reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1208 - Central Supply

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				department head shall be qualified for the position by education, training and
				experience as determined by the hospital policies and procedures.
				(II)
B. The number of supervisory
				and other personnel shall be related to the scope of the services provided.
				(II)
C. There shall be written
				policies and procedures for the decontamination and sterilization activities
				performed in central supply and elsewhere in the hospital. These policies and
				procedures shall relate, but are not limited to the following:
1. The use of sterilization process monitors,
				including temperature and pressure recordings, and the use and frequency of
				appropriate chemical indicator and bacteriological spore tests for all
				sterilizers.
2. Designation of the
				shelf life for each hospital-wrapped and hospital-sterilized medical item and,
				to the maximum degree possible, for each commercially prepared item, by a
				specific expiration date that sets a limit on the number of days an item will
				be considered safe for use. When possible, load control numbers shall be used
				to designate the sterilization equipment used for each item, including the
				sterilization date and cycle.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1209 - Surgery

Current through Register Vol. 48, No. 6, June 28, 2024
A. The surgical
				service shall be under the supervision of a member of the active staff of
				physicians.
B. The operating rooms
				must be supervised by a registered nurse or a doctor of medicine or
				osteopathy.
C. Licensed practical
				nurses (LPNs) and surgical technologists (operating room technicians) may serve
				as "scrub nurses" under the supervision of a registered nurse.
D. Qualified registered nurses may perform
				circulating duties in the operating room. In accordance with applicable State
				laws and approved medical staff policies and procedures, LPNs and surgical
				technologists may assist in circulatory duties under the supervision of a
				qualified registered nurse.
E.
				Surgical privileges must be delineated for all practitioners performing surgery
				in accordance with the competencies of each practitioner. The surgical service
				must maintain a roster of practitioners specifying the surgical privileges of
				each practitioner.
F. Hospitals
				providing surgery should have available consulting physicians to address
				additional patient needs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1210 - Facilities

Current through Register Vol. 48, No. 6, June 28, 2024
The operating rooms shall be separated from non-sterile areas
				  and shall be located so as not to be used as a passageway between, or subject
				  to contamination from, other parts of the hospital.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1211 - Equipment

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hospitals shall
				provide surgical equipment and instruments in good repair and free of
				potentially harmful microorganisms to assure safe and aseptic treatment. Any
				indication of contamination shall be immediately called to the attention of the
				nursing supervisor and the physician in charge of the service.
B. Life support and medical gas equipment
				shall be readily available and functional.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1212 - Anesthesia

Current through Register Vol. 48, No. 6, June 28, 2024
A. Anesthesia shall
				be administered according to the South Carolina Code of Laws and the South
				Carolina Code of State Regulations by:
1. A
				qualified anesthesiologist;
2. A
				doctor of medicine or osteopathy other than an anesthesiologist;
3. A dentist, oral surgeon, or podiatrist who
				is qualified to administer anesthesia under State law;
4. A certified registered nurse anesthetist
				(CRNA), as defined in S.C. Code Ann. Section
				40-33-20(20),
				is under the supervision of the operating practitioner or of an
				anesthesiologist who is immediately available if needed; or
5. An anesthesiologist's assistant, as
				defined in S.C. Code Ann. Section
				40-47-1210(2),
				who is under the supervision of an anesthesiologist who is immediately
				available if needed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1213 - Outpatient Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. If the
				hospital provides outpatient services, the services must meet the needs of the
				patients in accordance with acceptable standards of practice. Outpatient
				services must be appropriately organized and integrated with inpatient
				services. The hospital must assign one or more individuals to be responsible
				for outpatient services and have appropriate professional and nonprofessional
				personnel available.
B. If the
				hospital provides outpatient services, complete records shall be kept on all
				outpatients and shall be completed immediately after treatment is rendered.
				These records shall contain sufficient identification data, a description of
				what was done and/or prescribed for the patient and must be signed or
				authenticated by the attending physician. When a patient is admitted as an
				inpatient, all of his outpatient records shall be made a part of his permanent
				medical record. Records of patients are the property of the facility and must
				not be taken from the hospital property except by court order. These records
				shall be maintained and disposed of as specified in Section 1107.
C. Outpatient Services shall be in a location
				that is easily accessible for all patients and shall have easy access to all
				necessary hospital services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1214 - Emergency Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. No
				person, regardless of his ability to pay or county of residence, may be denied
				emergency care if a member of the admitting hospital's medical staff or, in the
				case of a transfer, a member of the accepting hospital's medical staff
				determines that the person is in need of emergency care.
1. If a patient presents in labor, she should
				be delivered in the hospital to which she has come if appropriate delivery
				facilities exist, If she is a "high risk" patient or an adverse outcome is
				expected for the baby if delivered there, e.g., less than 34 weeks gestation,
				she should be transported to a hospital with appropriate capabilities unless
				delivery is imminent or unless the hospital has such capabilities.
2. Hospitals that do not offer Obstetrical
				services shall have readily available in the emergency department a precipitous
				delivery kit, to include at a minimum: bulb suction syringe, cord clamp,
				scissors, sterile towels, and emergency telephone numbers for the appropriate
				Regional Perinatal Center.
3. If
				the care required for any patient is not available at the facility,
				arrangements must be made for transfer to a more appropriate facility. Prior to
				the transfer of a patient to another hospital, the receiving hospital shall be
				notified of the impending transfer.
4. In addition to or in lieu of any action
				taken by the Department affecting the license of any hospital, when it is
				established that any officer, employee, or member of the hospital medical staff
				has negligently violated the provisions of this section, the Department may
				require the hospital to pay a civil penalty of up to ten thousand dollars
				pursuant to S.C. Code Ann. Section
				44-7-260(E)
				(1976, as amended).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1215 - Inpatient Dialysis Services

