reglab/statecodes huggingface dataset:
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 119.45 - Construction

Current through Register Vol. 54, No. 28, July 13, 2024
Construction of the short-term procedure operating room
						shall conform to the requirement of Chapter 153 (relating to construction
						standards) with regard to all of the following:
(1) Electrical circuitry.
(2) Conductive flooring.
(3) Wiring.
(4) Circuit breakers.
(5) Isolation transformers.
(6) Emergency lighting.
(7) Power installations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › GENERAL PROVISIONS › Section 121.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Social work services shall be available to patients
						accepted for care as well as to their families in order to promote adequate
						social functioning and to encourage full and appropriate utilization of
						hospital resources.
The provisions of this § 121.1 issued under
						  67 Pa.C.S. §§
														6101-6104; and Reorganization Plan No. 2 of
						  1973 (71 P.S. §
														755-2).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › GENERAL PROVISIONS › Section 121.2 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Every hospital shall have a well-defined plan for
						providing social work services to patients with social problems. The method for
						providing social work services shall be clearly defined and shall provide for
						supervision of the delivery of such services by a qualified social worker or by
						an equally qualified consultant.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › GENERAL PROVISIONS › Section 121.3 - Organization plan

Current through Register Vol. 54, No. 28, July 13, 2024
The chief executive officer, or his designee, shall
						provide an organizational plan to identify the social service department or
						other program for providing social services and to specify the place of the
						department in the overall hospital organizational structure. The scope of
						social work services provided shall depend upon the size and complexity of the
						services of the hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › POLICIES › Section 121.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The method for providing social work services shall be
						clearly stated, and there shall be written policies and procedures which the
						chief executive officer or the governing body shall review, revise as
						necessary, and date to include the time of last review.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › POLICIES › Section 121.12 - Referral

Current through Register Vol. 54, No. 28, July 13, 2024
Patients or families, or both, with social problems not
						appropriate to be dealt with by hospital social work services should be
						referred to local community agencies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › POLICIES › Section 121.13 - Plans

Current through Register Vol. 54, No. 28, July 13, 2024
Plans for patients requiring social work services shall
						be established with primary emphasis placed on helping patients to fully
						utilize preadmission, inpatient, outpatient, extended care, and home health
						services. Social work services shall be provided on an interdisciplinary
						basis.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › POLICIES › Section 121.14 - Coordination of social services

Current through Register Vol. 54, No. 28, July 13, 2024
Social work staff should assist in the coordination of
						hospital services, community programs, and appropriate educational and
						orientation programs for hospital personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › ORGANIZATION AND STAFFING › Section 121.21 - Administration

Current through Register Vol. 54, No. 28, July 13, 2024
Where social work services are organized on a department
						basis, the director of the department shall have full responsibility for the
						administration of the social work programs and activities of the department.
						The department shall be integrated with other departments of the hospital, and
						its members shall participate in periodic inter-departmental
						meetings.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › ORGANIZATION AND STAFFING › Section 121.22 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
The director of the social work department shall be
						responsible for planning, organization, implementation, and management of the
						fiscal and personnel resources of the social work department and should be a
						member of appropriate hospital committees.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 121 - SOCIAL WORK SERVICES › ORGANIZATION AND STAFFING › Section 121.23 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
The staff of the social work department, when provided,
						should include graduate social workers or undergraduate social workers, or
						both, and supportive personnel in sufficient numbers to meet patient needs and
						perform the functions of the department effectively.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Anesthesia care shall be regularly available when the
						  hospital provides surgical or obstetrical facilities.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.2 - Organization and direction

Current through Register Vol. 54, No. 28, July 13, 2024
Anesthesia services shall be organized, directed, and
						  integrated with other related services or departments of the
						  hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.3 - Departmental responsibility

