Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 136 - OPEN HEART SURGICAL SERVICES › GENERAL PROVISIONS › Section 136.2 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Board certified
-A physician licensed to
						practice medicine in this Commonwealth who has successfully passed an
						examination and has maintained certification in the relevant medical specialty
						or subspecialty area, or both, recognized by one of the following
						groups:
(i) The American Board of
					 Medical Specialties.
(ii) The
					 American Osteopathic Association.
(iii) The foreign equivalent of either group
					 listed in subparagraph (i) or (ii).
CABG-Coronary artery bypass graft
-A
						type of open heart procedure wherein a section of a blood vessel is taken from
						another part of the body to create an alternative path for blood to flow around
						a narrow or blocked portion of a coronary artery.
Cardiac intensive care service
-Service
						provided to an open heart surgery patient immediately after surgery. This
						service is provided in a specially equipped area in a facility wherein the
						highest level of medical care is available. This area shall be equipped to
						provide invasive monitoring, including arterial pressure, Swan-Ganz catheters
						and intra-aortic balloon pumps.
Cardiac surgical service
-Those
						personnel involved in the preparation, operation and postoperative care of
						patients receiving cardiac surgery.
Onsite
-In the physical structure at
						which open heart surgical services are being offered or in an adjoining
						structure.
Open heart surgery
-A surgical procedure
						to repair acquired or congenital diseases of the heart. The procedure shall do
						one of the following:
(i) Include the
					 use of an extracorporeal pump oxygenator (heart lung machine) to perform the
					 functions of the circulatory system during the surgery.
(ii) Employ minimally invasive procedures,
					 which do not routinely involve the use of the extracorporeal pump oxygenator to
					 perform the same types of surgical procedures, although its presence is
					 required because, in a certain number of cases, this approach may have to be
					 abandoned in favor of the other method.
Open heart surgery program
-A service
						established by a hospital to evaluate, operate on and provide postoperative
						care to individuals with cardiovascular illness who require surgical
						intervention. Adult open heart surgery programs may perform any open or closed
						heart surgery not defined as pediatric heart surgery.
Operating room
-The room wherein the
						open heart surgery is performed.
Pediatric heart surgery
-Includes both
						open heart and closed heart procedures for patients under 18 years of age
						except for those whose physical development, in the judgment of the patient's
						physician, allows the patient to receive treatment safely and appropriately in
						hospitals which do not have a pediatric heart program.
Preboard certification status
-A
						physician licensed to practice medicine in this Commonwealth who has completed
						the requirements necessary to take a certification examination offered by a
						medical specialty board recognized by the American Board of Medical
						Specialties, the American Osteopathic Association or the foreign equivalent of
						either group, and who has been eligible to take the examination for no longer
						than 3 years.
Surgical suite
-That area of the
						hospital wherein the patient is brought for open heart surgery and which is
						dedicated to the preparation of the surgical team and the patient for open
						heart surgery and to the actual performance of that surgery.
Twenty-four hours per day
-Refers to the
						availability or onsite presence of specific personnel, support services or
						equipment on a 24-hour-per-day, 7-days-a-week basis.