licenses are
				required for facilities not maintained on the same premises.
E. Licensing Fees. The initial and annual
				license fee shall be $500.00 for each licensed facility. Such fee shall be made
				payable to the Department. Fees are non-refundable.
F. Inspections. Each facility shall be
				inspected prior to initial licensure and at least annually thereafter by
				authorized representatives of the Department.
1. All licensed facilities are subject to
				inspection at any time.
2.
				Department inspectors shall have access to all properties and areas, objects,
				records and reports, and shall have the authority to make photocopies of those
				documents required in the course of inspections or investigations.
				(II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.201 - Licensee. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The licensee
				of each facility has the ultimate responsibility for the overall operation of
				the facility. Every facility shall be organized, equipped, staffed and
				administered to provide adequate care for each person admitted.
B. Policies and procedures for operation of
				the facility shall be formulated and reviewed annually by the licensee of the
				facility. They shall include but not be limited to:
1. Purpose of the facility, to include scope
				and quality of services;
2.
				Ensuring compliance with all relevant federal, state, and local laws that
				govern operations of the facility;
3. Personnel policies and procedures, to
				include inservice training requirements;
4. The person to whom responsibility for
				operation and maintenance of the facility is delegated and methods established
				by the licensee for holding such individual responsible;
5. Provision for annual review and evaluation
				of the facility's policies, procedures, management and operation;
6. Provision for a facility-wide quality
				improvement program to evaluate patient care. The program shall be ongoing,
				have statistical summaries, and have a written plan of
				implementation.
7. Patient rights
				and grievance procedures;
8.
				Functional safety and maintenance policies and procedures;
9. Incident reporting;
10. Consent must be informed, shall be
				obtained prior to the procedure, and shall include evidence of an explanation
				by a physician or allied health professional of the services offered and
				potential risks. Documentation of the informed consent must be filed in the
				patient's record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.202 - Administrator. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
An administrator shall be selected by the licensee and shall
				  have the ability and authority to manage and administer the facility. Any
				  change in the position of the administrator shall be reported immediately by
				  the licensee to the Department in writing. An individual shall be appointed in
				  writing to act in the absence of the administrator.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.203 - Administrative Records

