reglab/statecodes huggingface dataset:
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 6 - Termination of Pregnancy (216-RICR-20-10-6) › Section 216-RICR-20-10-6.3 - Requirements for Pregnancy Terminations

Current through June 14, 2024
6.3.1
General Provisions
A. Pursuant to
				  the provisions of R.I. Gen. Laws §
											23-1-19,
				  the Director of Health is authorized to enter, examine or survey at any
				  reasonable time such places as he/she considers necessary, which perform the
				  services of these rules and regulations.
B. Prior to the end of the fourteenth (14th)
				  week of gestation (counted from the first day of the last normal menses),
				  termination of pregnancy may be performed outside the hospital or freestanding
				  ambulatory surgical center, when hospital emergency back-up services are
				  available and other provisions of these regulations are observed.
C. From the beginning of the fifteenth (15th)
				  week of gestation through the end of the eighteenth (18th) week of gestation
				  (counted from the first day of the last normal menses), termination procedures
				  utilizing surgical techniques or methods shall be performed only in a licensed
				  hospital, licensed freestanding ambulatory surgical center, licensed physician
				  office setting providing surgical treatment ("office operatory"), and/or in an
				  outpatient setting meeting the criteria required for a freestanding surgical
				  facility, and in accordance with other provisions of these rules and
				  regulations.
D. After the beginning
				  of the nineteenth (19th) week of gestation (counted from the first day of the
				  last normal menses), a procedure utilizing surgical techniques or methods shall
				  be performed in a hospital, and/or a licensed freestanding ambulatory surgical
				  center. Provided, however, consistent with the provisions of R.I. Gen. Laws
				  §
											11-23-5,
				  the procedure shall be performed in the final trimester only when necessary to
				  preserve the life or health of the mother.
E. A patient shall not be compelled to
				  undergo, a physician or other licensed health care practitioner acting within
				  his/her scope of practice shall not be compelled to perform, or a person shall
				  not be compelled to assist at, termination of pregnancy.
F. The principles for a signed statement of
				  "informed consent", including an operative permit as required for other
				  medical-surgical procedures, shall apply.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 6 - Termination of Pregnancy (216-RICR-20-10-6) › Section 216-RICR-20-10-6.4 - Reporting and Severability

Current through June 14, 2024
6.4.1
Reporting Requirements
A. All
				  live births, and all fetal deaths after 20 weeks of gestation, shall be
				  reported in accordance with the current requirements of R.I. Gen. Laws §
											23-3-17 entitled "Fetal Death Registration."
B. All fetal deaths, whether induced as
				  consequence of a termination procedure or by spontaneous abortion shall be
				  reported in accordance with R.I. Gen. Laws §
											23-3-17(b),
				  which reads, "All other fetal deaths, irrespective of the number of weeks
				  uterogestation, shall be reported directly to the state Department of Health
				  within seven (7) calendar days after delivery." Such reporting shall be made on
				  authorized forms provided by the Department of Health.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 1 - Health Professional Loan Repayment Program (216-RICR-20-15-1) › Section 216-RICR-20-15-1.1 - Authority

Current through June 14, 2024
These regulations are established pursuant to the authority
					 conferred by R.I. Gen. Laws §
										23-14.1-5(6) 
					 for the purpose of adopting standards for the implementation of the State Loan
					 Repayment Program in order to improve statewide access to primary medical care,
					 mental health care, and dental care by providing educational loan repayment to
					 health professionals committed to work in federally designated primary care
					 health professional shortage areas, dental health professional shortage areas,
					 or mental health care professional shortage areas.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 1 - Health Professional Loan Repayment Program (216-RICR-20-15-1) › Section 216-RICR-20-15-1.2 - Definitions

