reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICES PLANNING › Section 117.12 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Every hospital shall have established procedures whereby
						the ill or injured person can be assessed and either treated, referred to an
						appropriate facility or discharged, as indicated.
This section cited in 28 Pa. Code §
													141.25 (relating to emergency
						  dental services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICES PLANNING › Section 117.13 - Scope of services

Current through Register Vol. 54, No. 28, July 13, 2024
Three levels of care are acceptable, but the scope of
						services chosen shall be consistent with the scope of other services provided
						by the hospital.
(1) Hospitals that
					 offer a broad range of services shall provide effective care for any type of
					 patient requiring emergency services.
(2) Hospitals which offer a partial range of
					 services and which are therefore capable of operating only a limited emergency
					 service shall arrange for the transfer or referral of patients for whom they
					 cannot render proper care to other institutions.
(3) Hospitals offering the most limited range
					 of services may elect to refer all emergency patients after institution of
					 essential life-saving measures.
This section cited in 28 Pa. Code §
													117.51 (relating to scope); 28 Pa.
						  Code §
													117.58 (relating to exemption for
						  hospitals providing limited emergency services); and 28 Pa. Code §
													141.25 (relating to emergency
						  dental services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICES PLANNING › Section 117.14 - Required minimal services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 During the rendering of emergency care, no patient may be transferred if the
					 hospital where he was initially seen has means for appropriate care of his
					 emergency medical problem, unless the patient or his family requests a
					 transfer.
(b) Examination or
					 treatment, or both by nonphysician members of the medical staff shall be
					 provided in accordance with medical staff bylaws.
(c) When emergency services are provided, the
					 hospital and medical staff are responsible for insuring that emergency patient
					 care meets the general standards of care which prevail in other areas of the
					 hospital. Services shall be available 24 hours a day, and medical staff
					 coverage shall be adequate to ensure that an applicant for treatment will be
					 seen within a period of time which is reasonable in light of the severity of
					 his illness or injury.
(d) No
					 patient may be transferred until the receiving institution has consented to
					 accept him.
(e) The individual
					 arranging for the transfer of a patient shall record on a form to accompany the
					 patient all pertinent medical and social information. This information shall
					 include copies of reports from diagnostic procedures performed, if
					 available.
(f) Every patient
					 seeking medical care from the emergency service who is not in need of emergency
					 services or for whom services cannot be provided by the hospital from which he
					 has sought treatment shall be given information on how to obtain appropriate
					 medical care.
The provisions of this § 117.14 issued under
						  67 Pa.C.S. §§
														6101-6104 (Repealed); and Reorganization Plan
						  No. 2 of 1973 (71 P. S. §
														755-2)
						  (Renumbered).
This section cited in 28 Pa. Code §
													141.25 (relating to emergency
						  dental services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICES PLANNING › Section 117.15 - Community-based plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Every hospital,
					 its governing board, its chief administrative officer and its medical staff
					 shall promote and assist other local agencies to develop a written
					 community-based emergency plan.
(b)
					 The plan must:
(1) Be developed with community
					 participation and be coordinated with the local emergency health services
					 council, where one exists.
(2)
					 Indicate where cooperative arrangements, if any, have been made with other
					 local hospitals to coordinate emergency services, especially when the hospital
					 offers a very limited range of emergency services.
(3) Indicate what arrangements with other
					 local hospitals, agencies or municipal services have been made for
					 transportation in receiving and referring emergency cases and for communication
					 among relevant institutions and services.
(4) State specifically what services are
					 available and what administrative procedures shall be followed for prompt,
					 medically appropriate treatment of patients whose emergency conditions:
(i) Are psychiatrically related.
(ii) Involve the use of drugs or
					 alcohol.
(iii) Arise from an
					 alleged criminal act, including specific procedures in the case of an alleged
					 sexual assault.
(iv) Arise from a
					 motor vehicle accident.
(v) Involve
					 radioactive contamination.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.21 - Staffing and organization