Current through Register Vol. 48, No. 6, June 28, 2024
The following administrative documents and references shall
				  be on file in the facility:
A. Current
				policies and procedures concerning the operation of the facility;
				(II)
B. Current memorandums of
				agreement and credentialing documentation.
C. A current copy of these
				regulations;
D. Annual elevator
				safety inspections, if applicable;
E. Annual heating, ventilation, and air
				conditioning inspection report.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.205 - Clinical Staff (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Physicians, nurses, and allied health professionals shall constitute the
				clinical staff.
B. The clinical
				staff shall meet at least quarterly to review and analyze their clinical
				experiences; minutes shall be maintained of such meetings.
C. Physicians. (I)
1. Abortions shall be performed only by
				physicians who are licensed to practice medicine in this State and who are
				properly qualified by training and experience to perform pregnancy termination
				procedures.
2. The facility shall
				enter into a signed written agreement with at least one physician
				board-certified in obstetrics and gynecology (if not one on staff) who has
				admitting privileges at one or more local hospitals with OB/GYN services to
				ensure his/her availability to the staff and patients during all operating
				hours.
3. A physician must remain
				on the premises until all patients are stable, and are ready for discharge. A
				physician must sign the discharge order and be readily accessible and available
				until the last patient has been discharged.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.206 - Consent of the Patient. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A physician shall not perform an abortion without first
				  obtaining a signed and dated consent of the pregnant woman pursuant to the
				  provisions of Section
				  44-41-30
				  of the S.C. Code of Laws, 1976, as amended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.207 - Abortion Performed Upon Minors. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
No person may perform an abortion upon a minor unless consent
				  is obtained pursuant to the provisions of Section
				  44-41-31
				  of the S.C. Code of Laws, 1976, as amended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.208 - Dissemination of Information. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Clinics must comply with the Woman's Right to Know Act,
				  Section
				  44-41-310
				  et seq., of the S.C. Code of Laws, 1976, as amended, and maintain an adequate
				  supply of current printed material from the Department which has not been
				  altered in content.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part II - ADMINISTRATION AND MANAGEMENT › Section 61-12.II.209 - Patients' Rights (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall have written policies and procedures to assure the individual
				patient the right to dignity, privacy, safety, and to register complaints with
				the Department. These patients' rights shall be approved by the
				licensee.
B. Each facility shall
				display in a conspicuous place a copy of the patients' rights. In addition, a
				copy signed by the patient shall be included in the medical record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.301 - Policies and Procedures. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Abortion clinics shall not serve patients whose needs exceed
				  the resources and/or capabilities of the clinic. The facility shall formulate
				  and adhere to written patient care policies and procedures designed to ensure
				  professional and safe care for patients, to include but not limited to:
A. Admission criteria;
B. Physician and nurse responsibilities for
				the services offered;
C. Specific
				details regarding the pre-operative procedures performed, to include:
1. History and physical examination, to
				include verification of pregnancy, estimation of gestational age,
				identification of any preexisting conditions or complications;
2. Special examinations, lab procedures,
				and/or consultations required, to include ultrasonography required when
				gestational age is clinically estimated to be equal to or more than 14 weeks
				from the first day of the last menstrual period as established by the
				physician's performance of a bimanual physical examination. Policies and
				procedures should also indicate that ultrasound is recommended when gestational
				age is equal to or more than 12 weeks from the first day of the last menstrual
				period as established by the performance of a bimanual physical examination or
				if the physical examination and clinical evidence is inconclusive as to the
				gestational age.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.302 - Limitation of Services Offered by Abortion Clinics (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Abortions performed in abortion clinics
				shall be performed only on patients who are within 18 weeks from the first day
				of their last menstrual period. Those beyond 18 weeks shall be performed in a
				hospital. A licensed ambulatory surgical facility that is also licensed as an
				abortion clinic may perform abortions on patients who are up to 26 weeks after
				the first day of their last menstrual period.
B. Clinics performing abortions beyond 14
				weeks from the first day of the last menstrual period must meet the
				requirements of Section309.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.303 - Pharmaceutical Services. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Pharmaceutical services shall be provided in accordance with
				  accepted professional practice and federal, state and local statutes and
				  regulations.
A. Emergency Drugs:
1. Emergency Kit or Emergency Drugs. Each
				facility shall maintain an emergency kit or stock supply of drugs and medicines
				for the use of the physician in treating the emergency needs of patients. This
				kit or medicine shall be stored in such a manner as to prohibit its access by
				unauthorized personnel. A listing of contents by drawer or shelf shall be
				placed on the cabinet or emergency cart to allow quick retrieval. Contents
				shall correspond with the inventory list. Drugs and equipment must be available
				within the facility to treat, as a minimum, the following conditions: (I)
a. Cardiac arrest;
b. Seizure;
c. Asthmatic attack;
d. Allergic reaction;
e. Narcotic toxicity;
f. Hypovolemic shock;
g. Vasovagal shock.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.304 - Laboratory Services. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Laboratory services shall be provided on site or through arrangement with a
				laboratory certified to provide the required procedures under the Clinical
				Laboratory Improvement Amendments of 1988 (CLIA-88).
1. Facilities for collecting specimens shall
				be available on site.
2. If
				laboratory services are provided on site they shall be directed by a person who
				qualifies as a director under CLIA-88 and shall be performed in compliance with
				CLIA-88 standards.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.305 - Emergency Care. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				staff and/or consulting physicians shall have admitting privileges at one or
				more local hospitals that have appropriate obstetrical/gynecological services
				or shall have in place documented arrangements approved by the Department for
				the transfer of emergency cases when hospitalization becomes
				necessary.
B. Equipment and
				services shall be provided to render emergency resuscitative and life-support
				procedures pending transfer of the patient to a hospital.
C. The facility shall inform, in writing, the
				local ambulance service which provides emergency care and transport of
				patients, of the location of the facility, and the nature of medical problems
				which may result from abortions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.306 - Equipment and Supplies. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be appropriate equipment and supplies maintained
				  for the patients to include but not limited to:
A. A bed or recliner suitable for
				recovery;
B. Oxygen with flow
				meters and masks or equivalent; (I)
C. Mechanical suction; (I)
D. Resuscitation equipment to include, as a
				minimum, resuscitation bags and oral airways; (I)
E. Emergency medications, intravenous fluids,
				and related supplies and equipment; (I)
F. A clock with a sweep second
				hand;
G. Sterile suturing equipment
				and supplies;
H. Adjustable
				examination light;
I. Containers
				for soiled linen and waste materials with covers;
J. Refrigerator;
K. Appropriate equipment for the
				administering of general anesthesia, if applicable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.307 - Consultation. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Arrangements shall be made for consultation or referral
				  services in the specialties of obstetrics/gynecology, anesthesiology, surgery,
				  psychiatry, psychology, clinical pathology and pathology, clergy, and social
				  services, as well as any other indicated field, to be available as
				  needed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.308 - Quality Improvement. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The facility shall establish and implement a written plan for a quality
				improvement program for patient care. The plan shall specify the individual
				responsible for coordinating the quality improvement program and shall provide
				for ongoing monitoring of staff and patient care services.
B. There shall be an ongoing process for
				monitoring and evaluating patient care services, staffing, infection prevention
				and control, housekeeping, sanitation, safety, maintenance of physical plant
				and equipment, patient care statistics, and discharge planning
				services.
C. Evaluation of patient
				care throughout the facility shall be criteria-based, so that certain actions
				are taken or triggered when specific quantified, predetermined levels of
				outcomes or potential problems are identified.
D. The quality improvement process shall
				incorporate quarterly review of a minimum of five per cent of medical records
				of patients undergoing procedures during a given quarter, but not less than
				five records shall be reviewed.
E.
				The quality improvement process shall include evaluation by patients of care
				and services provided by the facility. If the families of patients are involved
				in the care and services provided by the facility, the quality improvement
				process shall include a means for obtaining input from families of
				patients.
F. The administrator
				shall review the findings of the quality improvement program to ensure that
				effective corrective actions have been taken, including as a minimum, policy
				revisions, procedural changes, educational activities, and follow-up on
				recommendations, or that additional actions are no longer indicated or
				needed.
G. The quality improvement
				program shall identify and establish indicators of quality care, specific to
				the facility, that shall be monitored and evaluated.
H. The results of the quality improvement
				program shall be submitted to the licensee for review at least annually and
				shall include at least the deficiencies found and recommendations for
				corrections or improvements. Deficiencies that jeopardize patient safety shall
				be reported immediately in writing to the licensee.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part III - PATIENT CARE › Section 61-12.III.309 - Requirements for Clinics Performing Abortions Beyond 14 Weeks. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Clinics which perform abortions beyond 14 weeks from the
				  first day of the last menstrual cycle shall, in addition to those requirements
				  in all other sections of this regulation, have the following in place:
A. Physicians shall be board-certified or a
				candidate for board-certification in obstetrics and gynecology, general
				surgery, or family practice;
B.
				Physicians shall have admitting privileges at one or more local hospitals that
				have appropriate obstetrical/gynecological services;
C. Laryngoscopes, endotracheal tubes, and
				defibrillator;
D. Laboratory
				tests/procedures shall include:
1. White
				blood count and determination of blood type;
2. Sickle cell, when indicated;
3. Ultrasonogram.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part IV - MEDICAL RECORDS AND REPORTS › Section 61-12.IV.401 - Medical Records. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Medical records shall be maintained for all patients examined
				  or treated in the clinic. The records shall be completely and accurately
				  documented, readily available, and systematically organized to facilitate the
				  compilation and retrieval of information. All information shall be centralized
				  in the patient's medical record. All entries shall be legibly written or typed,
				  dated and signed.
A. The record shall
				include as a minimum the following information:
1. A face sheet with patient identification
				data, to include but not be limited to: name, address, telephone number, social
				security number, date of birth, father's and mother's names when patient is a
				minor, husband's name, and name, address and telephone number of person to be
				notified in the event of an emergency;
2. Signed consent for the
				procedure;
3. Date of initial
				examination;
4. Date of
				abortion;
5. Referring and
				attending physicians' names and phone numbers, if applicable;
6. Complete medical history to include
				medications currently being taken;
7. Physical examination, to the extent
				necessary to determine the health status of the patient, within 15 days of the
				procedure, including detail of findings of pelvic examination and estimated
				gestational age, according to the first day of the last menstrual
				period;
8. Results of diagnostic
				tests and/or examinations, e.g., X-ray, electrocardiography, clinical
				laboratory, pathology, consultations, ultrasound;
9. Pre-operative diagnosis;
10. Counselor's notes;
11. Physician's orders;
12. Complete record of abortion procedure to
				include:
a. Vital signs, i.e., temperature,
				pulse, respiration, and blood pressure, prior to and following the
				procedure;
b. Name of procedure
				performed;
c. Anesthetic agent
				utilized;
d. Name of attending
				physician performing the procedure;
e. Names of clinical assistants in
				attendance, to include other physicians, physician's assistants, anesthetists,
				nurses, or specially-trained technicians;
f. Signature of physician performing the
				procedure.
13. Nurses'
				notes;
14. Progress notes to
				include a post-anesthesia note if general anesthesia is utilized;
15. Attending physician's description of
				gross appearance of tissue removed;
16. Final diagnosis;
17. Condition on discharge;
18. Post-op orders and follow-up
				care;
19. Documented verification
				that the woman has been presented printed materials as required in the Woman's
				Right-to-Know Act;
20. In the case
				of an unemancipated minor or mentally incompetent person, a copy of the court
				order or written consent authorizing the abortion.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part IV - MEDICAL RECORDS AND REPORTS › Section 61-12.IV.402 - Records Storage

