reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:04 - Emergency services

Current through Register Vol. 51, page 10, July 15, 2024
Each hospital offering emergency services shall have a
				  written plan and procedural manual for the provision of twenty-four hour a day
				  emergency care which, as a minimum, provides for assessment and either
				  treatment or referral to an appropriate facility. All referring hospitals shall
				  initiate essential life-saving measures and provide emergency procedures that
				  will minimize aggravation of a patient's condition during transportation. A
				  facility shall reserve an area of the facility with appropriate personnel,
				  equipment, medications, supplies, and ancillary services commensurate with the
				  scope of anticipated needs for ill or injured persons exclusively for the
				  patients requiring emergency care. A facility shall maintain a medical record
				  for each patient receiving emergency service.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:05 - Anesthesia services

Current through Register Vol. 51, page 10, July 15, 2024
Each hospital shall provide anesthesia services organized,
				  directed, and integrated with other related services of the hospital
				  commensurate with the scope and needs of patients. The delivery of anesthesia
				  care to patients shall be provided by qualified persons according to written
				  policies relating to anesthesia procedures approved by the medical staff.
				  Safety and sanitation controls shall be established. All anesthetizing
				  locations which are not protected against potential explosive hazards shall
				  have a legible sign posted prohibiting the use of flammable gas as
				  anesthetics.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:06 - Rehabilitation services

Current through Register Vol. 51, page 10, July 15, 2024
A hospital offering physical therapy, occupational therapy,
				  or speech pathology shall maintain facilities, equipment, and supplies
				  appropriate for services provided. There shall be written policies and
				  procedures for the organization and function of the services. If physical
				  therapy is offered, services shall be provided under the supervision of a
				  licensed physical therapist. If occupational therapy is offered, services shall
				  be provided under the supervision of a registered occupational therapist. If
				  speech pathology is offered, services shall be provided under the supervision
				  of a speech pathologist with a certificate of clinical competence from the
				  American Speech and Hearing Association. Physical therapy, occupational
				  therapy, or speech pathology services shall be given in accordance with a
				  practitioner's orders and documented in the patient's medical
				  record.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
Physical therapists, SDCL 36-10; Occupational therapists,
					 SDCL 36-31.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:07 - Outpatient rehabilitation services

Current through Register Vol. 51, page 10, July 15, 2024
A hospital offering outpatient rehabilitation services shall
				  maintain written policies and procedures relating to staff, functions of
				  services, and outpatient medical records. The outpatient rehabilitation
				  department shall have space and equipment to meet the needs of the patient,
				  staff, and visitors; and shall maintain cooperative arrangements and
				  communications with treatment-related community agencies. A physician shall be
				  responsible for the professional services. A physician or administrator shall
				  be responsible for administrative services.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:08 - Social services

Current through Register Vol. 51, page 10, July 15, 2024
A hospital offering social services shall maintain written
				  policies and procedures relating to staffing requirements and functions of
				  services and shall provide social services facilities as required by §
									44:75:02:21. If social services
				  are offered, services shall be provided under the supervision of a social
				  worker or the facility shall have a written agreement with a social worker for
				  regularly scheduled consultation and assistance. The social services staff
				  shall participate in discharge planning to assist patients to access inpatient,
				  outpatient, extended care, hospice, and home health services in the community.
				  Social services summaries shall be entered in the patient's medical
				  record.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
Social workers, SDCL 36-26, art
					 20:59.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:10 - Eligibility to offer swing-bed services