Current through Register Vol. 54, No. 28, July 13, 2024
Where there is an emergency service, regardless of its
						scope, it shall be well organized, properly directed and integrated with other
						departments of the hospital. Staffing shall be related to the scope and nature
						of the needs anticipated and the services offered.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.22 - Organizational plan

Current through Register Vol. 54, No. 28, July 13, 2024
An organizational plan shall be developed which
						identifies the emergency service, its place in the overall hospital
						organizational plan and its current relationship to other community emergency
						services including municipal services such as fire and police and other
						services such as the American Red Cross.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.23 - Departmental structure

Current through Register Vol. 54, No. 28, July 13, 2024
When warranted by its activities and its degree of
						complexity, the emergency service should be organized as a
						department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.24 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
The governing body shall adopt a written statement
						defining the qualifications, duties and authority of the director of emergency
						services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.25 - Emergency medical services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Emergency medical services shall be directed and supervised by a physician with
					 training and experience in emergency care, including cardiopulmonary
					 resuscitation. The physician director is responsible for implementing emergency
					 services policies and for overall coordination of emergency medical services
					 provided.
(b) In the absence of a
					 single physician, direction of emergency medical services may be provided
					 through a multi-disciplinary medical staff committee. The chairman of this
					 committee shall serve as director of emergency medical services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.26 - Physician on-call schedule for basic and general emergency service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A roster of
					 on-call physicians including name and telephone number shall be posted in the
					 emergency service area.
(b)
					 Acceptable methods of providing medical coverage for the emergency service
					 include the following:
(1) Use of house staff
					 under adequate medical staff supervision.
(2) Rotating panels of staff
					 physicians.
(3) Contractors whose
					 members may or may not be members of the medical staff.
(4) Physician hospital
					 employes.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.27 - Specialists and consultants

Current through Register Vol. 54, No. 28, July 13, 2024
Additional members of the medical staff shall be on call
						for consultation and for unusual contingencies. Services of specialists should
						be prearranged.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.28 - Emergency nursing services

Current through Register Vol. 54, No. 28, July 13, 2024
The emergency nursing service shall be directed and
						supervised by a professional registered nurse qualified by training and
						experience in emergency nursing care, including cardiopulmonary resuscitation.
						There shall be at least one registered professional nurse with the skills on
						each tour of duty.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › ORGANIZATIONS › Section 117.29 - Training and education

Current through Register Vol. 54, No. 28, July 13, 2024
Physicians, nurses and specified professional personnel
						who provide emergency services shall have cardiopulmonary resuscitation
						training. The hospital shall provide emergency care conferences as part of its
						education program. Ambulance personnel, emergency service personnel and medical
						staff who are hospital employes shall be encouraged to participate in the
						conferences.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICE FACILITIES › Section 117.32 - Location

Current through Register Vol. 54, No. 28, July 13, 2024
The emergency service area shall be located near an
						outside entrance to the hospital and shall be easily accessible from within the
						hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › EMERGENCY SERVICE FACILITIES › Section 117.33 - Instruments and supplies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Instruments
					 and supplies used in the emergency service shall be of the same quality as
					 those used throughout the hospital.
(b) Suction and oxygen equipment and
					 cardiopulmonary resuscitation units shall be available and ready for
					 use.
(c) Standard drugs, parenteral
					 fluids, plasma substitutes and surgical supplies shall be on hand for immediate
					 use in treating life-threatening conditions.
(d) Resuscitation equipment shall be
					 available in sizes suitable for adults, children and infants. As used in this
					 section, "resuscitation equipment" shall include equipment used for tracheal
					 intubation, tracheotomy, ventilating bronchoscopy, intrapleural decompression
					 and intravenous fluid administration.
(e) Equipment which is mechanical or
					 electrical, or both, shall be checked periodically to ensure its operational
					 safety and effectiveness. Records of the checks shall be maintained until the
					 next inspection of the equipment by the appropriate regulatory
					 agency.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › POLICIES AND PROCEDURES › Section 117.42 - Control register

