reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.300 - ENFORCEMENT ACTIONS › Section 61-96.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Department
				may suspend or revoke a Certificate at any time it is determined that the
				Certificate holder no longer meets the prescribed qualifications set forth by
				the Department or has failed to provide athletic training services of a quality
				acceptable by the Department.
B.
				When the Department determines that an Athletic Trainer is in violation of any
				statutory provision or regulation relating to the duties therein, the
				Department may, upon proper notice to the individual, impose a monetary
				penalty, deny, suspend, and/or revoke his or her certification, or
				authorization or take other actions deemed appropriate by the
				Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.300 - ENFORCEMENT ACTIONS › Section 61-96.300.302 - Violation Classifications

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Violations of standards in this regulation are classified as follows:
1. Class I violations are those that the
				Department determines to present an imminent danger to the health, safety, or
				well-being of the persons being served, other employees, or the general public;
				or a substantial probability that death or serious physical harm could result
				therefrom. A physical condition or one or more practices, means, methods,
				operations, or lack thereof may constitute such a violation. Each day such
				violation exists may be a subsequent violation.
2. Class II violations are those that are not
				classified as Class I or Class III violations the Department determines to have
				a negative impact on the health, safety, or well-being of those being served,
				other employees, or the general public. A physical condition or one or more
				practices, means, methods, operations, or lack thereof may constitute such a
				violation. Each day such violation exists may be a subsequent
				violation.
3. Class III violations
				are those that are not classified as Class I or II in this regulation or those
				that are against the best practices as interpreted by the Department. A
				physical condition or one or more practices, means, methods, operations, or
				lack thereof may constitute such a violation. Each day such violation exists
				may be a subsequent violation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.300 - ENFORCEMENT ACTIONS › Section 61-96.300.303 - Standards of Conduct. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may deny, suspend, or revoke an Athletic
				  Trainer's Certificate and impose a monetary penalty against an Athletic Trainer
				  for the following:
A. Used a false,
				fraudulent, or forged statement or document or practiced a fraudulent,
				deceitful, or dishonest act in connection with any of the certification
				requirements or official documents required by the Department;
B. Convicted of a felony or another crime
				involving moral turpitude, drugs, or gross immorality;
C. Addicted to alcohol or drugs to such a
				degree as to render the Certificate holder unfit to perform as an Athletic
				Trainer;
D. Sustained a physical or
				mental disability that renders further practice dangerous to the
				public;
E. Obtained fees or
				assisted in the obtaining of such fees under dishonorable, false, or fraudulent
				circumstances;
F. Disregarded an
				order by a Physician concerning care or treatment;
G. Refused to administer care or treatment on
				the grounds of the age, gender, race, religion, creed or national origin of the
				Patient;
H. After initiating care
				of a Patient, discontinued such care or abandoned the Patient without the
				Patient's consent or without providing for the further administration of care
				by an equal or higher medical authority;
I. Revealed confidences entrusted to him or
				her in the course of medical attendance, unless such revelation is required by
				law or is necessary in order to protect the welfare of the Patient or the
				community;
J. By action or
				omission, and without mitigating circumstance, contributed to or furthered the
				injury or illness of a Patient under the care of the Athletic
				Trainer;
K. Performed skills above
				the level for which the Athletic Trainer is certified or performed skills for
				which he or she has no training to perform;
L. Observed the administration of substandard
				care by another Athletic Trainer or other healthcare provider without
				documenting the event and notifying a supervisor or Physician;
M. By his or her actions, or inactions,
				created a substantial possibility that death or serious physical harm could
				result; or
N. Falsified any
				documentation as required by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.400 - ATHLETIC TRAINERS' ADVISORY COMMITTEE

Current through Register Vol. 48, No. 6, June 28, 2024
A. Organization. The South Carolina Athletic
			 Trainers' Advisory Committee shall consist of nine (9) members appointed by the
			 Board. The terms of the Committee members are for four (4) years or until
			 successors are appointed. The Committee members appointed by the Board shall
			 consist of the following:
1. Two (2) members
			 shall be representatives from the Department;
2. One (1) member shall be from the State
			 Board of Medical Examiners;
3. Four
			 (4) members shall be Athletic Trainers certified by the Department;
			 and
4. Two (2) members shall be
			 from the general public, not certified or licensed in any healthcare field, and
			 not in any way associated with Athletic Trainers.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.500 - CONTINUING EDUCATION