Current through Register Vol. 51, page 10, July 15, 2024
A hospital with less than 100 staffed beds may offer
				  swing-bed services after obtaining approval from the department pursuant to
				  §
									44:75:11:11. A hospital with less
				  than 50 staffed beds may not designate more than one-half of its staffed beds
				  as swing beds, but a hospital with less than 50 licensed beds may designate up
				  to one-half of its licensed beds as swing beds. A critical access hospital may
				  have no more than 15 swing beds. A hospital with 50 to 99 staffed beds,
				  inclusive, may not designate more than 10 beds as swing beds. A hospital which
				  subsequently exceeds 99 staffed beds may not offer swing-bed services. For
				  purposes of this section and §
									44:75:11:11, staffed beds are
				  inpatient beds utilized and staffed for by the hospital, exclusive of beds for
				  newborn, obstetrical delivery, intensive care, coronary care, and any
				  psychiatric or rehabilitation unit excluded from the Medicare prospective
				  payment system, except during a catastrophe, such as a disaster or epidemic, to
				  which the hospital responds.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:11 - Application for approval to offer swing-bed services

Current through Register Vol. 51, page 10, July 15, 2024
A hospital may not offer swing-bed services without first
				  applying in writing to the department for approval. The application shall
				  contain the following:
(1) The
				effective date the swing-bed services will begin;
(2) Designation of the bed category for which
				the hospital is requesting approval to offer swing-bed services, either a
				critical access hospital, not more than 49 staffed beds, or greater than 49
				staffed beds and fewer than 100 staffed beds;
(3) The number of staffed beds which will be
				designated as swing beds;
(4)
				Evidence of the hospital's ability to comply with the provisions of §
									44:75:11:13; and
(5) Written assurance that the hospital will
				operate within the bed category it has designated and will not operate more
				than the number of swing beds designated on the face of the license.
The department shall denote the number of designated swing
				  beds on the face of the license. A hospital may not change the number of
				  designated swing beds or the designated bed category without first applying to
				  the department for approval in accordance with this section.
General Authority:
SDCL
					 34-12-5, 34-12 -13(12).
Law Implemented:
SDCL
					 34-12-5, 34-12
					 -13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:12 - Suspension of approval to offer swing-bed services

Current through Register Vol. 51, page 10, July 15, 2024
Pursuant to the contested case provisions of SDCL 1-26, the
				  department may prohibit a hospital from admitting new swing bed patients for
				  not more than 3 months if the department has determined by inspections that the
				  hospital has substantially failed to comply with the provisions of §
									44:75:11:13 on at least 2
				  occasions in any 12 consecutive months. A hospital which has been prohibited
				  from admitting new swing-bed patients shall reapply to the department for
				  approval to offer swing-bed services to new admissions in accordance with
				  §
									44:75:11:11.
General Authority:
SDCL
					 34-12-13(12),
					 34-12-19.
Law Implemented:
SDCL
					 34-12-13(12),
					 34-12-21.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:11 - Hospital complementary services › Section 44:75:11:13 - Patient care requirements for swing-bed services

Current through Register Vol. 51, page 10, July 15, 2024
Hospital and critical access hospital swing-bed services
				  shall provide nursing and related care services to meet patients' care needs at
				  all times. Patient care services shall include at least the following:
(1) Patient rights as stated in chapter
				44:75:15;
(2) Specialized
				rehabilitative services needed by patients to improve and maintain functioning.
				Specialized rehabilitative services may include physical therapy, speech
				pathology and audiology, and occupational therapy; and the services shall be
				provided by the hospital or arranged for by written agreement with qualified
				personnel;
(3) Dental services for
				routine and emergency dental care;
(4) Social services as stated in §
									44:73:10:04;
(5) Patient activities as stated in §
									44:73:10:02;
(6) Discharge planning services to ensure
				that patients have a planned program of continuing care which meets
				post-discharge needs. The hospital shall have written policies for the
				discharge planning process and shall comply with §
									44:73:04:18; and
(7) Comprehensive assessment to assist with
				the development of a comprehensive care plan.
General Authority:
SDCL
					 34-12-13(12).
Law Implemented:
SDCL
					 34-12-13(12).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:12 - Long-term care supportive services › Section 44:75:12:01 - Supportive services

Current through Register Vol. 51, page 10, July 15, 2024
Each hospital accepting long-term care patients, and
				  hospital and critical access hospital with swing beds shall provide supportive
				  services that comply with §§
									44:75:12:02 to
				  44:75:12:04,
				  inclusive.
General Authority:
SDCL
					 34-12-13(13).
Law Implemented:
SDCL
					 34-12-13(13).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:12 - Long-term care supportive services › Section 44:75:12:02 - Activities program