Current through Register Vol. 54, No. 28, July 13, 2024
The emergency service shall maintain a control register
						for reference. The register shall contain, at a minimum the name, date and time
						of arrival of each patient. The name of those dead on arrival shall be entered
						in the register. The control register shall indicate whether the patient has
						ever been a patient at the hospital, in order to facilitate coordination of
						patient medical records. Unless and until a permanent record number can be
						assigned to the records of a new patient, the control register shall contain,
						for each patient, a record number which shall also appear on all records
						pertinent to the care rendered that patient by the emergency services. These
						records shall be retained for at least 3 years.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › POLICIES AND PROCEDURES › Section 117.43 - Medical records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A medical
					 record shall be kept for every patient receiving emergency service, and it
					 shall become an official hospital record.
(b) The medical record shall include:
(1) Patient identification data.
(2) Time of arrival.
(3) By whom transported.
(4) Pertinent history of injury or
					 illness.
(5) Clinical, laboratory
					 and roentgenologic findings.
(6)
					 Diagnosis.
(7) Treatment
					 given.
(8) Condition at time of
					 discharge.
(9) Final disposition,
					 including instructions given for necessary follow-up.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.51 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
Except as otherwise provided by §§
											117.57 and
						117.58 (relating to religious and
						moral exemptions; and exemption for hospitals providing limited emergency
						services), a hospital shall provide sexual assault emergency services to a
						sexual assault victim in accordance with this section and §§
											117.52-117.58 (relating to sexual assault
						victim emergency services).
(1) A
					 hospital that does not provide emergency contraception under the exemption in
					 §
											117.57 shall comply with the
					 notification and transport provisions of that section.
(2) A hospital that provides the most limited
					 range of services and elects to refer all emergency patients after institution
					 of essential life-saving measures in accordance with §
											117.13(3)
					 (relating to scope of services), and elects not to provide any sexual assault
					 emergency services under §
											117.58, shall comply with the
					 notification and transfer provisions of that section.
The provisions of this §
													117.51 adopted under sections 102,
						  201(12), 801.1 and 803(2) of the Health Care Facilities Act (35 P. S.
						  §§
														448.102,
						  448.201(12), 448.801a and
						  448.803(2)); and under section 2102(a) and (g) of The Administrative Code of
						  1929 (71 P. S. §
														532(a) and
						  (g)).
This section cited in 28 Pa. Code §
													117.58 (relating to exemption for
						  hospitals providing limited emergency
						  services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.52 - Minimum requirements for sexual assault emergency services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Promptly upon a
					 sexual assault victim presenting to a hospital that provides sexual assault
					 emergency services, or as immediately thereafter as medically appropriate
					 depending on the condition of the victim, the hospital shall, at a minimum and
					 in addition to any other services required by the condition of the victim,
					 provide, with the consent of the victim, the following:
(1) Medical examinations and laboratory or
					 diagnostic tests required to ensure the health, safety and welfare of the
					 victim, or which may be used as evidence in a criminal proceeding against a
					 person accused of the sexual assault, or both. A hospital shall utilize a rape
					 kit that complies with the minimum standard requirements developed by the
					 Department or that is otherwise approved by the Department under the Sexual
					 Assault Testing and Evidence Collection Act (35 P. S. §§
													10172.1-10172.4). The Department will publish
					 a notice of minimum standard requirements for rape kits or approved rape kits
					 in the
Pennsylvania Bulletin
.
(2) Oral and written information concerning
					 the possibility of a sexually transmitted disease and pregnancy resulting from
					 the sexual assault.
(3) Oral and
					 written information concerning accepted medical procedures, medication and
					 possible contraindications of the medication available for the prevention or
					 treatment of infection or disease resulting from the sexual assault.
(4) Medication as deemed appropriate by the
					 attending physician, including HIV and sexually transmitted disease
					 prophylaxis.
(5) Tests and
					 examinations as medically indicated to determine the presence or absence of a
					 sexually transmitted disease.
(6)
					 Oral and written instructions advising of the need for additional blood tests
					 at time periods after the sexual assault as medically indicated to determine
					 the presence or absence of a sexually transmitted disease.
(7) Information on the availability of a rape
					 crisis center or sexual assault counselor and the telephone number of a local
					 rape crisis center or sexual assault counselor. The hospital shall promptly
					 contact the local rape crisis center or sexual assault counselor at the request
					 of the victim.
(8) The opportunity
					 for the victim to consult with the rape crisis center or sexual assault
					 counselor in person and in private while at the hospital.
(9) Emergency contraception under §
												117.53 (relating to emergency
					 contraception) for a female sexual assault victim.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.53 - Emergency contraception