Current through Register Vol. 48, No. 6, June 28, 2024
Athletic Trainers shall complete the following Continuing
				Education courses during the two (2) year certification period:
A. A course in cardiopulmonary resuscitation
			 (CPR) offered by the American Red Cross or the American Heart Association or
			 any other cardiopulmonary resuscitation (CPR) course approved by the
			 Department; and
B. Two (2)
			 Continuing Education courses approved by the Department in consultation with
			 the Athletic Trainers' Advisory Committee.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.700 - PATIENT CARE AND RECORDS. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
			 The Athletic Trainer shall render services and treatment under the advice and
			 consent of a licensed Physician including general written or oral standing
			 orders and/or protocols signed by a licensed Physician. (I)
B. The Athletic Trainer shall be responsible
			 for recording details of the Patient's health care status. The Athletic Trainer
			 shall maintain an organized permanent record for each Patient that contains
			 written documentation of all care, treatment, and services provided to the
			 Patient including:
1. Injury and Illness
			 Prevention and Wellness Promotion. The Athletic Trainer shall promote healthy
			 lifestyle behaviors with effective education and communication to enhance
			 wellness and minimize the risk of injury and illness for every Patient to
			 assure the highest quality of care.
2. Immediate and Emergency Care. The Athletic
			 Trainer shall provide immediate and emergency care integrating best practices
			 for optimal outcomes.
3.
			 Examination, Assessment, and Diagnosis. The Athletic Trainer shall assess the
			 Patient's level of function prior to treatment. The Athletic Trainer shall
			 consider the Patient's input as an integral part of the initial assessment. The
			 Athletic Trainer shall implement systematic, evidence-based examinations and
			 assessments to formulate valid clinical diagnoses and determine each Patients'
			 plan of care.
4. Therapeutic
			 Intervention. The Athletic Trainer shall develop the treatment program and
			 determine the appropriate treatment, rehabilitation, and/or reconditioning
			 strategies for each Patient's injuries, illnesses, and general medical
			 conditions. The Athletic Trainer shall ensure the treatment program objectives
			 include long-term and short-term goals and appraisal with the goal of the
			 Patient achieving optimal activity level based on athletic training core
			 concepts using the applications of therapeutic exercise, modality devices, and
			 manual techniques. The Athletic Trainer shall incorporate and utilize the
			 assessment measure to determine the effectiveness of the treatment program. The
			 Athletic Trainer shall integrate best practices in policy construction and
			 implementation, documentation, and basic business practices to promote optimal
			 Patient care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.2700 - SEVERABILITY