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Written policies and procedures shall be developed and maintained by the
				service provider responsible for the service in consultation with other
				appropriate health professionals and the administration. Procedures shall be
				approved by the administration and medical staff where such is
				appropriate.
B. Renal Dialysis
				Service Equipment and Supplies
1. Equipment
				and supplies shall include at least:
a. A
				dialysis machine or equivalent (with appropriate monitoring equipment) for each
				bed or station.
b. Dialysis
				equipment appropriate for pediatric patients, if treated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1216 - Dental Surgery

Current through Register Vol. 48, No. 6, June 28, 2024
In a hospital providing dental services, the services shall
				  be performed by a qualified practitioner of dentistry who shall be a member of
				  the medical staff.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1217 - Physical Therapy

Current through Register Vol. 48, No. 6, June 28, 2024
If offered as a service of the hospital, physical therapy
				  shall be on orders of a physician and administered by or under supervision of a
				  registered physical therapist. Adequate space and equipment shall be
				  provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1218 - Occupational Therapy

Current through Register Vol. 48, No. 6, June 28, 2024
If offered as a service of the hospital, occupational therapy
				  shall be on orders of a physician and administered by or under supervision of
				  an occupational therapist. Adequate space and equipment shall be
				  provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1219 - Psychiatric Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				physician, preferably a board-certified psychiatrist, should be designated as
				physician-in-charge (or chief) of the psychiatric service. A designated
				physician who is experienced in the practice of psychiatry should be on call at
				all times.
B. A registered nurse
				who has had at least two years training and/or experience in psychiatric
				nursing shall be responsible for the nursing care of psychiatric patients. At
				least one registered nurse shall be on duty in each nursing unit at all
				times.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1220 - Chemical and Substance Abuse Treatment Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. A physician, who is experienced in the
				treatment of chemical and substance abuse, shall be designated as
				physician-in-charge of this service. Such a physician shall also be on call at
				all times.
B. A registered nurse
				who has had at least two years training and/or experience in chemical and
				substance abuse care shall be responsible for the nursing care of this service.
				At least one registered nurse shall be on duty in each nursing unit at all
				times who has demonstrable training in chemical and substance abuse treatment.
				Relevant content of this training shall include physical and psychological
				assessment, psychopharmacology, basic counseling and intervention techniques,
				and the role of self-help groups in the recovery process. The training may be
				received through on-the-job training, specialized workshops, or classroom
				experience.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1221 - Pediatrics