Current through June 14, 2024
A. Wherever used in this Part the following
				  terms shall be construed as follows:
1.
				  "Board" means the Health Professional Loan Repayment Board.
2. "Community health center" means the health
				  care facility as defined and licensed under R.I. Gen. Laws Chapter
				  23-17.
3. "Director" means the
				  Director of the Rhode Island Department of Health.
4. "Eligible health professional" means a
				  physician, dentist, dental hygienist, nurse practitioner, certified nurse
				  midwife, physician assistant, or any other eligible health care professional
				  under the Public Health Service Act licensed in the State, who has entered into
				  a contract with the board to serve medically underserved populations.
5. "Health care facility" includes, but is
				  not limited to, hospital ambulatory care facilities, organized ambulatory care
				  facilities or other entities delivering medical, mental health, or dental
				  services. Said facility must be a non-profit organization or agency.
6. "HPSA" means a designated Health
				  Professional Shortage Area as defined by the Shortage Designation Branch of the
				  Bureau of Health Workforce, within the Health Resources and Services
				  Administration, U.S. Department of Health and Human Services.
7. "HPLRP" means the Health Professional Loan
				  Repayment Program whose purpose shall be to provide loan repayment to eligible
				  health professionals for qualifying loans relating to the graduate or
				  undergraduate education as a recruitment or retention incentive for health
				  professionals to practice in high-need areas.
8. "Loan repayment" means an amount of money
				  to be repaid to satisfy loan obligations incurred to obtain a degree or
				  certification in an eligible health professional.
9. "Qualifying loans" are government and
				  commercial loans for actual costs paid for tuition, reasonable educational
				  expenses, and reasonable living expenses relating to the graduate or
				  undergraduate education of a health professional.
10. "RIOPC" means the Rhode Island Office of
				  the Postsecondary Commissioner.
11.
				  "Site" means a community health center located in a federally designated HPSA
				  or other entity delivering medical, mental health, or dental services. Said
				  entity shall be a non-profit organization or agency.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 1 - Health Professional Loan Repayment Program (216-RICR-20-15-1) › Section 216-RICR-20-15-1.3 - General Requirements and Administrative Procedures

Current through June 14, 2024
1.3.1
The Health Professional Loan
				  Repayment Board
A. In order to
				  participate in the HPLR Program, health professionals and sites must apply for
				  and obtain approval from the Board based upon the criteria set forth in this
				  Part and the availability of funds.
B. The Board shall receive, review and
				  evaluate all applications from sites and health care professionals to determine
				  eligibility for participation in the program based on criteria set forth in
				  this Part and the availability of funding. Once approval is granted, the health
				  professional must enter into a contract with the RIOPC and adhere to
				  requirements of the contract to maintain participation.
C. Composition of the Board and appointment
				  of the Board's chairperson are pursuant to R.I. Gen. Laws §§
											23-14.1-4(a)
				  and (b).
D. Terms of appointment and compensation are
				  pursuant to R.I. Gen. Laws §
											23-14.1-4(a).
E. In addition to the duties stated in R.I.
				  Gen. Laws §
											23-14.1-5,
				  the Board shall:
1. Score and rank site
				  applications and approve sites for funding;
2. Maintain oversight of the health
				  professional's adherence of contracts;
3. Recommend to the Director termination of
				  contracts for imposition of penalties where health professional fails to comply
				  with the terms of the contract or this Part;
4. Review and approve, when appropriate, all
				  requests for contract extensions up to 6 months; no contract can be extended
				  for more than 6 months unless compelling evidence of need is presented to the
				  Board; and
5. Review and approve,
				  when appropriate, all requests for termination of
				  contracts.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 2 - Pain Assessment (216-RICR-20-15-2) › Section 216-RICR-20-15-2.1 - Authority

Current through June 14, 2024
These regulations are promulgated under the authority
					 contained in R.I. Gen. Laws §
										5-37.6-5(a) 
					 and are established for the purpose of adopting requirements relating to the
					 assessment of pain by health care facilities and health care providers in Rhode
					 Island.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 2 - Pain Assessment (216-RICR-20-15-2) › Section 216-RICR-20-15-2.3 - General Requirements: Pain Assessment