Current through Register Vol. 48, No. 6, June 28, 2024
In the event that any portion of this regulation is construed
				by a court of competent jurisdiction to be invalid or otherwise unenforceable,
				such determination shall in no manner affect the remaining portions of this
				regulation, and they shall remain in effect as if such invalid portions were
				not originally a part of this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-96 - Athletic Trainers › Sec2 61-96.2800 - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions that have not been addressed in this regulation
				shall be managed in accordance with the best practices as interpreted by the
				Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.100 - DEFINITIONS AND LICENSURE › Section 61-97.100.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of these standards, the following definitions
				  shall apply:
A. Abuse. Physical abuse
				or psychological abuse.
1. Physical Abuse. The
				act of intentionally inflicting or allowing infliction of physical injury on a
				patient by an act or failure to act. Physical abuse includes, but is not
				limited to, slapping, hitting, kicking, biting, choking, pinching, burning,
				actual or attempted sexual battery, use of medication outside the standards of
				reasonable medical practice for the purpose of controlling behavior, and
				unreasonable confinement. Physical abuse also includes the use of a restrictive
				or physically intrusive procedure to control behavior for the purpose of
				punishment except that of a therapeutic procedure prescribed by a licensed
				physician or other legally authorized healthcare professional. Physical abuse
				does not include altercations or acts of assault between patients.
2. Psychological Abuse. The deliberate use of
				any oral, written, or gestured language or depiction that includes disparaging
				or derogatory terms to a patient or within the patient's hearing distance,
				regardless of the patient's age, ability to comprehend, or disability,
				including threats or harassment or other forms of intimidating behavior causing
				fear, humiliation, degradation, agitation, confusion, or other forms of serious
				emotional distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.100 - DEFINITIONS AND LICENSURE › Section 61-97.100.102 - Licensure. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. No person,
				partnership, corporation, private or public organization, political subdivision
				or other governmental agency shall establish, operate, maintain, or represent
				itself (advertise or market) as a Renal Dialysis Facility in South Carolina
				without first obtaining a License from the Department. The Facility shall not
				admit Patients prior to the effective date of the License. When it has been
				determined by the Department that treatment, care, or services are being
				provided at a location, and the owner has not been issued a license from the
				Department to provide such treatment, care and services the owner shall cease
				operation immediately and ensure the safety, health, and well-being of the
				Patients. Current or previous violations of South Carolina Code or Department
				regulations may jeopardize the issuance of a License for the Facility or the
				licensing of any other Facility, or addition to an existing Facility that is
				owned and/or operated by the Licensee. The Facility shall provide only the
				treatment, care, and services it is licensed to provide pursuant to the
				definition in Section 101.QQ. (I)
B. A Renal Dialysis Facility License shall
				not be required for, nor shall such a License be issued to:
1. Facilities operated by the federal
				government.
2. Renal dialysis
				services provided in licensed hospitals (such services remain within the
				purview of R.61-16, Minimum Standards for Licensing Hospitals and Institutional
				General Infirmaries).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.200 - ENFORCEMENT OF REGULATIONS › Section 61-97.200.201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize Inspections, Investigations,
				  Consultations, and other pertinent documentation regarding a proposed or
				  licensed Facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.200 - ENFORCEMENT OF REGULATIONS › Section 61-97.200.202 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				A Facility shall undergo Inspection by the Department prior to initial
				licensing and is subject to subsequent Inspections as deemed appropriate by the
				Department. (I)
B. The Facility
				shall allow all individuals authorized by South Carolina law to enter the
				Facility for the purpose of Inspection and/or Investigation and granted access
				to all properties and areas, objects, requested records, and documentation at
				the time of the Inspection or Investigation. The Department shall have the
				authority to require the Facility to make photocopies of those documents
				required in the course of Inspections or Investigations. Photocopies shall be
				used only for purposes of enforcement of regulations and confidentiality shall
				be maintained except to verify the identity of individuals in enforcement
				action proceedings. The physical areas of Inspections and Investigations shall
				be determined by the Department based on the potential impact or effect upon
				Patients. (I)
C. When there is
				noncompliance with the licensing standards, the Facility shall submit an
				acceptable plan of correction in a format determined by the Department. The
				plan of correction shall be signed by the Administrator and returned by the
				date specified on the report of Inspection or Investigation. The plan of
				correction shall describe: (II)
1. The
				actions taken to correct each cited deficiency;
2. The actions taken to prevent recurrences
				(actual and similar); and
3. The
				actual or expected completion dates of those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.200 - ENFORCEMENT OF REGULATIONS › Section 61-97.200.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations may be provided by the Department as requested
				  by the Facility or as deemed appropriate by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.300 - ENFORCEMENT ACTIONS › Section 61-97.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a Facility is in
				  violation of any statutory provision, rule, or regulation relating to the
				  operation or maintenance of such Facility, the Department, upon proper notice
				  to the Licensee, may deny, suspend, or revoke Licenses, or assess a monetary
				  penalty, or both.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.400 - POLICIES AND PROCEDURES

