reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WATER SUPPLY › Section 147.61 - Source water

Current through Register Vol. 54, No. 28, July 13, 2024
Water shall be obtained from a municipal or a private
						water system approved by the Department of Environmental Protection and in
						compliance with applicable Federal, State and local
						regulations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WATER SUPPLY › Section 147.62 - Emergency water supply

Current through Register Vol. 54, No. 28, July 13, 2024
Provisions shall be made for an emergency supply of water
						when the usual source of water is neither usable nor
						available.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WASTE DISPOSAL › Section 147.71 - Liquid waste

Current through Register Vol. 54, No. 28, July 13, 2024
Building sewers shall be approved by the Department of
						Environmental Protection and in compliance with local
						regulations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WASTE DISPOSAL › Section 147.72 - Garbage disposal

Current through Register Vol. 54, No. 28, July 13, 2024
Garbage unless disposed through garbage grinders, shall
						be stored in tight, nonabsorbent, and readily cleanable containers with
						tight-fitting lids and should be stored in a refrigerated room which is easily
						cleanable and free of odors. Garbage shall be removed from the premises as
						frequently as necessary to prevent nuisance and shall be disposed of in a
						manner consistent with Federal, State and local regulations, codes and
						ordinances.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WASTE DISPOSAL › Section 147.73 - Refuse disposal

Current through Register Vol. 54, No. 28, July 13, 2024
Refuse shall be stored in covered trash containers prior
						to removal. Combustible refuse may be burned on the premises in a suitable
						incinerator, provided this method of disposal is approved by the Department of
						Environmental Protection and appropriate local regulatory
						agencies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › WASTE DISPOSAL › Section 147.74 - Bacteriological and pathological wastes

Current through Register Vol. 54, No. 28, July 13, 2024
Pathological and bacteriological wastes, surgical and
						obstetrical wastes, contaminated wastes and similar materials shall be
						incinerated on the premises or disposed of by a method approved by the
						Department of Environmental Protection and in compliance with local
						regulations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › MISCELLANEOUS › Section 147.81 - Lighting

Current through Register Vol. 54, No. 28, July 13, 2024
Glare-free, artificial lighting shall be provided in all
						areas of the hospital. Minimum intensity requirement for artificial light in
						various occupied places, corridors, stairways, and so forth shall meet the
						standards as specified by the levels listed by Public Health Service
						Publication. Hospital Electrical Facilities, 930D-16 (Revision January
						1969).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 147 - ENVIRONMENTAL SERVICES › MISCELLANEOUS › Section 147.82 - Sterilization control

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be written policies establishing a method of
						control to assure sterilization of supplies and water, and requiring sterile
						supplies to be reprocessed at specified intervals.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › GENERAL PROVISIONS › Section 149.2 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
The person in charge of central supply services shall be
						qualified by education, training, or experience in the intended purposes of
						this department. He shall participate in the development of the departmental
						policies, procedures, and training programs, shall supervise, schedule and
						assign responsibilities to personnel, and shall maintain communication with
						other department heads in the hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › GENERAL PROVISIONS › Section 149.3 - Facilities

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall have a central supply service
						physically separated from other areas. Central supply service shall be provided
						with facilities to process, sterilize, store, and dispense supplies and
						equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › POLICIES › Section 149.11 - Availability of supplies and equipment

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall have an effective written plan for the
						availability of all necessary materials, equipment and
						supplies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › POLICIES › Section 149.12 - Handling of equipment

Current through Register Vol. 54, No. 28, July 13, 2024
All hospital employes using sterile supplies shall be
						advised of sterilization controls, rotation schedules for stored equipment,
						appropriate and proper use of all sterile equipment, and methods for handling
						and returning contaminated materials.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › POLICIES › Section 149.13 - Prevention of transmission of pathogens

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be written policies and procedures to prevent
						indirect and direct transmission of pathogens or other toxic substances with
						materials issued from the central supply service.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › POLICIES › Section 149.14 - Central supply service education program

Current through Register Vol. 54, No. 28, July 13, 2024
Although initial orientation of employes in the central
						supply service should be sufficient to enable them to carry out the tasks
						outlined in their job descriptions, they should have further on-the-job
						training and continuing education in the areas of asepsis and other pertinent
						topics applicable to the services rendered by the service.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 149 - CENTRAL SUPPLY SERVICES › POLICIES › Section 149.15 - Reference material