Current through Register Vol. 54, No. 28, July 13, 2024
The department of anesthesia shall be responsible for
						  all anesthetics administered under its direction as established in the medical
						  staff rules. In hospitals where there is no department of anesthesia, the
						  department of surgery shall assume the responsibility for establishing general
						  policies and for supervising the administration of
						  anesthetics.
The provisions of this § 123.3 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 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.4 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When there is a
						department of anesthesia, it shall be directed by a physician member of the
						medical staff who, whenever possible, is certified by the American Board of
						Anesthesiology or the American Osteopathic Board of Anesthesiology or is in the
						certification stream and has successfully completed an approved residency
						training program in anesthesiology.
(b) The director of anesthesia services shall
						have administrative responsibility for the services provided by the anesthesia
						department. His responsibilities shall be established by the governing body of
						the hospital and shall include the following:
(1) Establishment of criteria and procedures
						for the evaluation of the quality of all anesthesia care rendered wherever it
						is required in the hospital.
(2)
						Recommending what equipment is necessary for administering anesthesia and
						related resuscitation efforts.
(3)
						Development of hospital rules concerning anesthesia safety.
(4) Participation in the hospital's program
						of cardiopulmonary resuscitation, if any; consultation on management of acute
						and chronic respiratory insufficiency; and, where appropriate, consultation on
						other diagnostic and therapeutic measures.
(5) Participation, where appropriate, as
						instructor in the hospital's program of continuing education in cardiopulmonary
						resuscitation, respiratory therapy, and the use of related
						equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.5 - Administration of anesthesia

Current through Register Vol. 54, No. 28, July 13, 2024
Anesthesia care shall be provided by a qualified
						  physician, anesthesiologist, resident physician in training, dentist
						  anesthetist, qualified nurse anesthetist under the supervision of the operating
						  physician or anesthesiologist, or supervised nurse trainees enrolled in a
						  course approved by the American Association of Nurse
						  Anesthetists.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.6 - Physician qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Physician anesthetists must be able to perform all of the independent services
						usually required in the practice of anesthesiology, as set forth in subsection
						(b).
(b) Independent services
						usually required in the practice of anesthesiology include:
(1) Performance of accepted procedures
						commonly employed to render a patient insensible to pain for the performance of
						surgical, obstetrical, or other necessary but pain-producing clinical
						procedures.
(2) Support of life
						functions during the period of anesthesia.
(3) Provision of appropriate preanesthesia
						and postanesthesia management for the patient.
(4) Consultation regarding
						anesthesiology-related patient care, such as inhalation therapy, emergency
						cardiopulmonary resuscitation, and special problems in pain relief, unless
						these responsibilities are assigned to another physician who is judged by
						medical staff peer evaluation to be specially well qualified and is willing and
						able to assume them.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › GENERAL PROVISIONS › Section 123.7 - Dental anesthetist and nurse anesthetist qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Qualified
						dentist anesthetists and nurse anesthetists must be able to provide general
						anesthesia under the overall direction of either:
(1) The director of anesthesia services or
						his designee, when a full-time anesthesiologist heads the anesthesia
						service.
(2) The surgeon or
						obstetrician responsible for the care of the patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › POLICIES › Section 123.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Practices employed in the delivery of anesthesia care
						  shall be consistent with the policies of the medical staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › POLICIES › Section 123.12 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
Because individuals with varying backgrounds may
						  properly administer anesthetic agents, the medical staff must approve policies
						  governing anesthesia procedures, including the delineation of preanesthetic and
						  postanesthetic responsibilities.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › POLICIES › Section 123.13 - Policies or responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
The governing body or its designee shall determine the
						  extent of anesthesia services and shall define the degree of supervision
						  required for and the scope of responsibilities delegated to nurse and dentist
						  anesthetists, as well as the corresponding responsibilities of supervising
						  physicians.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › POLICIES › Section 123.14 - Written policies