Current through June 14, 2024
A. Health care
				  facilities and health care providers, as defined in this Part, shall conduct an
				  assessment of pain experienced by a patient on a regular basis, according to a
				  written protocol established by the health care facility or health care
				  provider, respectively.
B. Pain
				  shall be assessed in all inpatients upon admission, using a combination of
				  patient's self-report, a health care provider's assessment, and/or a pain
				  intensity tool. Pain assessment shall provide for an evaluation of, and/or
				  further testing to collect additional information to determine any underlying
				  causes or reasons for, the identified presence and severity of pain. As
				  appropriate, assessments shall utilize a pain intensity tool and address the
				  location, duration, onset, and characteristics of pain, the patient's goals,
				  and alleviation of causative factors. Physical examination shall be conducted
				  as indicated.
C. Pain shall be
				  assessed in all outpatients upon intake or initial evaluation using a
				  combination of patient's self-report, a health care provider's assessment,
				  and/or a pain intensity tool. Pain assessment shall provide for an evaluation
				  of, and/or further testing to collect additional information to determine any
				  underlying causes or reasons for, the identified presence and severity of pain.
				  As appropriate, assessments shall utilize a pain intensity tool and address the
				  location, duration, onset, and characteristics of pain, the patient's goals,
				  and alleviation of causative factors. Physical examination shall be conducted
				  as indicated.
D. Outpatients
				  presenting for diagnostic tests only (e.g., laboratory studies, radiological
				  examinations) shall be exempted from the pain assessment requirements of this
				  Part.
E. On a regular basis, all
				  patients shall be re-assessed for pain according to a written protocol
				  established by the health care facility or health care provider.
F. All pain assessments and re-assessments
				  shall be documented in the patient's clinical record.
G. More than one pain intensity tool may be
				  used by the health care facility or health care provider. Provided, however,
				  the same pain intensity tool shall be utilized consistently in assessing the
				  same patient and provided the tool is, and continues to be, appropriate for the
				  patient.
H. At least annually,
				  health care facilities shall ensure competency in pain assessment among
				  appropriate clinicians as designated by the health care facility.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 2 - Pain Assessment (216-RICR-20-15-2) › Section 216-RICR-20-15-2.4 - Penalties

Current through June 14, 2024
Penalties are pursuant to R.I. Gen. Laws §
										5-37.6-7.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 3 - Use of Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by Other Persons, Firms, or Corporations Licensed or Registered by the Department (216-RICR-20-15-3) › Section 216-RICR-20-15-3.1 - Authority

Current through June 14, 2024
These rules and regulations are promulgated under the
					 authority of R.I. Gen. Laws Chapters 23-73 and 23-17 and are established for
					 the purpose of adopting requirements for the use of latex gloves by health care
					 workers, by other persons, firms, or corporations licensed or registered by the
					 Department of Health, and the use of latex gloves in licensed health care
					 facilities.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 3 - Use of Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by Other Persons, Firms, or Corporations Licensed or Registered by the Department (216-RICR-20-15-3) › Section 216-RICR-20-15-3.2 - Incorporated Materials

Current through June 14, 2024
These regulations hereby adopt and incorporate
					  29 C.F.R. §
											1910.1030  (2014), "Bloodborne Pathogens",
					 Occupational Safety and Health Administration (OSHA) by reference, not
					 including any further editions or amendments thereof and only to the extent
					 that the provisions therein are not inconsistent with these
					 regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 3 - Use of Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by Other Persons, Firms, or Corporations Licensed or Registered by the Department (216-RICR-20-15-3) › Section 216-RICR-20-15-3.4 - General Requirements

Current through June 14, 2024
In those instances where a health care provider is
					 employed by a health care facility or by another health care provider, the
					 employer (i.e., health care facility or health care provider) shall be
					 responsible for implementing the regulatory requirements contained
					 herein.
3.4.1
Food
				  Services
The use of disposable, nonsterile and sterile natural
					 rubber latex gloves shall be prohibited by any person, firm, or corporation,
					 registered pursuant to R.I. Gen. Laws §
										21-27-10 and R.I. Gen. Laws §
										21-27-11 (e.g., retail food service establishments, restaurants, cafeterias).
3.4.2
Notices
A. Health care providers, licensed health
				  care facilities, and other persons, firms, or corporations licensed or
				  registered by the Department that utilize latex gloves shall post a notice
				  informing and warning employees and the public:
1. That natural rubber latex gloves are
				  used;
2. That exposure to latex may
				  result in the development of an allergy;
3. That allergic reactions to natural rubber
				  latex can manifest by skin rash, hives, nasal and eye irritation, asthma, and
				  shock; and
4. That should you or
				  your family experience allergic reaction symptoms, then you should contact your
				  health care provider.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 3 - Use of Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by Other Persons, Firms, or Corporations Licensed or Registered by the Department (216-RICR-20-15-3) › Section 216-RICR-20-15-3.5 - Severability

Current through June 14, 2024
If any provision of these rules and regulations or the
					 application thereof to any person or circumstances shall be held invalid, such
					 invalidity shall not affect the provisions or application of the rules and
					 regulations which can be given effect, and to this end the provisions of the
					 rules and regulations are declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 3 - Use of Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by Other Persons, Firms, or Corporations Licensed or Registered by the Department (216-RICR-20-15-3) › Section 216-RICR-20-15-3.6 - Appendix A