Current through Register Vol. 54, No. 28, July 13, 2024
Current reference manuals, pamphlets, journals, and
						books, as well as information and scientific data from manufacturers concerning
						their products and equipment, should be made available for reference and
						guidance of central supply service personnel and potential users of the
						equipment and supplies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › GENERAL PROVISIONS › Section 151.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall have an organized fire, safety and
						disaster program under the direction and supervision of one or more persons
						qualified to implement the program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › GENERAL PROVISIONS › Section 151.2 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Written policies and procedures for use in preventing and
						responding to fire and disaster shall be available to all
						personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › INTERNAL DISASTER PLAN › Section 151.11 - Fire fighting service

Current through Register Vol. 54, No. 28, July 13, 2024
The chief executive officer, or his designee, shall
						establish a workable plan with the nearest fire department for fire fighting
						service. The hospital shall provide the fire department with a current floor
						plan of the building showing the location of fire fighting equipment, exits,
						patient rooms, storage places of flammable and explosive gases, and other
						information as the fire department requires or as may be
						necessary.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › INTERNAL DISASTER PLAN › Section 151.12 - Fire warning and safety systems

Current through Register Vol. 54, No. 28, July 13, 2024
Every building should have an automatic and manually
						activated fire alarm system installed to transmit an alarm automatically to the
						fire department by the most direct and reliable method approved by local
						regulations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › INTERNAL DISASTER PLAN › Section 151.13 - Testing fire warning systems

Current through Register Vol. 54, No. 28, July 13, 2024
Fire safety systems, including automatic fire
						extinguishing systems, automatic and manual alarms, stand-pipes, and hose reels
						shall be of an approved type. They shall be kept in good operating condition
						and inspected by qualified hospital personnel at least every 3 months. Records
						of these inspections shall be kept on file for 2 years.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › INTERNAL DISASTER PLAN › Section 151.14 - Internal disaster and fire plans

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall have an internal disaster and fire
						plan incorporating evacuation procedures. These plans shall be made available
						to all personnel and posted throughout the hospital. These plans should be
						developed in accordance with the American Hospital Association's guidelines for
						disaster planning.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › INTERNAL DISASTER PLAN › Section 151.15 - Safety education program

Current through Register Vol. 54, No. 28, July 13, 2024
All employes shall participate in the safety program in
						the duties delegated to them and be instructed in the operation of the fire
						warning system, the proper use of fire fighting equipment, and the procedure to
						follow in event that electric power is impaired.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EVACUATION DRILLS › Section 151.21 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Fire,
					 internal disaster and evacuation drills shall be held at least quarterly for
					 each shift of hospital personnel and under varied conditions.
(b) These drills shall be planned and
					 implemented so as to:
(1) Ensure that all
					 personnel on all tours of duty are trained to perform assigned
					 duties.
(2) Ensure that all
					 personnel on all tours of duty are familiar with the use and operation of the
					 fire-fighting equipment in the hospital.
(3) Enable the chief executive officer to
					 evaluate the effectiveness of the plan.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EVACUATION DRILLS › Section 151.22 - Fire drill supervised by the local fire department

Current through Register Vol. 54, No. 28, July 13, 2024
At least one hospital fire drill each year should be
						supervised by the local fire department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EVACUATION DRILLS › Section 151.23 - Record of fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
A written report and evaluation of all drills conducted
						since the last survey shall be kept on file.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EVACUATION DRILLS › Section 151.24 - Evacuation of patients

Current through Register Vol. 54, No. 28, July 13, 2024
The actual evacuation of patients to safe areas during a
						drill is optional.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EXTERNAL DISASTER PLAN › Section 151.31 - Written external disaster plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each hospital shall have written plans,
					 based on its capabilities, for the proper and timely care of casualties arising
					 from external disasters. These plans should be developed in accordance with the
					 disaster planning guidelines published by the American Hospital Association.
					 The disaster plan should be developed in conjunction with other emergency
					 facilities in the community so that adequate logistical provisions are made for
					 the expansion of the activities of the hospital in coordination with the
					 activities of other facilities.
(b)
					 The disaster plan should make provision for the following:
(1) The availability of basic utilities and
					 supplies, including gas, water, food and essential medical and supportive
					 materials.
(2) An efficient system
					 of notifying and assigning personnel.
(3) Unified medical command.
(4) Conversion of all usable space into
					 clearly defined areas for efficient triage and for patient observation and for
					 immediate care.
(5) Prompt transfer
					 of casualties, when necessary, after preliminary medical or surgical services
					 have been rendered, to the facility most appropriate for administering
					 definitive care.
(6) A special
					 disaster medical record which shall accompany the casualty patient as he is
					 moved.
(7) The prompt and orderly
					 discharge or transfer of patients already in the hospital who can be safely
					 moved without jeopardy.
(8)
					 Maintaining security to keep unauthorized persons out of the triage
					 area.
(9) Preestablishment of a
					 public information center and assignment of public relations liaison duties to
					 a qualified individual. Advance arrangements should be made with communications
					 media to provide for organized dissemination of information in the event of a
					 disaster.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › EXTERNAL DISASTER PLAN › Section 151.32 - Rehearsed disaster plan