Current through Register Vol. 54, No. 28, July 13, 2024
Written policies shall provide at least as
						  follows:
(1) Every patient requiring
						anesthesia shall have a preanesthesia evaluation by a physician or by a
						qualified person under the supervision of a physician, with appropriate
						documentation of pertinent information regarding the choice of anesthesia. This
						examination and recording of the findings from it shall take place within 48
						hours prior to surgery.
(2) Review
						of the condition of the patient immediately prior to induction of anesthesia
						shall include a review of the patient's medical record with regard to
						completeness, pertinent laboratory data, time of administration, and dosage of
						preanesthesia medications, together with an appraisal of any changes in the
						condition of the patient, as compared with that noted on the patient's medical
						record.
(3) Prior to beginning the
						administration of anesthesia, the anesthetist shall check all equipment to be
						used in administration of anesthetic agents. In addition, each anesthetic gas
						machine in all anesthetising areas shall have a pin-index safety
						system.
(4) Following the procedure
						for which anesthesia was administered, the anesthetist or his designate shall
						remain with the patient as long as necessary. Personnel responsible for
						postanesthetic care should be advised as to specific problems presented by the
						condition of the patient. Decisions about the discharge of patients from any
						postanesthesia care unit shall be made by a physician.
(5) Every patient receiving anesthesia shall
						have an anesthetic record maintained. This shall include a record of all events
						taking place during the induction of, maintenance of, and emergence from
						anesthesia, including the dosage and duration of all anesthetic agents, other
						drugs, intravenous fluids, and blood or blood fractions.
(6) Every patient receiving anesthesia shall
						have a postanesthetic visit by an anesthetist, who shall record in the
						patient's medical record at least one note describing the presence or absence
						of any post-operative abnormalities or complications and the general condition
						of the patient. This visit and the note recording it shall be performed no
						later than 24 hours after the operation and shall be signed by the person who
						makes the visit.
(7) Anesthetizing
						gases shall be available only in anesthetic spaces designated as such by the
						medical staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.21 - Development and review of safety regulations

Current through Register Vol. 54, No. 28, July 13, 2024
Regulations governing procedures to assure the safety
						  of anesthetics and other medical gases shall be developed by the director of
						  the anesthesia service or director of surgery, as appropriate. They shall be
						  approved and reviewed by appropriate representatives of the medical staff and
						  of the governing body.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.22 - Safety regulations

Current through Register Vol. 54, No. 28, July 13, 2024
Appropriate precautions shall be taken to ensure the
						  safe administration of anesthetic and other medical gas agents. The standards
						  of the current edition of NFPA (National Fire Protection Association) Code #56A
						  (Inhalation Anesthetics), NFPA Code #56B (Inhalation Therapy), NFPA Code #56D
						  (Hyperbaric Facilities), and NFPA Code #56F (Non-flammable Gas Systems) should
						  be used as a guide in establishing these hospital
						  regulations.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.23 - Posting of regulations

Current through Register Vol. 54, No. 28, July 13, 2024
Safety regulations shall be posted in an obvious and
						  conspicuous manner in all areas where anesthetic agents are used or
						  stored.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.24 - Regulations for testing medical gas systems

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Every medical gas system shall be tested
						after initial construction or installation of the system and following any
						repair to the system. The testing shall be completed before the system is used
						to administer any gas to a patient.
(b) The testing of medical gas systems
						pursuant to subsection (a) shall be conducted under the supervision of a
						qualified agency or person. The following procedures will be conducted in
						accordance with the instructions contained in NFPA standard 56F:
(1) Pressure testing.
(2) Cross connection testing.
(3) Final testing, purging and
						analysis.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.25 - Regulations for control of anesthetic explosion hazards

Current through Register Vol. 54, No. 28, July 13, 2024
Hospital regulations shall include at least the
						  following:
(1) Anesthetic apparatus
						must be inspected and tested by the anesthetist before use. If a leak or any
						other defect is observed, the equipment must not be used until the fault is
						repaired.
(2) If electrocautery,
						electric coagulation or any other electrical equipment employing an open spark
						is to be used during an operation, only non-combustible agents shall be used
						for anesthesia or for the preoperative preparation of the surgical
						field.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 123 - ANESTHESIA AND RESPIRATORY SERVICES › Subchapter A - ANESTHESIA SERVICES › SAFETY PROVISIONS › Section 123.26 - Regulations for use of flammable anesthetic agents