Current through Register Vol. 48, No. 6, June 28, 2024
A. Organization:
				Pediatric services, if provided, shall be under the supervision of a registered
				nurse.
B. Facilities: Pediatric
				services shall have separate facilities for the care of children. Facilities
				and procedures shall be provided for isolation of children having contagious
				infections or communicable diseases.
C. Pediatric Nursery: Pediatric nurseries
				shall provide at least 40 square feet per bassinet or 80 square feet per
				crib.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1301 - Newborn Hearing Screening

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility that averages greater than 100 deliveries a year shall conduct a hearing screening on each newborn prior to discharge. In addition, the facility shall provide educational information about the screening procedure, the importance of the screening and the importance of having a complete audiobiological evaluation after discharge if the need is indicated.
B. If a facility averages fewer than 100 deliveries a year, a hearing screening is not required for each newborn, but the facility shall give the parents of each newborn educational information concerning the hearing screening procedure and the importance of having the screening procedure after discharge.
C. Each facility required to conduct newborn hearing screening shall regularly report the results of the screening to the Department in the required format.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1302 - Shaking infant video & infant CPR information for parents and caregivers of newborn infants and adoptive parents

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall provide to the parents of each newborn baby delivered in the facility a video presentation on the dangers associated with shaking infants and young children. The facility shall also make available information on the importance of parents and caregivers learning infant CPR.
B. The facility shall request that the maternity patient, the father, or the primary caregiver view the video. Those persons whom the facility requests to view the video shall sign a document prescribed by the Department of Health and Environmental Control stating that they have been offered an opportunity to view the video.
C. The facility shall only use a video approved by the Director, or his/her designee, of the Department of Health and Environmental Control.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1303 - Providing a Safe Haven for Abandoned Babies

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities and outpatient facilities shall:
A. Accept temporary physical custody of an infant not more than sixty (60) days old who is voluntarily left by a person who does not express an intent to return for the infant and the circumstances create a reasonable belief that a person does not intend to return for the infant.
B. Be in full compliance with EMTALA rules and regulations and perform any act necessary to protect the physical health or safety of the infant.
C. Offer the person information concerning the legal effect of leaving the infant by delivering to the person the information brochure supplied by the state DSS. Ask the person to identify any parent other than the person leaving the infant. Attempt to obtain from the person information concerning the infant's background and medical history as specified in the forms provided by DSS and appropriate forms available from facility files.
D. Using the DSS form, an attempt must be made to get information concerning use of controlled substances by the infant's mother and other pertinent health information which might determine medical care required by the infant.
E. If the person does not wish to provide or is unable to provide the information to the facility, the person must be offered the DSS form with a prepaid envelope supplied to the facility by DSS.
F. No later than the close of the first business day, after the date on which the facility takes possession of the infant, the facility must notify DSS that it has taken temporary physical custody of the infant. DSS will have legal custody of the infant upon receipt of this notice and DSS will assume physical custody no later than 24 hours after receiving notice that the infant is ready for discharge.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1304 - Paternity - In-Hospital Voluntary Paternity Acknowledgement Program

Current through Register Vol. 48, No. 6, June 28, 2024
A. In accordance with  45 CFR 303, a hospital that provides obstetrical services at a minimum must provide to both the mother and alleged father:
1. Written materials about paternity establishment.
2. Forms as provided by the Department necessary to voluntarily acknowledge.
3. Notice, both orally and in writing of the alternatives to the legal consequences of, and the rights and responsibilities of acknowledging paternity, and
4. The opportunity to speak with staff, either by telephone or in person, who are trained to clarify information and answer questions about paternity establishment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1305 - Perinatal Organization

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each hospital providing perinatal services shall request designation as a Level I, II, III, or IV perinatal hospital, or regional perinatal center (RPC) by letter to the Department. Initially, a hospital shall demonstrate capability to comply with requirements of a particular designation by submitting to the Department documentation pertaining to the request for desired designation. For licensure renewals, along with maintaining compliance with the requirements of Section 1306, the hospital shall have birth weight-specific neonatal mortality data readily available for Department review relative to hospitals in the state of the same designation.
B. Each Level I, II, III, and IV hospital shall maintain and document a relationship with its designated RPC for consultation, transport and continuing education. All patients shall be transferred to the appropriate RPC when medically appropriate, if beds are available. This agreement/relationship shall include the ability to share data, as appropriate, related to these functions.
C. Labor and delivery shall occur in a hospital capable of meeting the expected needs of both the mother and the neonate. Ongoing risk assessment shall occur to determine the appropriate level of care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1307 - Personnel