Current through Register Vol. 54, No. 28, July 13, 2024
A hospital shall provide the following services to a
						female sexual assault victim in addition to the minimum requirements set forth
						in §
											117.52 (relating to minimum
						requirements for sexual assault emergency services):
(1) Provide the victim with written
					 informational materials regarding emergency contraception prepared under §
											117.55 (relating to emergency
					 contraception informational materials).
(2) Objectively and orally inform the victim
					 of the availability of emergency contraception, its use, risks and
					 efficacy.
(3) Offer emergency
					 contraception to the victim and provide emergency contraception onsite upon the
					 victim's request, unless medically contraindicated or unless the hospital
					 claims an exemption in accordance with §
											117.57 (relating to religious and
					 moral exemptions).
The provisions of this §
													117.53 amended under sections 102,
						  201(12), 801.1 and 803(2) of the Health Care Facilities Act (35 P. S.
						  §§
														448.102,
						  448.201(12), 448.801a and
						  448.803(2)); and under section 2102(a) and (g) of The Administrative Code of
						  1929 (71 P. S. §
														532(a) and
						  (g)).
This section cited in 28 Pa. Code §
													117.51 (relating to scope); 28 Pa.
						  Code §
													117.52 (relating to minimum
						  requirements for sexual assault emergency services) 28 Pa. Code §
													117.57 (relating to religious and
						  moral exemptions); and 28 Pa. Code §
													117.58 (relating to hospitals
						  providing limited emergency
						  services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.54 - Prevention of sexually transmitted diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A hospital shall provide a sexual assault
					 victim with an assessment of the victim's risk for contracting a sexually
					 transmitted disease, hepatitis and HIV.
(b) The hospital shall base the risk
					 assessment upon the following considerations:
(1) Available information regarding the
					 assault as well as the subsequent findings from medical examinations and tests
					 that may be conducted.
(2)
					 Established standards of risk assessment, including consideration of
					 recommendations made by the United States Department of Health and Human
					 Services Centers for Disease Control and Prevention.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.55 - Emergency contraception informational materials

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A hospital that provides sexual assault
					 emergency services shall ensure that each member of the hospital personnel that
					 provides the services is furnished with written informational materials about
					 emergency contraception developed by the Department under this
					 section.
(b) The Department will
					 prepare the written emergency contraception informational materials and make
					 them available to hospitals in electronic format.
The provisions of this §
													117.55 amended under sections 102,
						  201(12), 801.1 and 803(2) of the Health Care Facilities Act (35 P. S.
						  §§
														448.102,
						  448.201(12), 448.801a and
						  448.803(2)); and under section 2102(a) and (g) of The Administrative Code of
						  1929 (71 P. S. §
														532(a) and
						  (g)).
This section cited in 28 Pa. Code §
													117.51 (relating to scope); and 28
						  Pa. Code §
													117.58 (relating to exemption for
						  hospitals providing limited emergency
						  services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.56 - Information regarding payment for sexual assault emergency services