Current through Register Vol. 48, No. 6, June 28, 2024
All records shall be treated as confidential and shall be
				  stored in a safe location for a minimum of 10 years. When records are stored in
				  a location other than the clinic, and upon closure of the clinic, for any
				  reason, the medical records shall be stored in a safe location for that minimum
				  period, with the Department informed of that location. The medium in which the
				  records are stored, e.g., optical disk, microfiche, is a facility
				  decision.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part IV - MEDICAL RECORDS AND REPORTS › Section 61-12.IV.403 - Reports. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				following shall be reported to Vital Records and Public Health Statistics of
				this Department:
1. Any abortion performed,
				to be reported by the performing physician on the standard form for reporting
				abortions, within seven days after the abortion is performed;
2. A fetal death when the fetus has completed
				or passed the age or weight requiring a report, pursuant to the standards in
				Department R.61-19, Vital
				Statistics.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part V - FUNCTIONAL SAFETY AND MAINTENANCE › Section 61-12.V.501 - Policies and Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Written policies and procedures shall be developed to enhance safety within the
				facility and on its grounds and to minimize hazards to patients, staff and
				visitors.
B. The policies and
				procedures shall include, but not be limited to:
1. Safety rules and practices pertaining to
				personnel, equipment, gases, liquids, drugs, supplies and services;
2. Provisions for reporting and investigating
				accidental events regarding patients, visitors and personnel and corrective
				action taken;
3. Provisions for
				disseminating safety-related information to employees and users of the
				facility;
4. Provision for syringe
				and needle handling and storage.
5.
				Provisions for managing infectious waste from generation to disposal according
				to Regulation Regulation
				61-105.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part V - FUNCTIONAL SAFETY AND MAINTENANCE › Section 61-12.V.502 - Disaster Preparedness