Current through Register Vol. 48, No. 6, June 28, 2024
A. Detailed components of support services and medical, nursing and ancillary staffing for each level shall meet the recommendations outlined in the most recent edition of the
Guidelines for Perinatal Care
.
B. The following medical specialists and subspecialists shall have medical staff credentials and/or written consultative agreements as follows:
1. Level I shall include:
a. Membership: Physician designated as physician-in-charge of obstetric services, physician designated for supervision of newborn care, anesthesia personnel with credentials to administer obstetric anesthesia available within 30 minutes, 24-hours a day, one person capable of initiating neonatal resuscitation available at every delivery.
b. Consultation: Obstetrician, pediatrician, general surgeon.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1308 - Neonatal Intensive Care Nurse Staffing

Current through Register Vol. 48, No. 6, June 28, 2024
Neonatal intensive care nurse staffing is required if any of the following conditions exist:
A. Any advanced support therapy, e.g., extracorporeal membrane oxygenation, nitric oxide, high frequency ventilation, peritoneal dialysis;
B. Acute pre- or post-operative surgical conditions, except for minor surgical procedures such as inguinal hernia repair;
C. Ventilator support (with the exception of do-not-resuscitate situations and chronic ventilator- dependent conditions);
D. Less than 32 weeks of gestation and less than 1500 grams on the first day of life;
E. Chest tubes required;
F. Cardio-pulmonary resuscitation required in the previous 24 hours;
G. Vital signs required every hour or more frequently;
H. Umbilical artery or vein catheterization or three or more intravenous sites required;
I. Pressor agent (excluding initial stabilization) or inotropic support required, e.g., dopamine (doses for renal perfusion maintenance excluded);
J. Complex diagnostic/assessment support required; or
K. Evidence of seizure activity/unstable neurologic status.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1309 - General Facility and Care Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A. Environment, equipment, supplies, and procedures utilized in the care of perinatal patients shall meet the recommendations outlined in the most recent edition of the
Guidelines for Perinatal Care
. The environmental temperature in newborn care areas should be independently adjustable, as to maintain per the GPC.
B. Obstetrical Care: In each hospital providing obstetrical services, written policies and procedures shall be established and implemented through cooperative efforts of the medical and nursing staffs. These policies and procedures shall outline the process, providers, and methods of providing risk-appropriate care to the obstetrical patient, and shall include, but not be limited to:
1. Admission criteria and documentation;
2. Preterm labor;
3. Maternal transfer to another hospital;
4. Induction and augmentation;
5. Analgesia and anesthesia;
6. Labor process;
7. Capability to perform cesarean delivery within 30 minutes of the decision to do so;
8. Immediate neonatal care/resuscitation;
9. Recovery room care; and
10. Postpartum care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1310 - Neonatal Care

Current through Register Vol. 48, No. 6, June 28, 2024
Specific policies and procedures for the care of the neonate shall follow the recommendations outlined in the most recent edition of the GPC.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1311 - Neonatal Resuscitation

Current through Register Vol. 48, No. 6, June 28, 2024
A. Personnel, equipment, supplies, and medications as recommended by the most recent edition of the American Heart Association and AAP
Textbook of Neonatal Resuscitation
shall be readily available in every hospital providing perinatal services.
B. In order to meet the potential need for resuscitation of every neonate, at least one person who has a current provider-designation, as defined by completion of the AAP Neonatal Resuscitation Program, shall be on site.
C. Personnel trained and qualified to perform neonatal resuscitation must be immediately available and not responding from an area removed from the delivery or nursery area.
D. Equipment, supplies, and medications for neonatal resuscitation must be immediately available to the delivery and nursery areas at all times.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1312 - Inter-hospital Care of the Perinatal Patient (Transport)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each hospital providing perinatal services shall establish and implement a written plan which outlines the process, providers, and methods of providing risk-appropriate stabilization and transport of any high-risk perinatal patient requiring specialized services. This plan shall be updated in conjunction with the designated RPC on an annual basis, and shall include, but not be limited to, procedures outlining:
1. Communication between referring hospitals and the RPC, transport teams and medical control, and perinatal providers and families;
2. Indications for both acute phase and return transport between perinatal hospitals, to include essential contact persons and telephone numbers for referral and transport; and
3. A list of all medical record copies and additional materials to accompany each patient in transport.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1300 - PERINATAL SERVICES › Section 61-16.1313 - Evaluation of Perinatal Care