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
			 Facility shall maintain and adhere to written policies and procedures
			 addressing the manner in which the requirements of this regulation shall be
			 met. The Facility shall be in full compliance with the policies and procedures.
			 (II)
B. The written policies and
			 procedures shall include the following: (II)
1. Staffing and training
2. Reporting incidents, accidents, reportable
			 diseases, closure and zero census
3. Patient records
4. Patient care and services
5. Patient rights and assurances
6. Medication management
7. Admissions and discharge
8. Fire prevention
9. Maintenance including doors, windows,
			 HVAC, fire alarm, electrical, mechanical, plumbing, and for all
			 equipment
10. Infection control and
			 housekeeping
11. Water
			 supply
12. Quality Improvement
			 Program
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.501 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall maintain accurate and current information regarding all staff members of
				the Facility, to include at least address, phone number, date of hire, date of
				initial Patient contact, and personal, work, and training background.
B. The Facility shall assign all staff
				members duties and responsibilities in writing and in accordance with the
				individual's capability. The Facility shall maintain a personnel file for each
				staff member. The file shall contain a health assessment, laboratory test
				results, resumés of training and experience, and current job description
				that reflects the staff member's responsibilities and work assignments,
				orientation, and periodic evaluations. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.502 - Administrator. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall employ a full-time Administrator who shall be responsible for the
				management and administration of the Facility. The Administrator shall hold at
				least a bachelor's degree or have a minimum of an associate degree in a
				health-related field with at least two (2) years of experience in End-Stage
				Renal Disease within the past five (5) years. The Director of Nursing may serve
				as the Administrator.
B. Designee.
				A staff member shall be designated in writing to act in the absence of the
				Administrator.
C. The Facility
				shall notify the Department in writing within seventy-two (72) hours of any
				change in Administrator status and shall provide the Department the name of the
				newly-appointed Administrator and the effective date of the
				appointment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.503 - Director of Nursing

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall have a licensed registered nurse to act as
				  Director of Nursing. The Director of Nursing shall have the following:
A. At least twelve (12) months of experience
				in clinical nursing, and an additional six (6) months of experience in nursing
				care for patients with permanent kidney failure or undergoing kidney
				transplantation, including training in and experience with the Dialysis
				process; or
B. Eighteen (18) months
				of experience in nursing care of a patient on dialysis, or in nursing care of a
				patient with a kidney transplant, including training in and experience with the
				dialysis process.
C. If responsible
				for Home Dialysis Training, at least three (3) months of the total required
				End-Stage Renal Disease experience shall be in training patients in Home
				Dialysis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.504 - Staffing. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each Facility
				shall have the following minimum staffing to provide services:
1. A registered nurse who shall serve as
				charge nurse (the Director of Nursing may act in this role);
2. At least one (1) registered nurse shall be
				on duty during hours of operation for every ten (10) Patients or fraction
				thereof. The charge nurse may serve in this capacity; and
3. If the Facility provides Home Dialysis
				training, such training shall be provided by a registered nurse who has had at
				least twelve (12) months experience in dialysis. At least three (3) months of
				the total required End-Stage Renal Disease experience shall be in training
				patients in Home Dialysis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.505 - Medical Staff

Current through Register Vol. 48, No. 6, June 28, 2024
A. If more than
				one (1) physician practices in a Facility, they shall be organized as a medical
				staff with appropriate bylaws approved by the governing body. The medical staff
				shall meet at least Quarterly and the Facility shall maintain minutes of such
				meetings.
B. The Facility shall
				have a licensed physician to serve as Medical Director of the End-Stage Renal
				Diseases services.
C. The Medical
				Director shall be responsible for the execution of Patient care policies and
				medical staff bylaws and rules and regulations. (II)
D. A licensed physician or nephrologist with
				demonstrated experience in the care of Patients with End-Stage Renal Disease
				shall be on-call to respond to Dialysis-related Patient issues during all times
				of clinical operations.
E. The
				Facility shall maintain a contact list for all on-call personnel, to include
				name, telephone number, and dates on-call. The Facility shall update the
				contact list as changes in personal occur, but not less that
				annually.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.506 - Job Descriptions