Current through June 14, 2024
WARNING: Latex gloves are used in this facility. Repeated
					 contact with latex may cause a latex allergy or may worsen a present latex
					 allergy. Reactions to latex may include: skin rashes hives asthma nasal, eye,
					 or sinus symptoms and allergic shock (anaphylactic shock). If you or your
					 family are having these symptoms, call your health care provider (your
					 physician, nurse, or dentist) immediately. PURSUANT TO R.I. GEN. LAWS §
										23-73-2(b)
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 4 - Medical Orders for Life Sustaining Treatment (216-RICR-20-15-4) › Section 216-RICR-20-15-4.1 - Authority

Current through June 14, 2024
These rules and regulations are promulgated pursuant to the
					 authority set forth in R.I. Gen. Laws Chapter 23-4.11, and establish the
					 procedures for Medical Orders for Life Sustaining Treatment (MOLST) and the
					 structure and content of Medical Orders for Life Sustaining Treatment
					 forms.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 4 - Medical Orders for Life Sustaining Treatment (216-RICR-20-15-4) › Section 216-RICR-20-15-4.3 - Scope and Application

Current through June 14, 2024
A. These
				  Regulations set out the Medical Orders for Life-Sustaining Treatment (MOLST)
				  form, instructions and certain related procedures and requirements developed by
				  the Department pursuant to the Act.
B. If a qualified patient with a MOLST order
				  is transferred from a hospital, another health care facility, or the community,
				  the MOLST order or plan shall remain effective until a MOLST qualified health
				  care provider first examines the transferred qualified patient, whereupon a
				  MOLST qualified health care provider shall issue appropriate orders to continue
				  the prior order or plan. Such orders may be issued without obtaining another
				  consent to withhold or withdraw life-sustaining treatment pursuant to the Act
				  and these Regulations.
C. Beginning
				  1 January 2014, the following health care facilities are required to accept,
				  update if appropriate, and offer each qualified patient the opportunity to
				  complete a MOLST form during the admission process:
1. A nursing facility;
2. An assisted living residence;
3. A hospice;
4. A kidney dialysis center; and
5. A home health agency.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 4 - Medical Orders for Life Sustaining Treatment (216-RICR-20-15-4) › Section 216-RICR-20-15-4.5 - Severability

Current through June 14, 2024
If any provisions of these Regulations or the application
					 thereof to any person or circumstance shall be held invalid, such invalidity
					 shall not affect the provisions or application of these Regulations which can
					 be given effect, and to this end the provisions of these Regulations are
					 declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 5 - Continuing Care Provider Registration and Disclosure (216-RICR-20-15-5) › Section 216-RICR-20-15-5.1 - Authority

Current through June 14, 2024
This Part is promulgated pursuant to the authority
					 conferred under R.I. Gen. Laws §
										23-59-14,
					 and are established for the purpose of adopting minimal requirements for the
					 registration of Continuing Care Providers in Rhode Island pursuant to statutory
					 provisions, to ensure the accuracy and reliability of the financial stability
					 of providers of continuing care through disclosure information statements, and
					 to ensure that providers are able to fulfill their contractual obligations to
					 residents of continuing care.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 5 - Continuing Care Provider Registration and Disclosure (216-RICR-20-15-5) › Section 216-RICR-20-15-5.3 - Registration Procedures

Current through June 14, 2024
5.3.1
General
				  Requirements
A. No provider shall
				  engage in the business of providing or offering to provide continuing care at a
				  facility in this state unless the provider is registered with the Department
				  with respect to such facility in accordance with the statutory provisions and
				  the regulatory provisions herein, and, any other applicable statutory and/or
				  regulatory provisions, unless exempt pursuant to R.I. Gen. Laws §
											23-59-13.
1. Furthermore, prior to submitting an
				  application for registration as a continuing care provider, an applicant must
				  obtain a determination from the Director regarding the acceptability of the
				  Certified Public Accountant whom the provider intends to retain to review and
				  certify materials to be submitted with the application in accordance with
				  §5.3.3 of this Part.
2. If the
				  Department finds the CPA to meet the criteria of §5.3.2 of this Part, the
				  Department shall notify the applicant within ten (10) days of the acceptability
				  of the CPA.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 5 - Continuing Care Provider Registration and Disclosure (216-RICR-20-15-5) › Section 216-RICR-20-15-5.4 - Provisions Pertaining To Residents