Current through Register Vol. 48, No. 6, June 28, 2024
A. Review of maternal and neonate mortality and morbidity shall be conducted at least every three months by the medical staff or designated committee, regardless of the size or designation of the perinatal service. A perinatal mortality and morbidity review committee composed of representatives from the pediatric, obstetrical, and nursing staffs, with additional participation from other professionals, depending upon the cases to be reviewed, shall be established at all perinatal centers.
B. In all perinatal centers, selected case reviews shall include, but not be limited to:
1. Analysis of total perinatal mortality with identification of deaths attributable to various categories of complication;
2. Analysis of perinatal morbidity and related factors.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1400 - VITAL STATISTICS › Section 61-16.1401 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Hospitals must comply fully with the Regulations of the Department relating to vital statistics.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1400 - VITAL STATISTICS › Section 61-16.1402 - Birth Certificates

Current through Register Vol. 48, No. 6, June 28, 2024
A. For inpatient newborns a licensee shall be responsible for filing a birth certificate for all live births occurring in the licensed facility (see Regulation 61-19 for definition of live birth). The record should be filed as prescribed within five (5) days of delivery per Regulation 61-19.
B. A licensee shall be responsible for filing a birth certificate for outpatient newborns brought to the emergency room when a live birth was delivered either at home or en route to the hospital. If the live birth is delivered by a licensed midwife or other practitioner, the licensee shall not be responsible for filing a birth certificate.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1400 - VITAL STATISTICS › Section 61-16.1403 - Death Certificates

Current through Register Vol. 48, No. 6, June 28, 2024
Filing of a death certificate shall be in accordance with Regulation 61-19 and the S.C. Code of Laws.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1501 - Approval

Current through Register Vol. 48, No. 6, June 28, 2024
All facilities that prepare food on-site shall be approved by the Department, and shall be regulated, inspected, and graded pursuant to Regulation 61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1502 - Services

Current through Register Vol. 48, No. 6, June 28, 2024
All facilities shall provide food and nutrition services to meet the daily nutritional and dietary needs of patients in accordance with written policies and procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1503 - Management

Current through Register Vol. 48, No. 6, June 28, 2024
The nutrition services shall be under the direction of a dietitian or qualified food and nutrition manager/director who has a written agreement for consultation services by a dietitian. These services shall be organized with established lines of accountability and clearly defined job assignments. A qualified food and nutrition manager/director shall be a person who:
A. Is a graduate of a dietetic technician training program approved by the American Dietetic Association; or
B. Is a graduate of a course of study meeting the requirements of the American Dietetic Association and approved by the Department; or
C. Is certified by the Certifying Board for Dietary Managers of the Dietary Managers Association and maintains that credential; or
D. Has at least three (3) years of training and experience in meal service supervision and management in military service equivalent in content to the programs described in paragraph A, B, or C above.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1504 - Personnel

Current through Register Vol. 48, No. 6, June 28, 2024
A. Dietary services shall be organized with established lines of accountability and clearly defined job assignments for those engaged in food preparation and serving. There shall be trained staff members/volunteers to supervise the preparation and serving of the proper diet to the patients including having sufficient knowledge of food values in order to make appropriate substitutions when necessary.
B. The qualified food and nutrition manager/director shall be responsible for supervising food and nutrition service personnel, the preparation and serving of the food, and the maintenance of proper records. When the qualified food and nutrition service manager/director is not on duty, a responsible person shall be assigned to assume their job responsibilities.
C. Work assignments and duty schedules shall be posted and kept current.
D. No person, infected with or a carrier of a communicable disease, or while having boils, open or infected skin lesions, or an acute respiratory infection, shall work in any area of food preparation and service.
E. Employees shall wear clean garments, maintain a high degree of cleanliness, and conform to hygienic practices while on duty. Individuals engaged in the preparation and service of food shall wear clean hair restraints, e.g., hair nets, hair wraps, hats, that will properly restrain all hair of the face and head and prevent contamination of food and food contact surfaces. They shall wash their hands thoroughly in an approved hand washing lavatory before starting work, after visiting the bathroom and as often as may be necessary to remove soil and contamination.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1505 - Diets