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Facility shall maintain written job descriptions that describe the duties of
				every position. Each job description shall include position, title, authority,
				specific responsibilities, and minimum qualifications.
B. Job descriptions shall be signed by each
				staff member when assigned to the position and when revised.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.507 - Orientation. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall develop and execute a written orientation program to familiarize all new
				staff members with the Facility, its policies, and the staff members' job
				responsibilities. Documentation of orientation shall include training source,
				duration, and shall be signed and dated by the trainer and trainee. All
				required orientation shall be completed prior to Patient contact.
B. For Direct Care Staff, the orientation
				program shall contain at least the following subject content:
1. Fluid and electrolyte balance;
2. Kidney disease and treatment;
3. Dietary management;
4. Principles of Dialysis;
5. Dialysis technology;
6. Venipuncture technique;
7. Care of Dialysis Patients; and
8. Prevention of Hepatitis and other
				infectious diseases.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.508 - Training. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Documentation of
				all in-service training shall be signed and dated by both the individual
				providing the training and the individual receiving the training. The following
				training shall be provided to all Direct Care Staff prior to Patient contact
				and at a frequency determined by the Facility, but at least annually unless
				otherwise specified by certificate, e.g., cardiopulmonary resuscitation (CPR):
1. Basic first aid;
2. Confidentiality of Patient
				information;
3. Patient's rights
				and assurances;
4. End-Stage Renal
				Disease care;
5. Cardiopulmonary
				resuscitation for designated staff members to ensure that there is a certified
				staff member present whenever residents are in the Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.500 - STAFF AND TRAINING › Section 61-97.500.509 - Health Assessment

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				Direct Care Staff shall have a documented Health Assessment within twelve (12)
				months prior to initial Patient contact. The Health Assessment shall include
				tuberculin skin testing as described in Section 1704.
B. For staff members working at multiple
				Facilities operated by the same Licensee, copies of the documented Health
				Assessment shall be accessible at each Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.600 - REPORTING › Section 61-97.600.601 - Incidents

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall document every incident, and include an incident review, investigation,
				and evaluation as well as corrective action taken, if any. The Facility shall
				retain all documented incidents reported pursuant to this section for six (6)
				years after the Patient involved is last discharged. For the first year
				following discharge, these records shall be kept on site and readily available
				at that Facility.
B. The Facility
				shall report following types of incidents to the responsible party or emergency
				contact for each affected individual at the earliest practicable hour, not
				exceeding twenty-four (24) hours of the incident. The Facility shall notify the
				Department immediately, not to exceed twenty-four (24) hours, via the
				Department's electronic reporting system or as otherwise determined by the
				Department. Incidents requiring reporting include:
1. Confirmed or suspected crimes against
				Patients;
2. Confirmed or suspected
				Abuse, Neglect, or Exploitation;
3.
				Use of wrong dialyzer on Patient;
4. Blood spills of more than one hundred
				(100) milliliters;
5. Adverse
				reactions to Hemolytic transfusion;
6. Adverse reactions to dialyzers;
7. Medication errors with the potential for
				adverse impact;
8. Hospitalization
				or death resulting from the incident;
9. Severe hematoma or laceration requiring
				medical attention or hospitalization;
10. Bone or joint fracture;
11. Severe injury;
12. Fire;
13. Natural disaster
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.600 - REPORTING › Section 61-97.600.602 - Reportable Diseases and Infections. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Reportable Diseases. The Facility shall
				report cases of reportable diseases in accordance with Regulation 61-20,
				Communicable Diseases, and any occurrences, such as epidemic outbreaks or
				poisonings or other unusual occurrence, which threaten the welfare, safety or
				health of Patients or personnel shall be reported immediately to the local
				health director and to the Bureau of Health Facilities Licensing.
B. Reports of infections such as abscesses,
				septicemia, hepatitis, or other communicable diseases observed during admission
				or follow-up (or return) visit of the Patient shall be made and kept as a part
				of the Patient's medical records. Efforts shall be made to determine the origin
				of any such infection and if the dialysis procedure was found to be related to
				acquiring the infection, remedial action shall be taken to prevent
				recurrence.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.600 - REPORTING › Section 61-97.600.603 - Closure and Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Facility shall notify the Department and Patients, or Patients' representatives
				when appropriate, in writing prior to permanent closure of the Facility and
				shall provide the effective closure date. The Facility shall return its License
				to the Department on the date of closure.
B. The Facility shall notify the Department
				in writing within fifteen (15) days prior to a temporary closure. or within
				forty-eight (48) hours if the temporary closure is due to an emergency. The
				notification shall include the reason for the temporary closure, records
				maintenance plan, anticipated reopening date, and documentation of Patient
				notification. Facilities that are temporarily closed longer than one (1) year
				shall reapply for licensure with the Department and be subject to all
				applicable licensing and construction requirements for new
				Facilities.
C. The Facility shall
				notify the Department in writing if there have been no Patients in the Facility
				for any reason for ninety (90) days or more no later than one hundred (100)
				days after the last Patient is discharged. Facilities that are zero census
				longer than one (1) year shall reapply for licensure with the Department and be
				subject to all applicable licensing and construction requirements for new
				Facilities.
D. Prior to the closing
				of a Facility for any reason, the Licensee shall arrange for preservation of
				records to ensure compliance with this regulation. The Facility shall notify
				the Department in writing within ten (10) days of closure of the provisions for
				records maintenance describing the arrangements and the location of the
				records.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.700 - PATIENT RECORDS › Section 61-97.700.701 - Content