Current through June 14, 2024
5.4.1
Availability of Disclosures
At least three (3) days prior to the execution of a
					 continuing care contract or the transfer of any money or other property to a
					 provider by or on behalf of a prospective resident, whichever first occurs, the
					 provider shall deliver to the person with whom the contract is to be entered
					 into a copy of a disclosure statement with respect to the facility in question
					 meeting all requirements of the Act and the regulations as of the date of its
					 delivery.
5.4.2
Resident's Contract
In addition to other provisions considered proper to effect
					 the purpose of any continuing care contract as determined by the Director, each
					 contract executed on or after the effective date of these regulations shall be
					 consistent with the provisions of R.I. Gen. Laws §
										23-59-6.
5.4.3
Rights of
				  Residents
Residents shall have the right of self-organization in
					 accordance with the provisions of R.I. Gen. Laws §
										23-59-11.
5.4.4
Civil
				  Liabilities
A person contracting with a provider for continuing care
					 may terminate the continuing care contract and such provider shall be liable to
					 the person contracting for continuing care for repayment of all fees paid to
					 the provider, facility or person violating this Act, together with interest
					 thereon at the legal rate for judgments, court costs and reasonable attorney's
					 fees, less the reasonable value of care and lodging provided to the resident
					 prior to the termination of the contract and for damages if after June 18,
					 1987, such provider or a person acting on his behalf, with or without actual
					 knowledge of the violation, entered into a contract with such person for those
					 specific circumstances as set forth in R.I. Gen. Laws §
										23-59-12.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 5 - Continuing Care Provider Registration and Disclosure (216-RICR-20-15-5) › Section 216-RICR-20-15-5.5 - Waiver, Violations, Practices And Procedures, Penalties

Current through June 14, 2024
5.5.1
Waiver
No Act, agreement or statement of any resident or by any
					 individual purchasing care for a resident under any agreement to furnish care
					 to the resident shall constitute a valid waiver of any provision of the Act
					 intended for the benefit or protection of the resident or the individual
					 purchasing care for the resident.
5.5.2
Violations
Any person who willfully and knowingly violates any
					 provision of the Act, or any rule, regulations or order issued under the
					 provisions of the Act shall be subject to the penalties set forth in R.I. Gen.
					 Laws §
										23-59-17.
5.5.3
Rules Governing Practices and
				  Procedure
All hearings and reviews under the provisions of the
					 statutory and regulatory provisions herein shall be held in accordance with the
					 provisions of the rules and regulations promulgated by the Rhode Island
					 Department of Health, entitled, Rules and Regulations Governing The Practices
					 and Procedures Before the Rhode Island Department of Health (216-RICR- 10-05-4
					).
5.5.4
Severability
If any provision of these rules and regulations or the
					 application thereof to any facility or circumstances shall be held invalid,
					 such invalidity shall not affect the provisions or application or the
					 regulations which can be given effect, and to this end the provisions of the
					 regulations are declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 6 - Hypodermic Needles, Syringes, and Other Such Instruments (216-RICR-20-15-6) › Section 216-RICR-20-15-6.1 - Authority

Current through June 14, 2024
These amended Rules and Regulations Governing Hypodermic
					 Needles, Syringes, and Other Such Instruments are promulgated pursuant to the
					 authority set forth in R.I. Gen. Laws
					  21-28-3.01,
					 and are established for the purpose of promoting public health by permitting
					 the sale of hypodermic needles and syringes in licensed pharmacies and adopting
					 provisions governing hypodermic needles, syringes, and other such instruments
					 without the need for a prescription.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 6 - Hypodermic Needles, Syringes, and Other Such Instruments (216-RICR-20-15-6) › Section 216-RICR-20-15-6.2 - Definitions

Current through June 14, 2024
A. "Authorized pharmacy personnel" means a
				  person who is licensed, registered, or enrolled by the Department pursuant to
				  R.I. Gen. Laws Chapter 5-19 and the Rules and Regulations Pertaining to
				  Pharmacists, Pharmacies and Manufacturers, Wholesalers and
				  Distributors.
B. "Department" means
				  the Rhode Island Department of Health.
C. "Director" means the Director of the Rhode
				  Island Department of Health.
D.
				  "Pharmacy" means that portion or part of a premises where prescriptions are
				  compounded and dispensed, including that portion utilized for the storage of
				  prescription drugs or legend drugs, and which is licensed pursuant to R.I. Gen.
				  Laws Chapter 5-19 and the Department of Health's Rules and Regulations
				  Pertaining to Pharmacists, Pharmacies and Manufacturers, Wholesalers and
				  Distributors.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 6 - Hypodermic Needles, Syringes, and Other Such Instruments (216-RICR-20-15-6) › Section 216-RICR-20-15-6.3 - Sale of Hypodermic Needles and Syringes in Licensed Pharmacies