Current through Register Vol. 54, No. 28, July 13, 2024
A hospital shall inform a sexual assault victim receiving
						sexual assault emergency services at the hospital of the availability of known
						financial resources for services provided to the victim due to the sexual
						assault, including payments by the victim's medical insurer, if applicable, the
						Victim's Compensation Assistance Program administered by the Pennsylvania
						Commission on Crime and Delinquency, government programs, public assistance
						programs and programs administered by the hospital. The hospital shall provide
						the victim any information required to secure the services, including copies of
						itemized bills and medical records.
The provisions of this §
													117.56 amended under sections 102,
						  201(12), 801.1 and 803(2) of the Health Care Facilities Act (35 P. S.
						  §§
														448.102,
						  448.201(12), 448.801a and
						  448.803(2)); and under section 2102(a) and (g) of The Administrative Code of
						  1929 (71 P. S. §
														532(a) and
						  (g)).
This section cited in 28 Pa. Code §
													117.51 (relating to scope); and 28
						  Pa. Code §
													117.58 (relating to exemption for
						  hospitals providing limited emergency
						  services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.57 - Religious and moral exemptions

Current through Register Vol. 54, No. 28, July 13, 2024
In accordance with section 902(a) of the act
						(35
						P. S. §
												448.902(a)), a
						hospital is not required to comply with §
											117.53(3) 
						(relating to emergency contraception) if compliance would be contrary to the
						stated religious or moral beliefs of the hospital. If the hospital does not
						provide emergency contraception under this religious and moral exemption, the
						hospital shall do the following:
(1)
					 Notify the Department within 30 days of the hospital's decision not to provide
					 emergency contraception.
(i) The hospital
					 shall address and send the written notice to the Division of Acute and
					 Ambulatory Care.
(ii) The
					 Department will annually publish a list of hospitals in the
Pennsylvania Bulletin
that have chosen not to provide
					 emergency contraception under this section.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 117 - EMERGENCY SERVICES › SEXUAL ASSAULT VICTIM EMERGENCY SERVICES › Section 117.58 - Exemption for hospitals providing limited emergency services

Current through Register Vol. 54, No. 28, July 13, 2024
A hospital offering the most limited range of services
						and that elects to refer all emergency patients after institution of essential
						life-saving measures under §
											117.13(3)
						(relating to scope of services) may elect not to provide any sexual assault
						emergency services. If a hospital otherwise governed by this subpart elects not
						to provide any sexual assault emergency services under this section, the
						hospital shall:
(1) Notify the
					 Department within 30 days of the hospital's decision not to provide any sexual
					 assault emergency services.
(i) The hospital
					 shall address and send the written notice to the Division of Acute and
					 Ambulatory Care.
(ii) The
					 Department will annually publish a list of hospitals in the
Pennsylvania Bulletin
that have chosen not to provide any
					 sexual assault emergency services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › GENERAL PROVISIONS › Section 119.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When outpatient
						services are provided by the hospital, those services shall be rendered in an
						effective and timely manner.
(b)
						When outpatient services are provided indirectly, through contract between the
						hospital and other organizations or individuals or through alternative,
						innovative organizational approaches, these services should meet the principles
						and standards in this chapter.
(c)
						When outpatient services are provided indirectly, as in subsection (b), the
						name of the organization and individuals responsible for the operation of the
						outpatient services shall be posted conspicuously to so inform
						patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › GENERAL PROVISIONS › Section 119.2 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
An organizational structure and written program
						  designed for effectively implementing the objectives of the hospital outpatient
						  services shall be developed.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › GENERAL PROVISIONS › Section 119.3 - Relationship to other departments