Current through Register Vol. 48, No. 6, June 28, 2024
Diets shall be prepared in conformance with orders of a physician or, if permitted by the facility's policies, a dietitian. A current diet manual shall be readily available to attending physicians, food and nutrition service personnel, nursing personnel, and dietitians.
A. Diets shall be prescribed, dated and signed or authenticated by the physician or dietitian.
B. Facilities with patients in need of special or therapeutic diets shall provide for such diets.
C. Notations shall be made in the medical record of diet served, counseling or instructions given, as identified by patient and/or nutritional assessment and patient's tolerance of the diet.
D. Diets shall be planned, written, prepared and served with consultation from a dietitian.
E. Persons responsible for diets shall have sufficient knowledge of food values in order to make substitutions when necessary. All substitutions made on the master menu shall be documented.
F. Nothing in this regulation shall be read or interpreted to prohibit a facility's policies from allowing a dietitian to:
1. Order or prescribe patient diets, including therapeutic diets;
2. Order laboratory tests to monitor the effectiveness of dietary plans and orders; and/or
3. Make subsequent modifications to patient diets based on the results of laboratory tests.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1506 - Planning of Menus and Food Supplies

Current through Register Vol. 48, No. 6, June 28, 2024
A. Menus shall be planned and written at least two weeks in advance and dated as served. The current week's menus, including routine and special diets and any substitutions or changes made, shall be posted in one or more conspicuous places in the Food and Nutrition Services area.
B. Records of menus as served shall be filed and maintained for at least 30 days.
C. Food supplies shall be adequate to meet menu and emergency plan requirements.
D. Records of food and supplies purchased shall be kept on file.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1507 - Preparation and Serving of Food

Current through Register Vol. 48, No. 6, June 28, 2024
A. Food shall be prepared by methods that conserve the nutritive value, flavor and appearance. The food shall be palatable, properly prepared, and sufficient in quantity and quality to meet the nutritional needs of the patients.
B. A file of tested recipes, adjusted to appropriate yield, shall correspond to items on the posted menus.
C. Food shall be served with special attention given to preparation and prompt serving in order to maintain correct food temperatures in accordance with Regulation 61-25 and to meet individual needs.
D. Food and Nutrition service personnel will have the responsibility of accompanying the food cart to the patient care area when necessary to complete tray assembly. Facilities with automated food distribution systems in operation are not required to have dietary personnel accompanying the cart. Each facility shall designate who will be responsible for distribution of trays, feeding of patients, and collection of soiled trays.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1508 - Dietary and Food Sanitation

Current through Register Vol. 48, No. 6, June 28, 2024
A. Sanitary conditions shall be maintained in all aspects of the storage, preparation and distribution of food.
B. The facility shall be in compliance with local health codes and Regulation 61-25.
C. Written procedures for cleaning, disinfecting and sanitizing all equipment and work areas shall be developed and followed.
D. Written reports of inspections by state and local health authorities shall be kept on file in the facility with notations made of actions taken by the facility to comply with recommendations.
E. Drugs shall not be stored in the food and nutrition services area or any refrigerator or storage area utilized by the food and nutrition services area.
F. All walk-in refrigerators and freezers must be equipped with opening devices which will permit opening of the door from the inside at all times.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1509 - Meal Service

Current through Register Vol. 48, No. 6, June 28, 2024
A minimum of three nutritionally balanced meals in each 24-hour period shall be offered for each patient unless otherwise directed by the patient's physician. Not more than 14 hours shall elapse between the serving of the evening meal and breakfast. As an exception, there may be up to 16 hours between the scheduled serving of the evening meal and breakfast the following day if approved by the patient's attending physician and the patient, and if a nourishing snack is provided after the evening meal.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1500 - FOOD AND NUTRITION SERVICE. (II) › Section 61-16.1510 - Ice and Drinking Water