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall have posted, in conspicuous places throughout the facility, a
				plan for evacuation of patients, staff, and visitors in case of fire or other
				emergency. (I)
B. A facility that
				participates in a community disaster plan shall establish plans, based on its
				capabilities, to meet its responsibilities for providing emergency
				care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part V - FUNCTIONAL SAFETY AND MAINTENANCE › Section 61-12.V.503 - Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facility
				Maintenance. A facility's structure, its component parts, and all equipment
				such as elevators, furnaces and emergency lights, shall be kept in good repair
				and operating condition. Areas used by patients shall be maintained in good
				repair and kept free of hazards. All wooden surfaces shall be sealed with
				non-lead-based paint, lacquer, varnish, or shellac that will allow
				sanitization.
B. Equipment
				Maintenance. When patient monitoring equipment is utilized, a written
				preventive maintenance program shall be developed and implemented. This
				equipment shall be checked and/or tested in accordance with manufacturer's
				specifications at periodic intervals, not less than annually, to insure proper
				operation and a state of good repair. After repairs and/or alterations are made
				to any equipment, the equipment shall be thoroughly tested for proper operation
				before returning it to service. Records shall be maintained on each piece of
				equipment to indicate its history of testing and maintenance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.601 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Policies and procedures shall be established in writing to
				  assure safe and aseptic treatment and protection of all patients and personnel
				  against cross-infection.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.602 - Sterilization Procedures