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility
				shall maintain an organized medical record for each Patient. All entries shall
				be permanently written, typed, or electronic media, authenticated by the
				author, and dated.
B. The medical
				record shall be current and contain: (II)
1.
				Face sheet;
a. identification data (name,
				date of birth, gender);
b.
				diagnosis;
c. primary care
				physician's name and phone number;
d. Responsible person or other individual to
				be contacted in case of emergency and phone number;
e. Patient's address and phone number;
				and
f. date of admission;
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.700 - PATIENT RECORDS › Section 61-97.700.702 - Authentication. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities employing electronic signatures or
				  computer-generated signature codes shall ensure authentication and
				  confidentiality. If the Facility permits any portion of a Patient's record to
				  be generated by electronic means, there shall be policies and procedures to
				  prohibit the use or authentication by unauthorized users.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.700 - PATIENT RECORDS › Section 61-97.700.703 - Individual Plan of Care

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Interdisciplinary Team shall develop an Individual Plan of Care for each
				Patient to ensure appropriate modality of care. The Interdisciplinary Team
				shall develop the Individual Plan of Care either within the first thirty (30)
				calendar days of care or within the first thirteen (13) treatments. Individual
				Plans of Care shall be based on Patient's needs.
B. The Interdisciplinary Team shall review
				the Individual Plan of Care at least monthly for unstable Patients, and
				Annually for stable Patients and as changes in Patient needs occur. The
				Facility shall document participation of the Interdisciplinary Team, Patient
				and/or Patient's responsible party as appropriate, as evidenced by their
				signatures and date. The Individual Plan of Care shall include the following
				care areas:
1. Medical;
2. Psychological;
3. Social;
4. Dietary needs;
5. Stability of Patients;
6. Diagnosis;
7. Type of dialysis treatment;
8. Determination of stability of Patient
				(stable or unstable);
9. Indication
				whether candidate for transplantation or home dialysis;
10. Psychological needs, goals, and
				interventions; and
11. Dietary
				needs and interventions.
12. The
				course of action to be taken, the response and reaction to the care, and
				results of the treatment, and/or services provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.700 - PATIENT RECORDS › Section 61-97.700.704 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Licensee shall provide accommodations, space, supplies, and equipment for the
				protection, storage, and maintenance of Patient records. Patient records shall
				be stored in an organized manner.
B. The Patient record is confidential and
				shall be made available only to individuals authorized by the Facility and/or
				the South Carolina Code of Laws. (II)
C. Copies of records generated by
				organizations or individuals contracted by the Facility for care or services
				shall be maintained by the Facility.
D. Upon Discharge of a Patient, the record
				shall be closed within thirty (30) calendar days and filed in an inactive or
				closed file maintained by the Licensee.
E. The Facility shall designate a staff
				member to serve as supervisor of Patient records. The Facility- designated
				staff member shall be a Registered Health Information Administrator or a
				Registered Health Information Technician. If the designated staff member is not
				a Registered Health Information Administrator or a Registered Health
				Information Technician the staff member shall receive consultation from a
				Registered Health Information Administrator or a Registered Health Information
				Technician. (II)
F. The Facility
				shall safeguard information in the medical record against loss, tampering, or
				use by unauthorized persons.
G.
				Records of current Patients shall be the property of the Facility. The records
				of current Patients shall be maintained at the Facility and shall not be
				removed without court order.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.700 - PATIENT RECORDS › Section 61-97.700.705 - Record Retention