Current through June 14, 2024
6.3.1
General Requirements
A. As of September 1, 2000, a prescription
				  shall no longer be required for each sale of a hypodermic syringe(s),
				  needle(s), or any instrument adapted for the administration of drugs by
				  injection.
B. Hypodermic needles
				  and syringes shall be sold only in licensed pharmacies.
1. Hypodermic needles and syringes shall be
				  stored in the pharmacy. Access to hypodermic needles and syringes shall be by
				  authorized pharmacy personnel only.
C. Upon each sale of a hypodermic needle(s)
				  and syringe(s), the pharmacist shall make available to the purchaser,
				  information on the safe disposal of hypodermic syringes or needles that shall
				  include:
1. Information on the safe disposal
				  of home-generated medical waste; and
2. A list of local disposal locations;
				  and/or
3. A telephone number to
				  call for information on local disposal sites and methods of disposal.
D. Pharmacists may also provide
				  purchasers with information on drug addiction treatment, including a local
				  telephone number to get assistance.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 6 - Hypodermic Needles, Syringes, and Other Such Instruments (216-RICR-20-15-6) › Section 216-RICR-20-15-6.4 - Severability

Current through June 14, 2024
A. If any provision of these regulations or
				  the application thereof to any facility or circumstances shall be held invalid,
				  such invalidity shall not affect the provisions or application of the
				  regulations which can be given effect, and to this end the provision of the
				  regulations are declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.1 - Purpose

Current through June 14, 2024
These Regulations establish requirements for adopting
					 standards for immunization and communicable disease screening and testing for
					 health care workers prior to employment in Rhode Island-licensed health care
					 facilities.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.2 - Authority

Current through June 14, 2024
These Regulations are promulgated pursuant to the authority
					 conferred under Chapters 23-17 and 23-17.7.1 of the General Laws of Rhode
					 Island.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.3 - Incorporated Materials

Current through June 14, 2024
A. These Regulations
				  hereby adopt and incorporate the Centers for Disease Control and Prevention
				  (CDC) General Recommendations on Immunization: Recommendations of the Advisory
				  Committee on Immunization Practices (ACIP), MMWR, Recommendations and Reports
				  (January 2011) by reference, not including any further editions or amendments
				  thereof and only to the extent that the provisions therein are not inconsistent
				  with these Regulations.
https://www.cdc.gov/mmwr/pdf/rr/rr6002.pdf
.
B. These Regulations hereby adopt and
				  incorporate the CDC Immunization of Health-Care Personnel: Recommendations of
				  the Advisory Committee on Immunization Practices (ACIP) (November 2011) by
				  reference, not including any further editions or amendments thereof and only to
				  the extent that the provisions therein are not inconsistent with these
				  Regulations.
https://www.cdc.gov/mmwr/pdf/rr/rr6007.pdf
.
C. These Regulations hereby adopt and
				  incorporate the CDC Guidelines for Preventing the Transmission of Mycobacterium
				  Tuberculosis in Health-Care Settings MMWR, Recommendations and Reports
				  (December 2005) by reference, not including any further editions or amendments
				  thereof and only to the extent that the provisions therein are not inconsistent
				  with these Regulations.
https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5417a1.htm
D. These Regulations hereby adopt and
				  incorporate the Occupational Safety and Health Administration (OSHA) Blood
				  Borne Pathogens Standard (29 C.F.R Parts 1910- 1030), (April 2012) by
				  reference, not including any further editions or amendments thereof and only to
				  the extent that the provisions therein are not inconsistent with these
				  Regulations.
https://www.osha.gov/laws-
				  regs/regulations/standardnumber/1910/1910.1030
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.5 - General Requirements