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Adequate space shall be provided for storage, maintenance and distribution of
				sterile supplies and equipment.
B.
				Sterile supplies and equipment shall not be mixed with unsterile supplies, and
				shall be stored in dust-proof and moisture-free units. They shall be properly
				labeled.
C. Sterilizing equipment
				of appropriate type shall be available and of adequate capacity to properly
				sterilize instruments and materials. The sterilizing equipment shall have
				approved control and safety features.
1. There
				must be documentation of each load run daily. A biological test of the
				autoclave shall be run daily and the results maintained on a log.
2. Each separate package of instruments to be
				sterilized must have internal and external chemical indicators.
3. The accuracy of instrumentation and
				equipment shall be provided by periodic calibration and/or preventive
				maintenance as necessary, but not less than annually, and a log
				maintained.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.603 - Linen and Laundry

Current through Register Vol. 48, No. 6, June 28, 2024
A. An adequate
				supply of clean linen or disposable materials shall be maintained in order to
				insure change of linen on procedure tables between patients.
B. Provisions for proper laundering of linen
				and washable goods shall be made. Soiled and clean linen shall be handled and
				stored separately. Storage shall be in covered containers.
C. A sufficient supply of cloth or disposable
				towels shall be available so that a fresh towel can be used after each
				handwashing. Towels shall not be shared.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.604 - Housekeeping

Current through Register Vol. 48, No. 6, June 28, 2024
A. General. A
				facility shall be kept neat, clean and free from odors. Accumulated waste
				material must be removed daily or more often if necessary. There must be
				frequent cleaning of floors, walls, ceilings, woodwork, and windows. The
				premises must be kept free from rodent and insect infestation. Bath and toilet
				facilities must be maintained in a clean and sanitary condition at all
				times.
B. Cleaning materials and
				supplies shall be stored in a safe manner. All harmful agents shall be locked
				in a closet or cabinet used for this purpose only.
C. Dry sweeping and dusting of walls and
				floors are prohibited.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.605 - Refuse and Waste Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All garbage and waste shall be collected, stored and disposed of in a manner
				designed to prevent the transmission of disease. Containers shall be washed and
				sanitized before being returned to work areas. Disposable type containers shall
				not be reused.
B. Containers for
				garbage and refuse shall be covered and stored outside and placed on an
				approved platform to prevent overturning by animals, the entrance of flies or
				the creation of a nuisance. All solid waste shall be disposed of at sufficient
				frequencies in a manner so as not to create a rodent, insect or other vermin
				problem.
C. Immediately after
				emptying, containers for garbage shall be cleaned.
D. All waste meeting the definition of
				"infectious waste" as defined in Regulation Regulation
				61-105 must be managed
				according to the requirements of that regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VI - INFECTION CONTROL AND SANITATION › Section 61-12.VI.606 - Outside Areas

Current through Register Vol. 48, No. 6, June 28, 2024
All outside areas, grounds and/or adjacent buildings shall be
				  kept free of rubbish, grass, and weeds that may serve as a fire hazard or as a
				  haven for insects, rodents and other pests. Outside stairs, walkways, ramps and
				  porches shall be maintained free from accumulations of water, ice, snow and
				  other impediments.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VII - FIRE PROTECTION AND PREVENTION › Section 61-12.VII.701 - Fire-fighting Equipment and Systems