Current through Register Vol. 48, No. 6, June 28, 2024
A. When a
				Patient is transferred to an emergency Facility, a transfer summary to include,
				at a minimum, the diagnosis shall accompany the Patient to the receiving
				Facility at the time of transfer or forwarded immediately after the transfer.
				Documentation of the information forwarded shall be maintained in the
				Facility's Patient record. (I)
B.
				Records generated by organizations or individuals contracted by the Facility
				for care, treatment, procedures, surgery, and/or services shall be maintained
				by the Facility that has admitted the Patient. Appropriate information shall be
				provided to assure continuity of care.
C. The Facility shall determine the medium in
				which information is stored. The information shall be readily retrievable and
				accessible by Facility staff, as needed, and for regulatory compliance
				Inspections.
D. Records of Patients
				shall be maintained for at least six (6) years following the discharge of the
				Patient. For the first year following discharge, these records must be kept on
				site and readily available at that Facility. Other documents required by the
				regulation, e.g., fire drills, shall be retained at least twelve (12) months or
				until the next Department Inspection, whichever is longer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.900 - PATIENT CARE AND SERVICES › Section 61-97.900.901 - Dietary Services

Current through Register Vol. 48, No. 6, June 28, 2024
Each Facility shall employ or contract with a Dietitian(s) to
				  provide for the dietary needs of each Patient. The Dietitian, in consultation
				  with the physician or other Authorized Healthcare Provide, shall be responsible
				  for assessing the nutritional and dietetic needs of each Patient, recommending
				  therapeutic diets, counseling Patients and their families on prescribed diets,
				  and monitoring adherence and response to diets. Each Patient shall be evaluated
				  as to his or her nutritional needs by the attending physician or other
				  Authorized Healthcare Provider and a Dietitian.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.900 - PATIENT CARE AND SERVICES › Section 61-97.900.902 - Laboratory Services. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Laboratory services shall be provided under contract to meet the needs of the
				Patient. Hematocrits, clotting times, and blood glucoses may be done by the
				Facility's staff. Such staff shall be qualified by education and experience to
				perform such duties under the direction of a physician.
B. Controls. There shall be a Quarterly
				constant packing time performed on all centrifuges used for hematocrits.
				Records of performed constant packing time shall be maintained.
C. Administration of Blood. A Facility
				administering blood to Patients shall comply with the following:
1. Blood must be transported from the
				laboratory processing the blood to the Facility in a container that will ensure
				maintenance of a temperature of one to ten (1 to 10) degrees centigrade.
				Temperature must be recorded upon arrival.
2. If blood is not administered immediately
				upon arrival, it must be stored in a refrigerator at one to six (1 to 6)
				degrees centigrade. The temperature of the refrigerator must be monitored and
				recorded.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.900 - PATIENT CARE AND SERVICES › Section 61-97.900.903 - Social Services

Current through Register Vol. 48, No. 6, June 28, 2024
Each Facility shall employ or contract with a social worker
				  to meet the social needs of Patients. The Social Worker shall document and
				  conduct psycho-social evaluations, participate in team review of Patient
				  progress, and document recommended changes in treatment based on the Patient's
				  current psycho-social needs. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.900 - PATIENT CARE AND SERVICES › Section 61-97.900.904 - Home Dialysis

Current through Register Vol. 48, No. 6, June 28, 2024
Home Dialysis Services shall include the following: (II)
A.  Hemodialysis:
1. Surveillance of the Patient's home
				adaptation, including provisions for visits to the home or the
				Facility;
2. Consultation for the
				Patient with a Social Worker and Dietitian;
3. A record keeping system which ensures
				continuity of care;
4. Installation
				and maintenance of equipment;
5.
				Testing and appropriate treatment of the water; and
6. Ordering of supplies on an ongoing basis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.900 - PATIENT CARE AND SERVICES › Section 61-97.900.905 - Transfer Agreement