Current through Register Vol. 51, page 10, July 15, 2024
Each hospital shall develop an individualized program
				  designed to meet the needs and interests of individual patients. The program
				  shall take into consideration restoring and maintaining optimal levels of
				  physical and psychosocial functioning of the patient.
General Authority:
SDCL
					 34-12-13(13).
Law Implemented:
SDCL
					 34-12-13(13).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:12 - Long-term care supportive services › Section 44:75:12:03 - Spiritual needs

Current through Register Vol. 51, page 10, July 15, 2024
The facility shall provide for the spiritual needs of the
				  patients. Patient requests to see a clergyman shall be honored. No specific
				  religious beliefs or practices may be imposed on any patient contrary to the
				  patient's choice.
General Authority:
SDCL
					 34-12-13(13).
Law Implemented:
SDCL
					 34-12-13(13).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:12 - Long-term care supportive services › Section 44:75:12:04 - Provision of social services

Current through Register Vol. 51, page 10, July 15, 2024
A facility shall provide or make arrangements to provide
				  social services for each patient as needed. A staff social worker or social
				  service designee who has a degree in a behavioral science field, two years of
				  previous supervised experience in a behavioral science field or is a licensed
				  nurse, shall be designated as responsible to facilitate the provision of social
				  services. If the staff member is not a licensed social worker, the facility
				  shall have a written agreement with a licensed social worker for consultation
				  and assistance to be provided on a regularly scheduled basis but at least
				  quarterly.
General Authority:
SDCL
					 34-12-13(13).
Law Implemented:
SDCL
					 34-12-13(13).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:01 - Application of chapter

Current through Register Vol. 51, page 10, July 15, 2024
The provisions of this chapter apply to any new facility and
				  to any renovation, addition, or change in space use of any currently licensed
				  existing facility. Accessible and usable accommodations shall be available to
				  the public, staff, and patients with disabilities.
Each facility shall comply with NFPA 101 Life Safety Code,
				  2012 edition. Each facility providing off-site services shall comply with
				  "Business Occupancy standards and other occupancies standards as applicable for
				  the use of the facility from" NFPA 101 Life Safety Code, 2012 edition, chapter
				  38.
General Authority:
SDCL
					 34-1-17(4)(5),
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
NFPA 101 Life Safety Code, 2012 edition, National Fire
					 Protection Association. Copies may be obtained at
https://www.nfpa.org/Codes-and-Standards/All-Codes-and-Standards/List-of-Codes-and-Standards
.
					 Cost: $150.50.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:02 - Medical records unit

Current through Register Vol. 51, page 10, July 15, 2024
The medical records unit shall include active and closed
				  record storage and a work area.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:03 - Storage rooms

Current through Register Vol. 51, page 10, July 15, 2024
There shall be at least 20 square feet (1.858 square meters)
				  of central storage provided for each bed. General storage shall be concentrated
				  in one area in the facility, but up to 50 percent of the general storage space
				  may be provided on the premises. Each patient shall be provided with an
				  individual closet, locker, or wardrobe that is located within or directly
				  connected to the patient room.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:04 - Swing bed patient dining and recreation area

Current through Register Vol. 51, page 10, July 15, 2024
The total areas set aside for patient dining, recreation, and
				  other central use areas may not be less than 45 square feet (4.18 square
				  meters) for each bed. The patient dining space shall be at least 25 square feet
				  (2.32 square meters) for each bed. Storage shall be provided for recreational
				  equipment and supplies.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:05 - Outside area

Current through Register Vol. 51, page 10, July 15, 2024
Each secure unit shall have for the patient access to an
				  outdoor area that is enclosed by a fence. The fence shall extend to a minimum
				  of six feet above grade level and be designed to be safe for patient contact.
				  Hard surface walking paths shall be provided in the outside area. Space shall
				  be provided for lounging. If the access to the outside area is through a
				  required building exit a gate shall be provided to exit the outside area to
				  allow emergency egress and allow access for maintenance.
General Authority:
SDCL
					 34-12-13(3) and
					 (14).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:06 - Patient rooms