Current through June 14, 2024
A. Healthcare
				  facilities shall adopt, at a minimum, the standards of immunization and
				  communicable disease testing and standards for health screening contained
				  herein.
B. It shall be the
				  responsibility of the administrative head, or his or her designee, of any
				  healthcare facility to secure compliance with these Regulations.
C. Each healthcare facility shall develop
				  policies, procedures, and/or protocols for compliance with the requirements
				  described in these Regulations.
D.
				  Transient employees or outside contractors who are not involved in direct
				  patient contact and are not potentially exposed in the course of employment to
				  infectious agents that can be transmitted from person to person, are exempt
				  from the requirements stated in these Regulations.
E. Healthcare facilities and healthcare
				  workers shall comply with additional immunization and screening requirements
				  that the Director may prescribe from time to time to control communicable
				  diseases.
F. Persons discovering
				  communicable diseases (e.g., physicians, physician assistants, registered nurse
				  practitioners), in the process of screening health care workers shall comply
				  with the reporting requirements contained in Part 30-05-1 of this
				  Title.
G. In accordance with ACIP
				  recommendations, for all vaccines discussed in these Regulations, vaccine doses
				  administered less than or equal to four (4) days before the minimum interval or
				  age shall be counted as valid. Doses administered five (5) or more days earlier
				  than the minimum interval or age shall not be counted as valid doses and shall
				  be repeated as age-appropriate. The repeat dose should be spaced after the
				  invalid dose by the recommended minimum interval as provided in §
										7.3(A)   of
				  this Part.
H. Healthcare workers who
				  receive the first (1st) dose of a multi-dose vaccine
				  series may begin to work after this first (1st) dose
				  is received.
I. Each healthcare
				  facility shall provide, at no financial charge, an adequate supply of medical
				  masks or higher-grade masks (e.g., N95) to any health care
				  worker.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.7 - Documentation of Immunity and Testing (Immunization Records)

Current through June 14, 2024
A. Acceptable documentation of completion of
				  immunizations shall include the day, month, year and type/name of each dose of
				  vaccine administered. The record of such evidence shall be signed by a
				  practitioner (the signature of the healthcare worker is not acceptable).
1. Acceptable documentation of completion of
				  immunization consists of:
a. An official
				  immunization record card, school immunization record, medical passport, World
				  Health Organization immunization record, a copy of a medical record indicating
				  administration of vaccine; or other official immunization records acceptable to
				  the Director; or
b. An
				  electronically stored and/or transmitted documentary record (facsimile
				  transmission, computerized record, including, but not limited to, a record on
				  magnetic media or similar record) as may be utilized by a school; or
c. Presentation of laboratory evidence of
				  immunity is made in the case of measles, mumps, rubella, varicella, or
				  hepatitis B.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.8 - Influenza Vaccination Refusal

Current through June 14, 2024
A. Any healthcare
				  worker may refuse the annual seasonal influenza vaccination requirements
				  described in these Regulations; provided, however, that he or she provides
				  proper annual written notice of such refusal prior to December 15 of each year
				  to each healthcare facility in or at which he or she is employed or
				  volunteering, or with which he or she has an employment contract; and provided,
				  however, that he or she who so refuses shall be required during any declared
				  period in which flu is widespread to wear a procedure mask or higher-grade mask
				  (e.g., KN95 or N95) during each direct patient contact or while in a patient
				  care area in the performance of his or her duties at any healthcare facility.
				  For healthcare workers licensed by RIDOH, compliance with this provision is
				  part of his or her professional licensing obligations.
1. No healthcare worker shall be required to
				  explain his or her refusal to obtain an annual seasonal influenza vaccination,
				  nor shall any healthcare facility inquire into the basis of such
				  refusal.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.9 - Violations

Current through June 14, 2024
A. Healthcare facilities, assisted living
				  residences and healthcare workers and assisted living residence workers that
				  violate any provisions of this Part are subject to administrative action by the
				  Department, and any other action provided for under applicable law and
				  Regulations, including R.I. Gen. Laws §
										23-1-25, in
				  addition to any action against the professional and/or facility license, as
				  applicable.
1. Healthcare facilities and
				  assisted living residences shall have seven (7) days from the promulgation of
				  this Part to implement measures necessary to ensure compliance with this
				  Part.
2. Healthcare facilities now
				  covered by this Part (i.e., Adult Day Cares and Stations) shall have three (3)
				  months from the promulgation of this Part to implement measures necessary to
				  ensure compliance with vaccination documentation.
3. Healthcare workers who are employed at
				  newly covered healthcare facilities (i.e., Adult Day Cares and Stations) shall
				  have three (3) months from the promulgation of this Part to receive all
				  required vaccinations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 15 - Information for Health Care Professionals › Part 7 - Immunization, Testing, and Health Screening for Health Care Workers › Section 216-RICR-20-15-7.10 - Severability