Current through Register Vol. 48, No. 6, June 28, 2024
Ice and water that meets the approval of the Department shall be available and precautions shall be taken to prevent contamination. Ice delivered to patient areas in bulk shall be in nonporous, easily cleanable covered containers. The ice scoop shall be stored in a sanitary manner with the handle at no time coming in contact with the ice. Clean, sanitary drinking water shall be available and accessible in adequate amounts at all times.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1600 - MAINTENANCE. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
An institutional structure, its component parts, facilities, and all equipment shall be kept in good repair and operating condition.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1700 - HOUSEKEEPING AND REFUSE DISPOSAL. (II) › Section 61-16.1701 - Housekeeping

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall be kept neat and clean. Accumulated waste material must be removed daily or more often if necessary. There must be frequent cleaning of floors, walls, ceilings, woodwork, windows and premises. There must be an effective rodent and insect control program for the facility to prevent infestation. Bath and toilet facilities must be maintained in a clean and sanitary condition at all times. Dry dusting and dry sweeping are prohibited.
B. Upon discharge or transfer of a patient, all bedside equipment shall be cleansed and disinfected. Bed linen shall be removed and mattresses turned; if damaged, replaced. Beds shall be made with fresh linens to maintain them in a clean and sanitary condition for each patient.
C. Employee locker rooms shall be maintained in a clean and sanitary condition.
D. Janitor closets, floors, walls, sinks, mops, mop buckets, and all equipment shall be cleaned daily or more often as needed. A supervisory hospital employee shall make frequent inspections to assure compliance.
E. All storage spaces shall be kept clean, orderly and free of trash, papers, old cloths and empty boxes. In areas provided with a sprinkler system, a minimum vertical distance of 18 inches shall be maintained between the top of stored items and the sprinkler heads.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1700 - HOUSEKEEPING AND REFUSE DISPOSAL. (II) › Section 61-16.1702 - Refuse Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
A. All garbage and refuse storage shall be in accordance with Regulation 61-25.
B. All contaminated dressings, pathological, and/or similar waste shall be properly disposed of in accordance with Regulation 61-105.
C. All radioactive waste shall be disposed of by a method in accordance with Regulation 61-63.
D. All outside areas, grounds and/or adjacent buildings on the premises shall be maintained neat and clean.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1801 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. The hospital shall provide a safe and healthy environment that minimizes infection exposure and risk to patients, employees, health care workers, volunteers and visitors. The hospital shall implement and maintain a written, effective, organized, active, hospital-wide program for the surveillance, prevention, control, and investigation of infections, infectious agents and communicable diseases, with the goal of implementing best practices and continuously reducing infections. The infection prevention and control program must be implemented in a manner that minimizes the risk of health care associated infections. The hospital must designate a qualified employee as the hospital's Infection Practitioner, whose function is to administer the infection prevention and control program. The Infection Practitioner must be provided with the resources and assistance necessary to carry out the activities of the infection prevention and control program. Each hospital must assess the time requirement needed for surveillance and infection prevention activities at each of its locations and provide sufficient staffing to meet the organization's assessed needs.
B. Hospital policies and procedures for infection prevention and control shall comply with Federal and State laws and regulations and shall reference guidelines, including but not limited to, the following:
1. Bloodborne Pathogens Standard of the Occupational Safety and Health Act (OSHA) of 1970;  29 CFR 1910  Occupational Safety and Health Standards with emphasis on compliance with  29 CFR 1910-1030  (Bloodborne Pathogens);
2. The Center for Disease Control and Prevention's (CDC) Immunization of Health-Care Workers: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPIC);
3. CDC's Guideline for Hand Hygiene in Health-Care Settings and/or the World Health Organization's Moments of Hand Hygiene Guidelines;
4. CDC's Guidelines for Environmental Infection Control in Health-Care Facilities;
5. CDC's Guideline for Disinfection and Sterilization in Healthcare Facilities;
6. CDC's Guidelines for the Management of Multidrug-Resistant Organisms In Healthcare Settings;
7. Regulation 61-105;
8. CDC's Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings; and
9. CDC's Guidelines for Preventing the Transmission of
Mycobacterium tuberculosis
in Health-Care Settings, 2005.