Current through Register Vol. 51, page 10, July 15, 2024
A patient room shall have:
(1) A maximum room capacity not exceeding two
				patients;
(2) A minimum area,
				exclusive of toilet rooms, closets, lockers, wardrobes, or vestibules, of one
				hundred twenty square feet or 10.8 square meters in each one-bed room and two
				hundred square feet or 18.58 square meters in each two-bed room. The minimum
				dimension in patient rooms may not be less than nine feet six inches or 2.90
				meters;
(3) For each bed in a
				two-bed room cubicle curtains or equivalent built-in devices for full visual
				privacy that allow access to the toilet room and corridor without entering the
				roommate's space;
(4) windowsill
				not higher than three feet or 0.91 meters above the floor. The floor shall be
				above grade;
(5) A call button at
				each bed for personnel calling stations;
(6) A toilet room and lavatory. Each patient
				toilet room shall be directly accessible for each patient without going through
				the general corridor. In a remodeling project, a one toilet room with hand sink
				in a patient room may serve two patient rooms, but not more than four beds. For
				new construction, a toilet room may not be shared between patient rooms. Each
				patient toilet room shall include a water closet, hand sink, mirror, and
				private individual storage. In two-bed rooms a separate hand sink shall be
				provided in the patient room. All new construction of toilet rooms used by
				patients shall be wheelchair accessible;
(7) A locker, wardrobe, or closet for each
				patient; and
(8) Each patient room
				door located not more than one hundred fifty feet or 45.72 meters from the
				nurse's station.
The department may approve a modification of the
				  requirements listed in subdivisions (1) to (8), inclusive, of this section for
				  any special care room upon receipt of a written request.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:08 - Social services office

Current through Register Vol. 51, page 10, July 15, 2024
In hospitals, a social services office which is in
				  accordance with §
									44:75:02:18 shall be
				  provided.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:09 - Dietary department

Current through Register Vol. 51, page 10, July 15, 2024
Construction, equipment, and installation of the dietary
				  department shall comply with §§
									44:02:07:01,
				  44:02:07:02, and 44:02:07:04 to
				  44:02:07:95, inclusive. The installation of food service equipment must comply
				  with §
									44:75:13:11 unless the facility
				  uses a commercial service. If a commercial service is used, dietary areas and
				  equipment shall meet the requirements for sanitary storage, processing, and
				  handling.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
Food Service Code, chapter
					 44:02:07.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:11 - Laundry

Current through Register Vol. 51, page 10, July 15, 2024
The laundry shall include the following:
(1) Soiled linen holding room with a storage
				capacity of one and three quarters square feet (0.1626 square meters) of floor
				area for each bed, to be used for storage, sorting, and weighing of soiled
				linen;
(2) Linen cart
				storage;
(3) Janitor's closet with
				storage for housekeeping supplies and equipment and a floor receptor or service
				sink convenient to the laundry;
(4)
				Storage for laundry supplies;
(5)
				Lavatories conveniently accessible to soiled, clean, and processing rooms;
				and
(6) Laundry processing room
				with separate soiled and clean work areas with commercial equipment. Each
				clothes dryer shall have a galvanized metal vent pipe for exhaust:
				and
(7) A clinical sink with an
				exposed water trap seal, siphon jet or blow action, and a sprayer device.
The space and equipment layout shall be sized and designed to
				  produce quality linen with a work flow that minimizes potential for
				  cross-contamination of clean linen by soiled linen, contaminated equipment,
				  contaminated air, or splash. The laundry department shall be capable of
				  processing ten pounds (4.54 kilograms) of soiled linen for each bed during a
				  normal work day. Any modification to the standard may be made if the services
				  are contracted to an outside organization. A modification shall be requested in
				  writing by the facility and approved by the department.
General Authority:
SDCL
					 34-12-13(1) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:12 - Personnel facilities