Current through Register Vol. 54, No. 28, July 13, 2024
The external disaster plan shall be rehearsed at least
						twice a year, preferably as part of a coordinated drill in which other
						community emergency service agencies participate. The drills shall involve
						professional, administrative, nursing and other hospital personnel. Actual
						evacuation of patients during drills is optional. A written report and
						evaluation of all drills must be maintained for at least 2
						years.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.41 - Emergency power

Current through Register Vol. 54, No. 28, July 13, 2024
The emergency electric power source and associated
						equipment shall be regularly inspected, tested and maintained in accordance
						with current NFPA Standards. A written record shall be maintained of
						inspection, performance, exercising period and repairs of emergency power
						equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.42 - Fire inspection

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall request an annual inspection by its
						local fire department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.43 - Smoking

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The governing
					 body shall adopt written rules governing smoking within the hospital which
					 shall be made known to hospital personnel, to patients and to the
					 public.
(b) These rules shall
					 include at least the following:
(1) Smoking
					 shall be prohibited in any room, ward or compartment where flammable liquid,
					 combustible gas, or oxygen is being used or stored and in any other hazardous
					 area of the hospital. The areas shall be posted with "NO SMOKING"
					 signs.
(2) Patients classified as
					 not mentally or physically responsible for their actions shall be prohibited
					 from smoking unless constant supervision is provided.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.44 - Hazardous areas

Current through Register Vol. 54, No. 28, July 13, 2024
Special safety procedures, including use of special
						facilities and equipment, shall be provided for areas of the hospital which
						present an unusual hazard to patients and personnel. Exposed heating pipes and
						radiators in patient rooms and within reach shall be covered.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.45 - Electrical safety

Current through Register Vol. 54, No. 28, July 13, 2024
All appliances, instruments and installations shall be
						tested before use to determine compliance with grounding, current leakage and
						other device safety requirements to ensure protection of patients and employes.
						A program of routine maintenance shall be effectively enforced to ensure that
						all electrical receptacles and plugs, wires and connectors are safe. If an
						appliance requiring three-wire circuitry for grounding is attached to a
						two-wire outlet, the adaptor plug pigtail shall be attached to a
						ground.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.46 - General safety precautions

Current through Register Vol. 54, No. 28, July 13, 2024
The following safety precautions shall be met:
(1) Doorways, corridors and stairwells shall
					 be free of obstructions and properly lighted.
(2) Doors into patient rooms shall not be
					 locked when the patient is alone in the room.
(3) Exit doors shall never be locked from the
					 inside.
(4) Doors opening to shafts
					 shall be equipped with self-closing devices and positive latches.
(5) Wastebaskets, cubicle curtains, window
					 shades and drapes shall be rendered flame retardant.
(6) Call bells in the shower, tub room or
					 water closet shall be easily accessible to patients while using these
					 facilities.
The provisions of this §
													151.46 issued under section
						  2102(g) of The Administrative Code of 1929 (71 P. S. §
														532(g)); and section 803 of
						  the Health Care Facilities Act (35 P. S. §
														448.803).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.47 - Safety devices