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Facility shall have in effect a written transfer agreement, signed by the
				Administrator, with one or more hospitals, for the provision of inpatient care
				and other hospital services.
B. The
				Dialysis Facility shall transfer a Patient to a hospital whenever a transfer or
				referral is determined as medically necessary by the attending
				physician.
C. There shall be an
				exchange of information, within one (1) business day, of medical and other
				information necessary or useful in the care and treatment of Patients
				transferred to a hospital or any other inpatient medical facility, or to
				another End-Stage Renal Disease Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1000 - PATIENT ' S RIGHTS AND ASSURANCES

Current through Register Vol. 48, No. 6, June 28, 2024
A. The following rights shall be guaranteed
			 to the Patient, and, at a minimum, the Facility shall provide the Patient and
			 any guardians, next of kin, or sponsoring agencies a written and oral
			 explanation of these rights:
1. Fully
			 informed of these rights and responsibilities, and of all rules and regulations
			 governing Patient conduct and responsibilities;
2. Fully informed of services available in
			 the Facility and provided an explanation any out of pocket expenses to the
			 patient within fifteen (15) calendar days of admission and any time there are
			 changes to their insurance coverage;
3. Informed by a Physician of their medical
			 condition as documented in the Patient's medical record unless the medical
			 record documents a contraindication;
4. Afforded the opportunity to participate in
			 the planning of their medical treatment and to refuse to participate in
			 experimental research;
5. Be
			 transferred or discharged only for medical reasons, at the Patient's request,
			 or for the welfare of the Patient, other Patients, or Facility Staff, or for
			 nonpayment of fees and given notice to ensure orderly transfer or discharge;
			 and
6. Treated with consideration,
			 respect and full recognition of their individuality and personal needs,
			 including the need for privacy in treatment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1100 - PATIENT PHYSICAL EXAMINATIONS

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Physical Examination shall be completed
			 for Patients within thirty (30) calendar days prior to admission and at least
			 Annually thereafter. A Physical Examination included in a discharge summary
			 from a healthcare facility licensed by the Department, completed within thirty
			 (30) calendar days, is acceptable as the admission Physical Examination. The
			 Facility's physician shall attest to the Physical Examination's accuracy by
			 countersigning it.
B. Physical
			 examinations by physicians licensed in states other than South Carolina are
			 permitted for new admissions under the condition that residents obtain an
			 attending physician licensed in South Carolina and undergo a second (2nd)
			 physical examination by that physician within thirty (30) calendar days of
			 admission to the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1200 - MEDICATION MANAGEMENT › Section 61-97.1200.1201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including Controlled Substances, medical supplies, and those items necessary
				for the rendering of first aid, shall be properly managed in accordance with
				federal, state, and local laws and regulations. Such management shall address
				the securing, storing, and administering of Medications, medical supplies,
				first aid supplies, and biologicals, their disposal when discounted or expired,
				and their disposition at discharge, death, or transfer of a Patient.
B. Applicable reference materials published
				within the previous three (3) years shall be available at the Facility in order
				to provide staff members or volunteers with adequate information concerning
				Medications. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-97 - Standards for Licensing Renal Dialysis Facilities › Sec2 61-97.1200 - MEDICATION MANAGEMENT › Section 61-97.1200.1202 - Medication Orders

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				to include oxygen, shall be administered in the Facility to Patients only upon
				orders of a physician or other Authorized Healthcare Provider.
B. All other orders shall be received only by
				Licensed Nurses or Authorized Healthcare Providers and shall be authenticated
				and dated by a physician or other Authorized Healthcare Provider pursuant to
				the Facility's policies and procedures, but no later than fourteen (14)
				calendar days after the order is given. Verbal orders received shall include
				the time of receipt of the order, description of the order, and identification
				of the physician or other Authorized Healthcare Provider and the individual
				receiving the order.
C. Medications
				and medical supplies ordered for a specific Patient shall not be provided to or
				administered to any other Patient.