Current through Register Vol. 51, page 10, July 15, 2024
The locker room for personnel shall have lockers and a
				  separate toilet room with handwashing facility.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:13 - Engineering service and equipment areas

Current through Register Vol. 51, page 10, July 15, 2024
The requirements for engineering service and equipment areas
				  for each facility are as follows:
(1)
				A boiler room with two remote doors to the exit or exit access;
(2) An engineer's office which may be
				combined with a maintenance shop;
(3) Mechanical and electrical equipment
				rooms;
(4) A maintenance shop with
				at least one room;
(5) A storage
				room for building maintenance supplies;
(6) A refuse room for trash storage which is
				conveniently located near the service entrance or exterior trash receptacles;
				and
(7) A yard equipment storage
				room or exterior building.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:14 - Corridor restrictions

Current through Register Vol. 51, page 10, July 15, 2024
Drinking fountains, telephone booths, fire extinguisher
				  cabinets, and vending machines shall be located so that they do not project
				  into the required width of exit corridors. Handrails installed in corridors
				  shall return to the wall at the ends. Handrails if installed shall be installed
				  with the top 34 to 38 inches, inclusive, from the floor. Handrails shall be
				  installed with one and one half inch spacing between the wall and the
				  handrail.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:15 - Doors

Current through Register Vol. 51, page 10, July 15, 2024
Any door to a patient room toilet or bathroom shall be
				  equipped with hardware that permits access in any emergency. A pocket or
				  sliding door may not be installed except on a clothes closet or restroom in a
				  patient room. Any hardware on a restroom pocket or sliding door shall provide
				  for ease of operation for a patient with limited mobility. Any door opening
				  onto a corridor, except an elevator door, shall be hinged on the side. An
				  alcove or similar space which generally does not require doors are excluded
				  from this requirement. No door may swing into the corridor except a closet
				  door. Thresholds and expansion joint covers, if used, shall be flush with the
				  floor. Any cross-corridor door shall be provided with vision
				  panels.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:16 - X ray protection

Current through Register Vol. 51, page 10, July 15, 2024
Protection of X ray and gamma ray installations shall conform
				  to requirements in Medical X ray, Electron Beam, and Gamma ray Protection for
				  Energies up to 50 MeV--Equipment Design and Use, NCRP Report No. 102, 1989, and
				  in Structural Shielding Design Medical X-Ray Imaging Facilities, NCRP Report
				  No. No. 147, 2004.
General Authority:
SDCL
					 34-12-13(1)(14).
Law Implemented:
SDCL
					 34-12-13(1)(14).
Medical X ray, Electron Beam, and Gamma ray Protection for
					 Energies up to 50 MeV--Equipment Design and Use, NCRP Report No. 102, National
					 Council on Radiation Protection and Measurements, June 30, 1989. Copies may be
					 obtained at
https://ncrponline.org/shop/reports/report-no-102-medical-x-ray-electron-beam-and-gamma-rayprotection-for-energies-up-to-50-mev-equipment-design-performance-and-use-supersedes-ncrpreport-no-33-1989/
.
					 Cost: $50.
Structural Shielding Design Medical X-Ray Imaging
					 Facilities, NCRP Report No. 147, December 14, 2004. Copies may be obtained at
https://www.aapm.org/pubs/ncrp/detail.asp?docid=31
.
					 Cost: $110.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:17 - Ceiling heights

Current through Register Vol. 51, page 10, July 15, 2024
The ceilings of corridors, storage rooms, patient toilet
				  rooms, and other minor rooms may not be less than seven feet, eight inches
				  (2.34 meters). The ceilings of all other rooms may not be less than seven feet,
				  ten inches (2.39 meters).
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:18 - Insulation