Current through Register Vol. 54, No. 28, July 13, 2024
The relationship of the outpatient services to other
						  divisions within the hospital, as well as channels of responsibility and
						  authority and supervisory relationships within the services, shall be
						  documented and made available to all personnel involved in the delivery of
						  outpatient services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › GENERAL PROVISIONS › Section 119.4 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
The director of any outpatient service shall be
						  qualified according to criteria, authority, and duties defined in a written
						  statement adopted by the hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › GENERAL PROVISIONS › Section 119.5 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The outpatient
						services shall be staffed with sufficient personnel to meet the needs of the
						patients.
(b) The responsibility
						for the delivery of outpatient health care services by the professional staff
						shall be clearly defined and documented. The levels of professional
						responsibility assigned to practitioners having clinical privileges in any
						outpatient service shall be defined by the medical staff of the
						hospital.
(c) House staff assigned
						to the outpatient services shall be responsible to the medical director of the
						service or to a member of the medical staff of the hospital.
(d) The responsibilities and organization of
						nursing services shall be clearly defined and shall be in accordance with the
						provisions of Chapter 109 of this title (relating to nursing services) modified
						as required.
(e) Other necessary
						personnel shall be provided, and their responsibilities clearly defined. Where
						there are language barriers between patients using the outpatient services and
						the personnel providing those services, it is desirable to provide interpreters
						or make other arrangements to facilitate effective communication between the
						patients and the hospital staff.
(f) Ongoing education programs specifically
						related to outpatient care shall be provided, and participation by persons
						providing outpatient care shall be encouraged. The program can be either
						hospital-based or outside the hospital.
The provisions of this § 119.5 issued under
							 67 Pa.C.S. §§
															6101-6104; and Reorganization Plan No. 2 of
							 1973 (71 P. S. §
															755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › OUTPATIENT FACILITIES › Section 119.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Facilities for the outpatient services shall be
						  appropriate to provide effective care of the patients and shall meet
						  requirements applicable to the physical facilities of the hospital
						  itself.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › OUTPATIENT FACILITIES › Section 119.12 - Location

Current through Register Vol. 54, No. 28, July 13, 2024
The physical facilities of the outpatient service shall
						  be clean, accessible to patients, safe, and functional. They should be
						  organized in a manner that will enhance the efficiency and flexibility of the
						  services provided. To the extent possible, waiting areas should be
						  decentralized so that a patient may be received in an area which is close to a
						  specified diagnostic or treatment room to which he is
						  assigned.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › OUTPATIENT FACILITIES › Section 119.13 - Facilities for patient care

Current through Register Vol. 54, No. 28, July 13, 2024
Outpatient service facilities in which patient medical
						  care is delivered shall be designed to ensure the privacy of each patient and
						  the confidentiality of his disclosures. Consultation and examination rooms or
						  cubicles appropriate to the size of the service shall be available for the use
						  of the staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › POLICIES AND PROCEDURES › Section 119.21 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Policies and procedures shall be developed to guide
						  personnel in the effective implementation of the objectives of the outpatient
						  services. These policies and procedures shall be approved by the medical staff
						  in cooperation with the nursing staff, related hospital departments and
						  services, and the chief executive officer. They shall be reviewed periodically
						  by the chief executive officer or his designee, revised as necessary, and dated
						  to indicate the time of last review.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › POLICIES AND PROCEDURES › Section 119.22 - Referral

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Written
						policies and procedures shall define both the circumstances under which
						definitive care should not be provided and the procedures to be followed in
						referring the patient to another institution or community agency to ensure
						delivery of care not available from the out-patient services. Special
						procedures shall be established to adequately inform patients of other sources
						of services and any steps that must be taken to arrange for such
						services.
(b) No hospital shall be
						required to make any referral which is contrary to its stated ethical policy
						promulgated in accordance with 16 Pa. Code §
												51.31 (relating to adoption and
						substance of stated ethical policy).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › POLICIES AND PROCEDURES › Section 119.23 - Patient information