Current through Register Vol. 54, No. 28, July 13, 2024
The following safety devices shall be provided:
(1) Grab bars within reaching distance on at
					 least one side of toilets, bathtubs and showers used by patients.
(2) Bedside rails on both sides of a bed for
					 use when the condition of the patient warrants.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 151 - FIRE, SAFETY AND DISASTER SERVICES › SAFETY PRECAUTIONS › Section 151.48 - Report of emergencies causing interruption of service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The chief executive officer or his
					 designee shall make a report of any emergency, such as a strike, fire or
					 natural disaster, which significantly interrupts or alters hospital services
					 and threatens the health and safety of patients and which requires one of the
					 following:
(1) The services of a fire
					 department.
(2) The evacuation of
					 any patient.
(3) The use of
					 nonmedical emergency equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 153 - INITIAL CONSTRUCTION AND CONTINUING OPERATING STANDARDS › Section 153.1 - Minimum standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Hospital
				  construction shall be in accordance with the standards set forth in the latest
				  edition of the Department of Health and Human Services handbook,
Minimum Requirements of Construction and Equipment for Hospital and
				  Medical Facilities,
DHHS Publication No. (HRA) 14500 Regulations,
				  published under Title VI of the Public Health Service Act (42 U.S.C. §§
											291-291 o-1) and referred to as "HHS
				  Requirements," except as modified in this chapter.
(b) Hospitals previously in compliance with
				  prior editions of Department of Health and Human Services handbook,
Minimum Requirements of Construction and Equipment for Hospital and
				  Medical Facilities
, DHHS Publication No. (HRA) 14500 Regulations, will
				  be deemed in compliance with any subsequent regulations with the exception of
				  any new renovations or construction, which shall meet the current
				  edition.
(c) A hospital shall meet
				  the edition of the National Fire Protection Association 101, Life Safety Code
				  and all applicable appendices which are currently enforced by the Federal
				  government. Hospitals previously in compliance with prior editions of the Life
				  Safety Code will be deemed in compliance with any subsequent codes with the
				  exception of any new renovation or construction, which shall meet the current
				  edition.
The provisions of this § 153.1 issued under
						67 Pa.C.S. §§
													6101-6104; and Reorganization Plan No. 2 of
						1973 (71 P.S. §
													755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 153 - INITIAL CONSTRUCTION AND CONTINUING OPERATING STANDARDS › Section 153.2 - Modifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The prescribed
				  standards shall be sections 1 through 7 and sections 9 through 15 of the HHS
				  Requirements except as stated in this section.
(b) The following changes shall be made:
(1) Page iii, under "Foreword": Delete the
				  fourth paragraph.
(2) Pages iv and
				  v: Delete "Major Additions and Revisions" and the 17 items
				  thereunder.
(3) Delete the last
				  sentence in section 1.1.D.
(4)
				  Delete item 2 in section 1.3.
(5)
				  Delete the last two sentences in section 4.3.
(6) Add to section
				  5.1: "Marked-up, approved final
				  drawings (or duplicates thereof) showing as-built conditions will be acceptable
				  to this Department. This does not prevent the owner from requiring a redrafted
				  set of as-built drawing as part of the construction contract, if he desires a
				  more formal document."
(7) Change
				  section 6.2 as follows:
(i) Add between
				  listing for Standard No. N.F.P.A. 56A and listing for Standard No. 56F the
				  following:
"National Fire Protection Association (N.F.P.A.) Standard
					 No. 56C (Laboratories in Health Related Institutions) sections
					 7.11F,
					 7.30D(2)(1)."
(ii) Change
				  reference to "Standard No. 101 (1973)" to read "the edition of the National
				  Fire Protection Association 101, Life Safety Code and all applicable appendices
				  which are currently enforced by the Federal government."
(8) Add a new section 7.11F, to read as
				  follows:
"Where laboratory facilities are located within the
					 hospital, they shall comply with the requirements of N.F.P.A. 56C."
(9) Add, as a new first sentence
				  to section 7.30D(2)(1):
"Laboratories shall comply with N.F.P.A. 56C in addition to
					 the following general and special requirements."
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 153 - INITIAL CONSTRUCTION AND CONTINUING OPERATING STANDARDS › Section 153.3 - Applications

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter is not retroactive to the existing facilities
					 except as directed by the Department where the health or safety of patients may
					 be adversely affected.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 153 - INITIAL CONSTRUCTION AND CONTINUING OPERATING STANDARDS › Section 153.4 - Approval of plans