Current through Register Vol. 51, page 10, July 15, 2024
Boiler rooms, food preparation centers, and laundries shall
				  be insulated and ventilated to prevent any floor surface above them from
				  exceeding a temperature of eighty-five degrees Fahrenheit or 29.4 degrees
				  centigrade. All combustible insulation within the building shall be covered
				  with a fire-resistive material giving fire protection equivalent to one half
				  inch or 0.01 meters gypsum board, unless tested and acceptable by International
				  Building Code, 2012 edition, section 2603.4 for use without a thermal barrier
				  as installed.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
International Building Code, 2012 edition. Copies may be
					 obtained from the International Code Council at
https://shop.iccsafe.org/
. Cost:
					 $81.75.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:19 - Floor surface finish

Current through Register Vol. 51, page 10, July 15, 2024
Floors shall be easily cleanable and shall have the wear
				  resistance appropriate for the location involved. Floors in kitchens and
				  related spaces shall be water-resistant. In all areas where floors are subject
				  to wetting, they shall have a nonslip finish. A walking surface that is not
				  flush with an adjacent surface shall be provided with a transition. A change in
				  level up to one eight inch may be vertical and without edge treatment. Changes
				  in level between one eight inch and one half inch are to be beveled with a
				  slope no greater than 1:2. A change in level may not exceed one half inch. Gaps
				  in the walking surface may not exceed 1/2 inch wide in the direction of
				  travel.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:20 - Wall and ceiling finish

Current through Register Vol. 51, page 10, July 15, 2024
Walls shall be washable, and in the immediate area of
				  plumbing fixtures the finish shall be protected from water damage. Wall bases
				  in dietary areas shall be free of spaces that can harbor insects. Wall bases in
				  any areas used for surgical and obstetrical procedures shall be integral with
				  either the wall or the floor surface material and shall be without voids that
				  can harbor harmful bacteria. All surgical, obstetrical, emergency, nursery,
				  X-ray film processing rooms, and dietary ceilings shall be washable or easily
				  cleanable. This requirement does not apply to any boiler room, mechanical and
				  building equipment room, shop, or similar space. A ceiling in any surgical,
				  central sterilization, isolation, and x-ray film processing room shall be a
				  gypsum board surface.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:21 - Elevators

Current through Register Vol. 51, page 10, July 15, 2024
All facilities where either patients' beds or a critical
				  service, such as operating, delivery, diagnostic, recreation, patient dining,
				  dietary, laundry, central storage, or therapy rooms, is located, other than the
				  first floor, shall have an electrical or electrohydraulic elevator. Each
				  elevator car and platform shall be constructed of noncombustible material,
				  except that material treated with fire retardant may be used if each exterior
				  surface of the car is covered with metal. A hospital-type elevator shall have
				  inside dimensions that will accommodate a patient's bed and attendants and
				  shall be at least five feet (1.52 meters) wide by seven feet six inches (2.29
				  meters) deep. The car door shall have a clear opening of not less than three
				  feet eight inches (1.12 meters). Each elevator shall have automatic two-way
				  leveling with accuracy within plus or minus one half inch (0.01 meters).
				  Elevators, except freight elevators, shall be equipped with a two-way special
				  service switch to permit each car to bypass all landing button calls and to be
				  dispatched directly to any floor.
General Authority:
SDCL
					 34-12-13(3) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:22 - Steam and hot water systems

Current through Register Vol. 51, page 10, July 15, 2024
Each facility shall have the capacity to supply the normal
				  requirements of all the facility's systems and equipment. Supply and return
				  mains and risers of space heating and process steam systems shall be valved to
				  isolate the various sections of each system. Each piece of equipment shall be
				  valved at the supply and return end. Boilers, smoke breeching, steam supply
				  piping, high pressure steam return piping, and hot water space heating supply
				  and return piping shall be insulated with insulation having a flame spread of
				  twenty-five or less and a smoke emission rating of fifty or less using NFPA
				  255, 2006 edition, Standard Method of Test for Surface Burning Characteristics
				  of Building Materials or equivalent test procedures.
General Authority:
SDCL
					 34-12-13(1)(3).
Law Implemented:
SDCL
					 34-12-13(1)(3).
NFPA 255, NFPA 255, 2006 edition, Standard Method of Test
					 for Surface Burning Characteristics of Building Materials. Copies may be
					 obtained at
https://www.nfpa.org/Codes-and-Standards/All-Codes-and-Standards/List-of-Codes-and-Standards
.
					 Cost: $60.50.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:24 - Filtration