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Patients treated in the outpatient service shall be afforded the same rights
						granted to patients otherwise treated by the hospital.
(b) Outpatient information shall include at
						least the following:
(1) The patient shall be
						informed of the identity of the physician primarily responsible for his
						care.
(2) If trainees participate
						in patient care, reflecting the concept of team care, the patient shall be so
						informed, and his consent shall be obtained, unless an emergency precludes such
						consent, which emergency shall be documented by the treating
						physician.
(3) To the extent
						possible, the patient shall be informed by a physician as to the general nature
						of his medical problem, the general prognosis, and the nature and purpose of
						the treatment and procedures which are contemplated.
(4) Appropriate instructions in self-care
						shall be given to the patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › POLICIES AND PROCEDURES › Section 119.24 - Patient medical records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An accurate
						medical record shall be maintained for every patient receiving medical
						treatment provided by the outpatient service. It shall be made part of the
						medical record of the patient otherwise required and shall be maintained in
						accordance with §§
												115.31-115.34 (relating to policies and
						procedures for patient medical records). A system of identification and filing
						which will ensure rapid retrieval of medical records shall be
						maintained.
(b) Whenever a patient
						is referred or transferred from the outpatient service to another physician or
						health care facility or is admitted to the hospital, all information necessary
						for his ongoing treatment shall be sent promptly to the receiving physician or
						facility. The transfer of information should be authorized by the patient or,
						in an emergency situation or if the patient is a minor, by his relative or
						other responsible person.
(c) When
						a patient has been referred from another agency or facility, the outpatient
						service shall, after obtaining authorization of the patient, seek to obtain the
						records and information as are necessary to assure continuity of care for that
						patient. The transfer of information should be authorized by the patient or, in
						an emergency situation, or if the patient is a minor, by his relative or other
						responsible person.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › POLICIES AND PROCEDURES › Section 119.25 - Patient drugs

Current through Register Vol. 54, No. 28, July 13, 2024
Drugs for outpatients should be prescribed and
						  dispensed in accordance with the act of November 24, 1976 (P. L. 1163, No. 259)
						  (35
						  P. S. §§
													960.1-960.7) (relating to
						  generic drug substitution).
The provisions of this § 119.25 issued under
							 67 Pa.C.S. §§
															6101-6104; and Reorganization Plan No. 2 of
							 1973 (71 P. S. §
															755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › QUALITY REVIEW › Section 119.31 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be a program of systematic professional and
						  administrative review and evaluation of outpatient service effectiveness in
						  relation to its stated objectives. This program shall be a part of the regular
						  medical care evaluation program.
This section cited in 28 Pa. Code §
														119.33 (relating to patient
							 input).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › QUALITY REVIEW › Section 119.32 - Responsibility

Current through Register Vol. 54, No. 28, July 13, 2024
The review of outpatient services should be performed
						  by a multidisciplinary committee either already in existence or created
						  specifically for this purpose.
This section cited in 28 Pa. Code §
														119.33 (relating to patient
							 input).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › QUALITY REVIEW › Section 119.33 - Patient input

Current through Register Vol. 54, No. 28, July 13, 2024
In performing the evaluation described in §§
												119.31 and
						  119.32 (relating to quality
						  review), the committee should seek specific information from patients, their
						  representatives, and their families. This information shall be documented in
						  such a manner as to provide effective evaluation as well as to assure the
						  confidentiality of each patient's medical history.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter A - OUTPATIENT SERVICES › QUALITY REVIEW › Section 119.34 - Data

Current through Register Vol. 54, No. 28, July 13, 2024
The outpatient service shall collect, retrieve, and
						  summarize data needed by the hospital for an effective evaluation of the
						  services it delivers and for planning to meet the needs of patients. The type
						  and amount of basic medical statistical information maintained depends upon
						  local circumstances, but it should include at least the following:
(1) Number of visits.
(2) Number of patients seen.
(3) Clinical diagnoses.
(4) Types and numbers of operative procedures
						performed on an outpatient basis, if applicable.
(5) Age distribution of patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter B - SHORT-TERM PROCEDURE UNITS › Section 119.41 - Short-term procedure units