Current through Register Vol. 48, No. 6, June 28, 2024
A. All facilities located outside a fire
				protected area shall have a contract with the nearest fire
				department.
B. An evacuation plan
				shall be posted in prominent places and staff members shall be trained as part
				of their responsibilities to guide patients to the designated exits.
C. All fire protection and alarm systems and
				other fire fighting equipment shall be inspected and tested at least once each
				year, and more often if necessary to maintain them in serviceable
				condition.
D. Fire extinguishers of
				the proper type shall be installed in accordance with NFPA 10 (National Fire
				Protection Association) 10 requirements or as otherwise directed by fire
				authorities.
1. Fire extinguishers shall be
				kept in condition for instant use and shall be inspected monthly by facility
				staff with the date of inspection recorded on a tag affixed to the
				extinguisher.
2. Fire extinguishers
				shall be inspected and/or serviced annually by personnel licensed or certified
				to perform fire extinguisher servicing. Servicing/inspection records shall be
				kept on the fire extinguishers.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VII - FIRE PROTECTION AND PREVENTION › Section 61-12.VII.702 - Alarms

Current through Register Vol. 48, No. 6, June 28, 2024
A fire alarm system shall be provided in accordance with the
				  provisions of NFPA 72. The fire alarm system shall be tested monthly and each
				  detector tested annually. Records of all tests shall be retained for at least
				  one year.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VII - FIRE PROTECTION AND PREVENTION › Section 61-12.VII.703 - Gas Storage

Current through Register Vol. 48, No. 6, June 28, 2024
Gases (flammable and nonflammable) shall be handled and
				  stored in accordance with the provisions of applicable NFPA
				  codes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.801 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Every facility must be planned, designed and equipped to
				  provide adequate facilities for the care and comfort of each
				  patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.802 - Local and State Codes and Standards. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facilities shall comply with pertinent
				local and state laws, codes, ordinances and standards with reference to design
				and construction. Abortion clinics are categorized as a "business occupancy" as
				defined in the Standard Building Code. No facility will be licensed unless the
				Department has assurance that responsible local officials have approved the
				facility.
B. The Department uses as
				its basic codes: the Standard Building Code, Standard Plumbing Code, Standard
				Mechanical Code, and National Electrical Code. Buildings designed in accordance
				with the above mentioned codes will be acceptable to the Department, provided,
				however, that the requirements set forth in this regulation are also
				met.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.803 - Submission of Plans and Specifications

Current through Register Vol. 48, No. 6, June 28, 2024
A. New Buildings, Additions or Major
				Alterations to Existing Buildings. (II)
1.
				When construction is contemplated either for new buildings, additions or major
				alterations to existing buildings, the facility must contact the Division of
				Health Facilities Construction of this Department to discuss code and
				regulation requirements that apply to that project. Plans and specifications
				shall be submitted to the Department for review. Where the Standard Building
				Code or other regulations require fire-rated walls or other fire-rated
				structural elements, these plans and specifications shall be prepared by an
				architect registered in the State of South Carolina and shall bear his/her
				seal.
2. All plans shall be drawn
				to scale with the title and date shown thereon. Construction work shall not be
				started until approval of the final drawings or written permission has been
				received from the Department. Any construction changes from the approved
				documents require approval by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-12 - STANDARDS FOR LICENSING ABORTION CLINICS › Part VIII - DESIGN AND CONSTRUCTION › Section 61-12.VIII.804 - Licensure of Existing Structures. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
When an existing structure is contemplated for licensure it
				  must meet the same building code requirements as a "new" facility (see
				  Section803.A). If an expansion or renovation to an existing facility is
				  contemplated, the facility must contact the Division of Health Facilities
				  Construction of this Department to discuss code and regulatory requirements
				  that apply to that project. The following shall be submitted to the
				  Department:
A. If the physical
				dimensions of the building are affected, a plot plan in accordance with
				Section803.B.1;
B. A floor plan in
				accordance with Section803.B.2;
C.
				Description of construction including outside walls, partitions, floor, ceiling
				and roof. The method of heating and cooling shall also be included.
NOTE: Those existing abortion clinics that have been
				  identified by the Department, through submission of regular reports of
				  abortions performed, may be licensed in their current buildings. However, upon
				  initial licensure, these facilities will be required to submit a plan that will
				  bring them into full compliance with this chapter within two years from date of
				  licensure.