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Flammable anesthetic agents shall be
						employed only in areas in which a conductive pathway can be maintained between
						the patient and the conductive floor. The safety regulations of the hospital
						shall specify areas where flammable agents may not be used.
(b) All personnel working in or entering
						areas where flammable anesthetic agents are in use shall wear conductive
						footwear. The conductivity of the footwear shall be tested periodically as
						required by the safety regulations of the hospital.
(c) All equipment in the surgical suite must
						be fitted with grounding devices to maintain a constant conductive path to the
						floor.
(d) Fabrics permissible for
						use as outer garments or blankets in anesthetizing areas shall be
						specified.
(e) With the exception
						of certain portable radiologic equipment approved for use in anesthetizing
						locations and of fixed lighting more than five feet above the floor, all
						electrical equipment must be monitored by a ground detector. When the detector
						indicates a grounded condition by lighted red signal or audible warning, or
						both, the administration of any combustible anesthetic agents shall be
						discontinued at the earliest possible moment and the use of any electrical
						equipment avoided. Following completion of the procedure, the operating room
						from which the signal emanated shall not be used until the defect is
						remedied.
(f) The condition of the
						operating room electrical equipment, such as cords, plugs, switches, and
						various electronic devices, shall be inspected for mechanical damage before
						each use and shall not be used if the inspection discloses mechanical damage.
						The conductivity of floors, furniture, and accessories, the ground detector,
						the ground continuity, the isolated power system, and so on shall be tested by
						methods and at time intervals as required by the National Fire Protection
						Association standards for the use of anesthetics and the safe use of
						electricity in hospitals.
(g)
						Safety precautions shall include measures to assure humidity control.
(h) Safety precautions shall include storage
						of flammable anesthetic and oxidizing gases to meet Standard No. 56A and
						Standard No. 56B of the National Fire Protection Association Code.
The provisions of this § 123.26 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 125 - LABORATORY SERVICES › CLINICAL AND ANATOMICAL PATHOLOGY SERVICES AND BLOOD TRANSFUSIONS › Section 125.1 - Clinical and anatomical pathology services

Current through Register Vol. 54, No. 28, July 13, 2024
Clinical and anatomical pathology and consultation
						services shall be available to meet the needs of patients. Laboratory services
						shall be provided in compliance with the Clinical Laboratory Act (35 P.S.
						§§
												2151-2165) and all regulations
						promulgated pursuant thereto except §§
											5.91-5.94(Reserved).
						The current permit shall be displayed.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › CLINICAL AND ANATOMICAL PATHOLOGY SERVICES AND BLOOD TRANSFUSIONS › Section 125.2 - Blood transfusion

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall be capable of providing blood
						transfusions to meet the needs of patients. Where there is a blood transfusion
						service, it shall be directed by a pathologist or physician qualified in
						immunohematology and knowledgeable about the principles of hematherapy and
						blood banking. This service shall be provided in compliance with the
						Pennsylvania Blood Bank Act (35 P.S. §§
												6501-6523) and with Chapter 30 (relating to
						blood banks). The current license issued shall be displayed in accordance with
						section 12 of the act (35 P.S. §
												6512).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.11 - Facilities and services

Current through Register Vol. 54, No. 28, July 13, 2024
Each hospital shall make provisions for necropsy service
						either onsite or through effective agreements with other facilities capable for
						providing the services. Each necropsy shall be performed by a pathologist or a
						physician who is qualified in anatomic pathology.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.12 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Each procedure and the record of it shall be sufficiently
						thorough and detailed to meet the needs of the medical staff. The gross and
						microscopic reports shall be made part of the completed medical record of the
						patient.
The provisions of this § 125.12 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 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.13 - Storage of the remains of deceased patients