Current through Register Vol. 51, page 10, July 15, 2024
A ventilation system using a recirculated central air system
				  shall be equipped with a minimum of two filter beds. Filter bed number one
				  shall be located upstream of the conditioning equipment and shall have a
				  minimum efficiency of thirty percent. Each supply air unit shall have a minimum
				  of thirty percent effective filters. Each central ventilation system shall have
				  a minimum of eighty percent effective filters. Each common use area shall have
				  eighty percent effective filters on an air supply system. Each air supply
				  system serving solely an administrative area shall have a minimum of thirty
				  percent effective filters. These filter efficiencies shall be warranted by the
				  manufacturer and shall be based on the ASHRAE 52.2, 2012 edition, American
				  Society of Heating, Refrigeration, and Air Conditioning Engineers dust spot
				  test method with atmospheric dust. Each filter frame shall be durable and
				  carefully dimensioned and shall provide an airtight fit with the enclosing duct
				  work. Each joint between filter segments and the enclosing duct work shall be
				  gasketed or sealed to provide a positive seal against air leakage. A manometer
				  shall be installed across each filter bed serving a central air
				  system.
General Authority:
SDCL
					 34-12-13(1)(3)(4).
Law Implemented:
SDCL
					 34-12-13(1)(3)(4).
ASHRAE 52.2, 2012 edition, American Society of Heating,
					 Refrigeration, and Air Conditioning Engineers. Copies may be obtained at no
					 cost at
https://ierga.com/hr/wp-content/uploads/sites/2/2017/10/ASHRAE-52.2-2012.pdf
.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:25 - Ducts

Current through Register Vol. 51, page 10, July 15, 2024
Ducts shall be constructed of iron, steel, aluminum, or other
				  approved metal or materials as defined in NFPA 101 Life Safety Code 2012
				  edition, section 32.3.6.2.1. Duct linings, coverings, vapor barriers, and the
				  adhesives used for applying them shall have a flame spread classification of
				  not more than twenty-five and a smoke developed rating of not more than fifty
				  using ASTM E84-12a, Standard Method of Test for Surface Burning Characteristics
				  of Building Materials, 2012 edition. A fire and smoke damper shall be provided
				  on each opening through each required two-hour or greater fire-resistive wall
				  or floor and on each opening through the walls of a vertical shaft, unless the
				  shaft has a fire and smoke damper at the floor level. Access for maintenance
				  shall be provided at all dampers. Duct systems serving hoods shall be
				  constructed of corrosion resistant material. Duct systems serving hoods in
				  which highly radioactive materials and strong oxidizing agents are used shall
				  be constructed of stainless steel for a minimum distance of ten feet or 3.05
				  meters from the hood and shall be equipped with washdown facilities. Each cold
				  air duct shall be insulated wherever necessary to maintain the efficiency of
				  the system or to minimize condensation problems.
General Authority:
SDCL
					 34-12-13(1)(3)(4).
Law Implemented:
SDCL
					 34-12-13(1)(3)(4).
NFPA 101 Life Safety Code, 2012 edition, National Fire
					 Protection Association. Copies may be obtained at
https://www.nfpa.org/Codes-and-Standards/All-Codes-and-Standards/List-of-Codes-and-Standards
.
					 Cost: $150.50.
ASTM E84-12a, Standard Method of Test for Surface Burning
					 Characteristics of Building Materials, 2012 edition. Copies may be obtained at
https://www.astm.org/e0084-12a.html
.
					 Cost: $98.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:26 - Food service ventilation