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 hospital maintains a short-term procedure unit for treating patients requiring
					 surgery on an outpatient basis, the unit shall be established and administered
					 according to procedures developed by the medical staff and adopted by the
					 governing body. Provision shall be made for back-up services by other
					 departments in the case of emergencies or complications.
(b) Procedures and policies shall specify:
(1) The types of emergency and elective
					 operative procedures which may be performed in the short term procedure
					 unit.
(2) Types of anesthesia which
					 may be used.
(3) Requirements for
					 preoperative evaluations which shall meet the same standards as apply to
					 inpatient surgery.
(4) Requirements
					 for a physician conference with patients on operative procedures and
					 anesthetics, including reference to potential risks.
(5) Written preoperative instructions for
					 patients covering:
(i) Applicable restrictions
					 upon food and drink before surgery.
(ii) Any special preparations to be made by
					 the patient.
(iii) The required
					 proximity of the patient to hospital for a specific time following surgery if
					 applicable.
(iv) An understanding
					 that the patient may require admission to the hospital in the event of medical
					 need.
(v) The requirement that,
					 upon discharge of a patient, a medical decision shall be made as to whether the
					 patient must have a responsible person available to escort him to his
					 home.
(6) Requirements
					 for postoperative evaluations which shall meet the same standards as apply to
					 inpatient surgery; any outpatient who has received anesthesia shall be examined
					 by a qualified practitioner prior to discharge.
(7) What written instructions for follow-up
					 care shall be given to the patient.
(8) What advice is to be given to all
					 patients regarding contacting the appropriate physician for help in the event
					 of postoperative complications.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter B - SHORT-TERM PROCEDURE UNITS › Section 119.42 - Facilities for reception and processing of short-stay surgery patients

Current through Register Vol. 54, No. 28, July 13, 2024
If short-stay surgery patients are received and processed
						in the short-term procedure unit, the following shall be provided:
(1) A receiving area designed and equipped
					 for the preoperative preparation, holding, and observation of patients,
					 including the administration of preoperative tests and medication.
(2) Adequate space for reception and
					 registration, necessary filing of records, storage of equipment and supplies,
					 dressing rooms, and lockers for storing patients' belongings while care is
					 being rendered.
(3) Examining rooms
					 designed and equipped according to patients' needs.
(4) Readily available patient conveyances
					 such as wheelchairs and stretcher carts.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter B - SHORT-TERM PROCEDURE UNITS › Section 119.43 - Basic facilities for outpatient surgery

Current through Register Vol. 54, No. 28, July 13, 2024
If outpatient surgery is performed in the short-term
						procedure unit, basic facilities shall include all of the following:
(1) An appropriately equipped and staffed
					 operating room and postoperative recovery area.
(2) Appropriate means of control against the
					 hazards of infection, electrical or mechanical failure, fire or
					 explosion.
(3) Facilities for
					 sterilizing of equipment and supplies and for maintaining sterile
					 technique.
(4) Appropriate
					 equipment and instrumentation for anesthesia, emergency cardiopulmonary
					 resuscitation and other physiologic support.
(5) Readily available oxygen supply, with
					 emergency tanks.
(6) Readily
					 available suction equipment.
(7) An
					 air-handling system which conforms to the standards in §
											147.43 (relating to ventilation
					 system).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 119 - OUTPATIENT SERVICES AND SHORT-TERM PROCEDURE UNITS › Subchapter B - SHORT-TERM PROCEDURE UNITS › Section 119.44 - Location

Current through Register Vol. 54, No. 28, July 13, 2024
The operating room should be so located that it does not
						directly connect with a corridor used for general through traffic. Entry and
						exit shall be controlled with respect to authorization of personnel, patients,
						and materials handling. The location of the short-term procedure operating room
						shall be convenient to hospital service departments and laboratories, or the
						surgical facility may have its own core clinical laboratory or radiology
						service.