Current through June 14, 2024
If any provision of these Regulations or the application
					 thereof to any person or circumstances shall be held invalid, such invalidity
					 shall not affect the provisions or application of these Regulations which can
					 be given effect, and to this end the provisions of these Regulations are
					 declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 1 - Disposal of Drugs › Section 216-RICR-20-20-1.1 - Authority

Current through June 14, 2024
These regulations are promulgated pursuant to the
					 authority conferred under R.I. Gen. Laws §§
										21-28-5.07 and
					  21-31-20, and are established for
					 the purpose of adopting methods for the disposal of drugs in this state, and
					 for the protection of the health, safety and welfare of the
					 public.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 1 - Disposal of Drugs › Section 216-RICR-20-20-1.2 - Incorporated Materials

Current through June 14, 2024
These regulations hereby adopt and incorporate
					  21 C.F.R. §
											1317  (2018) by reference, not including any
					 further editions or amendments thereof and only to the extent that the
					 provisions therein are not inconsistent with these
					 regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 1 - Disposal of Drugs › Section 216-RICR-20-20-1.3 - Definitions

Current through June 14, 2024
A. Wherever used in these rules and
				  regulations, the following terms shall be construed as follows:
1. "Abandoned drugs" means non-controlled or
				  controlled substances that have been brought into the health care facility by a
				  patient admitted to a health care facility and have been left behind by the
				  patient or their family, or if the patient is deceased.
2. "Controlled substance" means a drug,
				  substance or immediate precursor in R.I. Gen. Laws §
											21-28-2.08 Schedules I -
				  V.
3. "Health care facility" means
				  any health care institution as defined in R.I. Gen. Laws §
											23-17-2, and licensed according to
				  the provisions of R.I. Gen. Laws Chapter
				  23-17.
4. "Drug" means any drug so designated
				  pursuant to the provisions of R.I. Gen. Laws §
											21-31-2(8).
5. "Person" means any individual, trust or
				  estate, partnership, corporation (including associations, joint stock
				  companies) state or political subdivision or instrumentality of the
				  state.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 1 - Disposal of Drugs › Section 216-RICR-20-20-1.4 - Disposal of Controlled Substances or Hazardous Waste Pharmaceuticals

Current through June 14, 2024
Any health care facility or person licensed by the Rhode
					 Island Department of Health that is lawfully in possession of excess or
					 undesired controlled substances, including abandoned drugs brought into a
					 health care facility, shall inventory and dispose of all such controlled
					 substances in accordance with
					  21 C.F.R. §
											1317  incorporated above at §
										1.2   of this Part and all
					 other applicable federal, state, and local regulations. Hazardous waste
					 pharmaceuticals collected as abandoned drugs can be disposed of as either
					 controlled substances or as hazardous waste as per the Department of
					 Environmental Management's Rules and Regulations for Hazardous Waste Management
					 (§250-RIC R-
					 140-10-1.7.1(E)(2))."
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 1 - Disposal of Drugs › Section 216-RICR-20-20-1.5 - Disposal of All Other Drugs (i.e., Non-controlled Substances)

Current through June 14, 2024
A. All other drugs (i.e., those not
				  classified as controlled substances), including abandoned drugs brought into a
				  health care facility, shall be the responsibility of the health care facility
				  or person to dispose of as provided in one of the following ways:
1. Drugs may be disposed of as solid waste
				  provided that all of the following conditions are met:
a. The drugs are rendered
				  unrecognizable;
b. The drugs would
				  not pose a threat to the public or to the environment; and
c. The drugs cannot be recycled. OR
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 3 - Prescription Drug Monitoring Program (216-RICR-20-20-3) › Section 216-RICR-20-20-3.1 - Authority

Current through June 14, 2024
These regulations are promulgated pursuant to the authority
					 set forth in R.I. Gen. Laws §§
										21-28-3.18(d)(2) 
					 and
					  21-28-3.32,
					 and are established for the purpose of defining minimum standards for the
					 transfer of electronic data between the Department of Health and pharmacies for
					 schedules II, III, IV, and V controlled substances, and opioid
					 antagonists.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 20 - Drugs › Part 3 - Prescription Drug Monitoring Program (216-RICR-20-20-3) › Section 216-RICR-20-20-3.2 - Exemption

Current through June 14, 2024
Pharmacies that do not have a Rhode Island Controlled
					 Substance Registration (CSR) pursuant to R.I. Gen. Laws §
										21-28-3.02(a) 
					 are not required to report the dispensing of schedules II, III, IV, V, and
					 opioid antagonists to the prescription drug monitoring
					 program.