Current through Register Vol. 51, page 10, July 15, 2024
The air from dining areas may be used to ventilate the food
				  preparation areas only after it has been passed through a filter with 80
				  percent efficiency. Each exhaust hood in food preparation centers shall have a
				  minimum exhaust rate of 50 cubic feet a minute for each square foot (0.25 cubic
				  meters a second for each square meter) of hood face area. Each hood over
				  cooking ranges shall be equipped with fire extinguishing systems interconnected
				  to shut off the fuel source. A cleanout openings shall be provided every 20
				  feet (6.10 meters) in horizontal exhaust duct systems serving
				  hoods.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:27 - Plumbing fixtures

Current through Register Vol. 51, page 10, July 15, 2024
The material used for plumbing fixtures shall be of
				  nonabsorptive acid-resistant material. Each lavatory and sink required in
				  patient care areas shall have the water supply spout mounted so that the
				  discharge is a minimum of five inches (0.13 meters) above the rim of the
				  fixture. Handwashing facilities used by medical and care staff, patients, and
				  food handlers shall be equipped with hands-free controls. Single lever devices
				  may be used. Handles on scrub sinks and clinical sinks may not be less than six
				  inches (0.15 meters) long. Each clinical sink shall have an integral trap in
				  which the upper portion of a visible trap seal provides a water surface. If
				  blade handles are used, proper clearance shall be maintained for operation. An
				  aerator is not approved for use on faucet spouts. A paper towel dispenser or
				  hand-drying device shall be provided at each lavatory and sink used for
				  handwashing. A mirror or paper towel dispenser with reflective surface may not
				  be provided at each handwashing facility in the laboratory, nursery, clean
				  utility, central sterilizing, dietary, or other critical area where grooming
				  could potentially cause contamination.
Each water closet shall be an elongated bowl type and be
				  equipped with an open front seat.
Any shower shall that is not required to be wheelchair
				  transfer or standard roll-in type stall shall have curb heights not more than
				  six inches above the finished floor. The shower floor elevation and bathroom
				  finished floor elevation shall be level where possible but the difference in
				  elevation cannot exceed three inches.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:28 - Water supply systems

Current through Register Vol. 51, page 10, July 15, 2024
Each water supply system shall supply water to the fixtures
				  and equipment on the upper floors at a minimum pressure of fifteen pounds per
				  square inch or 1055.9 kilograms a square meter during maximum demand periods.
				  Each water service main, branch main, riser, and branch to a group of fixtures
				  shall be valved. Stop valves shall be provided at each fixture. Hot, cold, and
				  chilled water piping and waste piping on which condensation may occur shall be
				  insulated. Insulation of cold and chilled water lines shall include an exterior
				  vapor barrier.
General Authority:
SDCL
					 34-12-13(1)(4)(14).
Law Implemented:
SDCL
					 34-12-13(1)(4)(14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:29 - Vacuum breakers

Current through Register Vol. 51, page 10, July 15, 2024
An antisiphon device or backflow preventer shall be
				  installed on hose bibs and on any fixtures to which hoses or tubing can be
				  attached such as laboratory, janitor sink, bedpan flushing attachment, handheld
				  shower, and autopsy table. An antisiphon device or backflow preventer shall be
				  installed on all plumbing and equipment where any possibility exists for
				  contamination of the potable water supply.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:30 - Hot water systems

Current through Register Vol. 51, page 10, July 15, 2024
Hot water distribution systems over 50 feet (15.24 meters)
				  long shall recirculate to provide hot water at each fixture at all times. The
				  hot water heating equipment shall have sufficient capacity to supply water at a
				  minimum temperature of 140 degrees Fahrenheit (60 degrees centigrade) and
				  amounts indicated in the following:
(1) Three gallons an hour (0.0033 liters a
				second) for each bed;
(2) Two
				gallons an hour (0.0020 liters a second) for each bed for dietary use;
				and
(3) Two gallons an hour (0.0020
				liters a second) per bed for laundry.
Storage tanks provided shall be fabricated of noncorrosive
				  metal or lined with noncorrosive material.
General Authority:
SDCL
					 34-12-13(1), (4), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (4), and
					 (14).