Current through Register Vol. 54, No. 28, July 13, 2024
If the hospital does not have morgue services on the
						premises, provisions shall be made to retain a deceased patient no longer than
						necessary in a room which is not otherwise occupied and which is properly
						ventilated to the outdoors.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.14 - Removal of a dead body from patient unit to morgue

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The remains of a deceased patient shall
					 not be removed to a morgue or storage area until a physician has conducted an
					 examination, has pronounced death, and has authenticated the time and
					 provisional diagnosis or final cause of death in the patient's medical
					 records.
(b) The remains of
					 deceased patients shall be prepared for removal from clinical areas in
					 accordance with hospital procedures. Terminal disinfection of the remains of
					 persons who died of a reportable contagious disease shall be in accordance with
					 the applicable instructions in §
											27.60 (relating to disease control
					 measures).
(c) Bodies of patients
					 who have died of any reportable communicable disease specified in §
											27.203 (relating to preparation
					 for burial or transportation of deceased human bodies) shall bear appropriate
					 warning labels.
(d) Radiological
					 cadavers shall bear proper warning labels and be handled according to
					 applicable standards of the Department of Environmental Protection and the
					 United States Nuclear Regulatory Commission.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.15 - Disposition of a deceased patient

Current through Register Vol. 54, No. 28, July 13, 2024
The remains of any deceased patient, including a fetal
						death, as defined in
						35
						P.S. §
												450.105, or a neonatal death
						shall not be subjected to disposition until death has been officially
						pronounced by a physician.
The provisions of this §
													125.15 issued under section
						  2102(g) of The Administrative Code of 1929 (71 P. S. §
														532(g)); and section 803 of
						  the Health Care Facilities Act (35 P. S. §
														480.803).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 125 - LABORATORY SERVICES › NECROPSY SERVICES › Section 125.16 - Personnel safety

Current through Register Vol. 54, No. 28, July 13, 2024
All areas where hospital personnel must work with dead
						bodies shall be properly ventilated. Plumbing, maintenance, and housekeeping
						should be planned to minimize health hazards both to personnel working in the
						areas and to other hospital personnel, patients, and
						visitors.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Radiologic consultation and services shall be regularly
						and conveniently available to meet the needs of patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.2 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall provide radiographic and fluoroscopic
						diagnostic services adequate to meet the needs of patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.3 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
The director of radiology services shall be a member of
						the medical staff and should be certified by the American Board of Radiology or
						an equivalent Board, be eligible for Board certification, or have successfully
						completed an approved residency training program in
						radiology.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.4 - Radiotherapy services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Radiotherapy
					 services provided in the hospital shall be operated safely and effectively.
					 Provisions shall be made for safe storage and use of radium and other
					 radioactive sources. The services of a radiation physicist or of a competently
					 trained dosimetrist shall be available, as needed, for consultation, for
					 supervision of radiation safety procedures, and for participation in
					 educational programs. Radiologic technologists and other personnel shall be
					 available to meet patient needs.
(b) When the facility does not provide
					 certain service, such as radiotherapy or special diagnostic procedures, the
					 director shall participate in recommending one or more sources to be approved
					 by the medical staff.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.5 - Radiology service personnel

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be at least one radiologic technician
						registered or eligible for registration by the American Registry of Radiologic
						Technologists on duty or available when needed. Work assignments shall be in
						accordance with written job descriptions and employe
						qualifications.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › GENERAL PROVISIONS › Section 127.6 - Education programs

Current through Register Vol. 54, No. 28, July 13, 2024
Radiology service personnel should have the opportunity
						to further their knowledge and skills through hospital based educational
						opportunities, such as on-the-job training and in-service education programs,
						or through attendance at workshops and institutes held outside the
						hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › FACILITIES › Section 127.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Radiology services shall have adequate space and
						facilities to safely meet the diagnostic and therapeutic needs of the patients,
						and shall be in compliance with 25 Pa. Code §§
											221.1-235.15 (relating to radiological
						health).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.21 - Equipment operation