Current through Register Vol. 54, No. 28, July 13, 2024
For practical reasons, construction drawings should not be
					 submitted for final approval to the Division of Safety Inspection until a
					 Certificate of Need has been obtained where necessary. Final approval of
					 construction drawings by the Division of Safety Inspection is not to be
					 construed as a Certificate of Need approval.
The provisions of this §
												153.4 issued under section 2102(g)
						of The Administrative Code of 1929 (71 P. S. §
													532(g)); and section 803 of
						the Health Care Facilities Act (35 P. S. §
													448.803).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
When a hospital provides psychiatric services, they shall
					 be provided in a manner sufficient to meet the psychiatric needs of the
					 patients. The hospital shall meet the requirements of the Mental Health
					 Procedures Act of 1976 (50 P.S. §§
											7101-7503). Inpatient psychiatric services
					 shall be coordinated with psychiatric clinic and partial hospitalization
					 program as appropriate.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.3 - Director of psychiatric services

Current through Register Vol. 54, No. 28, July 13, 2024
The director of the psychiatric service shall be a member
					 of the medical staff who is certified by the American Board of Psychiatry and
					 Neurology or an equivalent board or who is eligible for board certification or
					 who has successfully completed an approved residency training program in
					 psychiatry.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.4 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Organized psychiatric services within the hospital shall be
					 provided by a qualified staff of adequate size to meet patient needs and under
					 qualified psychiatric direction.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.5 - Personnel

Current through Register Vol. 54, No. 28, July 13, 2024
Psychiatric services such as nursing, psychology, social
					 services, and adjunctive therapies shall be under the direction of persons
					 licensed or registered in their respective fields and employed either full time
					 or part time to implement the patient's individualized treatment plan.
					 Designated treatment components may be performed insofar as is consistent with
					 law by supportive personnel who have completed an organized training or an
					 on-the-job training program to qualify them for the performance of their
					 duties.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.6 - Nursing services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Nursing
				  services shall be provided in accordance with Chapter 109 (relating to nursing
				  services) and the provisions of this section.
(b) Psychiatric nursing services shall be
				  under the direction and supervision of a registered nurse qualified by training
				  or experience in psychiatric nursing.
(c) All nursing personnel shall have
				  education and nursing skills which are appropriate to their duties and
				  assignments.
(d) Sufficient number
				  of nursing personnel shall be on duty at all times to provide adequate
				  psychiatric treatment consistent with the individualized treatment
				  plans.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.7 - Therapeutic environment

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  There shall be adequate space, facilities, and equipment to meet the needs of
				  the patients for privacy and for group interaction.
(b) Where a quiet room is used, facilities
				  shall provide for the safety and visibility of the patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 155 - PSYCHIATRIC SERVICES › Section 155.8 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  Written policies and procedures for the psychiatric service shall be developed
				  and revised annually.
(b) Each
				  patient shall have an individualized treatment plan based on the assessment of
				  clinical needs.
(c) Progress notes
				  shall document the implementation of the treatment plan.
(d) Inpatient treatment and aftercare plans
				  shall be developed consistent with patient needs.
(e) In addition to the hospital's Patients
				  Bill of Rights, the psychiatric service shall conform to the Bill of Rights as
				  described in the Mental Health Procedures Act of 1976 (50 P.S.
				  §§
											7101-7503).
(f) Admissions and commitments to the
				  psychiatric service shall be consistent with the provisions of the Mental
				  Health Procedures Act.
(g) Written
				  policies and procedures governing the use of seclusion and restraints shall be
				  developed and revised annually.
(h)
				  Confidentiality shall be assured to each patient receiving treatment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › GENERAL PROVISIONS › Section 158.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Transplantation services shall be performed only in
						hospitals and shall be performed in accordance with accepted and prevailing
						standards of medical practice.
This section cited in 28 Pa. Code §
													158.31 (relating to kidney
						  transplantation program); 28 Pa. Code §
													158.32 (relating to heart
						  transplantation program); 28 Pa. Code §
													158.33 (relating to liver
						  transplantation program); 28 Pa. Code §
													158.35 (relating to pancreas
						  transplantation programs); and 28 Pa. Code §
													158.37 (relating to pediatric
						  transplantation programs).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › GENERAL PROVISIONS › Section 158.2 - 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
						area 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).
Onsite
-In the physical structure at
						which vital organ transplantation services are being offered or in an adjoining
						structure.
Organ Procurement and Transplantation
						Network
-A private nonprofit entity created under
						42 U.S.C.A. §
												274 to coordinate organ procurement and
						allocation for transplants in the United States and whose duties include the
						establishment of membership and medical criteria for institutions that perform
						vital organ transplants.
Pediatric transplantation
						program
-Describes that program where vital organ transplantation
						services are provided to all patients under 18 years of age, except for those
						whose physical development precludes them from being handled as a pediatric
						patient when receiving transplantations.
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
						Specialities, 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.
Transplantation center
-The entire unit
						of a hospital which is devoted to the provision of vital organ transplantation
						services. Within a transplantation center, separate programs shall be
						established for each type of vital organ transplanted.
Transplantation program
-The offering of
						a surgical service which involves the transfer of a vital organ from one
						individual to another. Each type of organ transplantation constitutes a
						separate transplantation program.
This section cited in 28 Pa. Code §
													158.31 (relating to kidney
						  transplantation program); 28 Pa. Code §
													158.32 (relating to heart
						  transplantation program); 28 Pa. Code §
													158.33 (relating to liver
						  transplantation program); 28 Pa. Code §
													158.35 (relating to pancreas
						  transplantation programs); and 28 Pa. Code §
													158.37 (relating to pediatric
						  transplantation programs).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › GENERAL PROVISIONS › Section 158.3 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When a hospital
					 provides transplantation services, it shall make a sufficient commitment of
					 resources and planning to all transplantation services which it provides. This
					 commitment shall be demonstrated as follows:
(1) Commitment of the hospital to the
					 transplantation service shall be present at all levels and broadly evident
					 throughout the facility. This requires a major commitment of resources. These
					 shall include many other departments, as well as the principal sponsoring
					 departments.
(2) The hospital shall
					 have both the expertise and the commitment for participation in medical,
					 surgical and other relevant areas. The hospital shall identify individuals in
					 these areas to achieve an identifiable and stable transplant team.
(3) The component teams shall be integrated
					 into a comprehensive team with clearly defined leadership and corresponding
					 responsibility.
(4) The hospital
					 shall have active medical and surgical programs in the specific areas in which
					 transplantation services are offered.
(5) The commitment to medical staff shall
					 include the elements in §
												158.13 (relating to medical
					 staff).
(6) The nursing service
					 shall identify a team trained not only in the support of the patient, but also
					 in the special problems of managing immunosuppressed patients.
(7) Adequate social services resources shall
					 be available.
(8) Mechanisms shall
					 be in place for managing the transplantation program which assures that:
(i) Patient selection criteria are consistent
					 with those set forth in the hospital's written patient selection
					 criteria.
(ii) The hospital is
					 responsible for the ethical and medical considerations involved in the patient
					 selection process and application of patient selection criteria.
(9) Adequate plans exist for organ
					 procurement which meet legal and ethical criteria.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › PROGRAM, SERVICE AND PERSONNEL REQUIREMENTS › Section 158.11 - Medical director

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The medical
					 director of the transplantation center shall be an active member of the medical
					 staff who is a qualified transplantation surgeon or transplantation physician
					 and who is either certified by the American Board of Surgery or the American
					 Board of Internal Medicine or an equivalent Board.
(b) An interim director may be appointed
					 during the period of time between the departure of the prior director and the
					 selection of a new director. The interim director shall be a physician who is
					 able to demonstrate qualifications acceptable to the medical staff of the
					 hospital and to the Department. The hospital shall apply to the Department for
					 an exception under the procedures in §§
											51.31-51.34 (relating to exceptions). If
					 the exception is granted, the Department will specify the maximum period of
					 time for which the interim director shall be appointed.
This section cited in 28 Pa. Code §
													158.31 (relating to kidney
						  transplantation program); 28 Pa. Code §
													158.33 (relating to liver
						  transplantation program); 28 Pa. Code §
													158.34 (relating to lung and
						  heart/lung transplantation programs); 28 Pa. Code §
													158.35 (relating to pancreas
						  transplantation programs); and 28 Pa. Code §
													158.37 (relating to pediatric
						  transplantation programs).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › PROGRAM, SERVICE AND PERSONNEL REQUIREMENTS › Section 158.12 - Transplantation coordinator

Current through Register Vol. 54, No. 28, July 13, 2024
Each transplantation center shall have onsite on a full
						time basis at least one transplantation coordinator. Transplantation
						coordinators shall be certified by the American Board of Transplant
						Coordinators within 2 years of obtaining this position.
This section cited in 28 Pa. Code §
													158.31 (relating to kidney
						  transplantation program); 28 Pa. Code §
													158.33 (relating to liver
						  transplantation program); 28 Pa. Code §
													158.34 (relating to lung and
						  heart/lung transplantation programs); 28 Pa. Code §
													158.35 (relating to pancreas
						  transplantation programs); and 28 Pa. Code §
													158.37 (relating to pediatric
						  transplantation programs).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › PROGRAM, SERVICE AND PERSONNEL REQUIREMENTS › Section 158.13 - Medical staff

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
					 transplantation program shall have at least one transplantation surgeon and one
					 transplantation physician who are either Board certified or who have attained
					 preboard certification status, members of the hospital's active medical staff
					 and who meet the requirements established by the Organ Procurement and
					 Transplantation Network to serve in that capacity.
(b) Each transplantation center shall have
					 supporting medical staff to provide necessary services to transplant patients.
					 Required medical staff shall be available at all times and shall include the
					 following:
(1) Nephrology services comprised
					 of at least one nephrologist who is either Board certified or who has attained
					 preboard certification status in nephrology with the American Board of Internal
					 Medicine or an equivalent Board. The nephrologist may also serve as the
					 transplant physician.
(2) Pathology
					 services with a pathologist who is either certified or who has attained
					 preboard certification status with the American Board of Clinical Pathology or
					 an equivalent Board. The pathology service shall be available for studying and
					 reporting promptly the pathological responses to transplantation.
(3) Anesthesiology services with an
					 anesthesiologist who is either certified or who has attained preboard
					 certification status with the American Board of Anesthesiology or an equivalent
					 Board. Anesthesiology shall identify a team for transplantation that is trained
					 in transplant surgery and is available at all times.
(4) Radiology services with a radiologist who
					 is certified by the American Board of Radiology or an equivalent Board. A
					 radiologist shall have 1 year of training or 2 years experience in imaging
					 techniques used in transplantation of the applicable organ and shall be
					 available at all times.
(5) An
					 internist who is certified in infectious diseases by the American Board of
					 Internal Medicine or an equivalent Board and who shall be readily available to
					 transplant patients. The internist shall have both the professional skills and
					 the laboratory resources needed to discover, identify and manage the
					 complications from organisms encountered in transplant patients.
(6) Psychiatric services with a psychiatrist
					 who is either currently certified or who has attained preboard certification
					 status in psychiatry with the American Board of Psychiatry and Neurology or an
					 equivalent Board. The psychiatrist shall be available to meet the psychiatric
					 needs of transplant patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › PROGRAM, SERVICE AND PERSONNEL REQUIREMENTS › Section 158.14 - Nursing staff; other health care personnel

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Nursing personnel shall include nurses
					 with specialized education which includes theory, advanced technical skills and
					 supervised experience in a surgical intensive care unit or in a postoperative
					 transplantation unit before assuming primary responsibility for the nursing
					 care of transplantation patients.
(b) There shall be nursing service goals and
					 objectives, standards of nursing practice, procedure manuals and written job
					 descriptions for each level of personnel which shall include the following:
(1) A means for assessing the nursing care
					 needs of the patients and determining adequate staffing to meet those
					 needs.
(2) Staffing patterns that
					 are adequate to meet the nursing goals, standards of practice and the needs of
					 the patients.
(3) An adequate
					 number of licensed and unlicensed assistive personnel to assure that staffing
					 levels meet the total nursing needs of the patient.
(4) Nursing personnel assigned to duties
					 consistent with their training, experience and scope of practice, when
					 applicable.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 158 - VITAL ORGAN TRANSPLANTATION SERVICES › PROGRAM, SERVICE AND PERSONNEL REQUIREMENTS › Section 158.15 - Laboratories

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 transplantation center shall maintain, or by agreement have access to, a tissue
					 typing laboratory with appropriate space and resources to perform required
					 histocompatibility testing and cross matches.
(b) The transplantation center shall
					 maintain, or by agreement have access to, laboratory facilities capable of
					 performing virology, cytology, clinical chemistry, microbiology and monitoring
					 of immunosuppressive drugs.
(c) The
					 transplantation center shall have blood bank support with the capacity to
					 supply blood components for the number of transplants that are projected, the
					 ability to irradiate blood components and the availability of a blood separator
					 and central blood repository.
This section cited in 28 Pa. Code §
													158.31 (relating to kidney
						  transplantation program); 28 Pa. Code §
													158.33 (relating to liver
						  transplantation program); 28 Pa. Code §
													158.34 (relating to lung and
						  heart/lung transplantation programs); 28 Pa. Code §
													158.35 (relating to pancreas
						  transplantation programs); and 28 Pa. Code §
													158.37 (relating to pediatric
						  transplantation programs).