Current through Register Vol. 54, No. 28, July 13, 2024
The hospital shall ensure that all radiographic equipment
						is operated at all times by competent personnel under physician supervision and
						trained in the use of radiographic equipment and in safety precautions.
						Nonportable equipment shall be operated only in properly shielded spaces.
						Caution shall be exercised in using portable equipment to protect employes,
						patients, and other persons from exposure to radiation.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.22 - Radiation safety inspection

Current through Register Vol. 54, No. 28, July 13, 2024
Radiation safety inspections are made by the Department
						of Environmental Protection on a scheduled basis.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.23 - Safety precautions

Current through Register Vol. 54, No. 28, July 13, 2024
Proper safety precautions shall be maintained against
						fire and explosion and electrical and mechanical hazards.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.24 - Personnel monitoring

Current through Register Vol. 54, No. 28, July 13, 2024
The exposure of radiology service personnel shall be
						periodically monitored by means of film badges or other similar personnel
						monitoring devices. A record of the annual accumulation shall be maintained as
						part of the personnel file of the employe, and a copy given to the employe upon
						termination. The employe shall have access to these records during time of
						employment.
The provisions of this §
													127.24 issued under section 2103
						  of The Administrative Code of 1929 (71 P. S. §
														532(g)); and section 803 of
						  the Health Care Facilities Act (35 P. S. §
														448.803).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.25 - Instruction in safety procedures

Current through Register Vol. 54, No. 28, July 13, 2024
All radiology service personnel shall be instructed in
						safety precautions and in procedures for dealing with emergency radiation
						hazards.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › SAFETY PRECAUTIONS › Section 127.26 - Patient safety

Current through Register Vol. 54, No. 28, July 13, 2024
To assure that patients are not subjected to unnecessary
						amounts of radiation, the director shall establish a procedure to review cases
						where a radiographic photograph has to be retaken due to the first such
						photograph not being of usable quality.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › POLICIES › Section 127.31 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Policies and procedures shall be developed by the director of radiology
					 services in cooperation with the hospital administrative staff, medical staff,
					 nursing service, and other departments or services as necessary. These shall be
					 reviewed annually by the director of radiology services, revised as necessary,
					 and dated to indicate the time of the last review.
(b) Procedures shall be developed to guide
					 radiology personnel in performing their duties and also to guide persons
					 involved in preparing patients for radiologic services. Procedures shall
					 include radiology examinations in areas other than the radiology department,
					 the administration of diagnostic agents by paramedical personnel, and the care
					 of patients having special need, including those who are critically ill and
					 those needing isolation precautions.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › POLICIES › Section 127.32 - Written orders

Current through Register Vol. 54, No. 28, July 13, 2024
Diagnostic radiology services shall be performed only
						upon the written order of a member of the medical staff, or house staff, or a
						physician who has been granted clinical privileges. Orders for radiology
						services shall, in all other respects, conform to the regulations generally
						applicable to written orders or the exceptions thereto. Any request for
						radiology services should contain a concise statement as to the reason for the
						request.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › POLICIES › Section 127.33 - Authority to use radium

Current through Register Vol. 54, No. 28, July 13, 2024
The therapeutic use of radium or other sealed radioactive
						sources in the hospital shall be limited to physicians who have been granted
						this privilege by the governing body at the recommendation of the medical staff
						after consultation with and consideration of the recommendations of the
						radiologist or of a radiation safety committee, or both. Only persons who have
						had suitable training and experience as determined by the director of radiology
						services or radiation safety committee shall be permitted to handle radioactive
						material. A license from the Department of Environmental Protection or the
						United States Nuclear Regulatory Commission authorizing the use of radioactive
						materials shall be required.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › POLICIES › Section 127.34 - Storage and handling of radioactive material

Current through Register Vol. 54, No. 28, July 13, 2024
Rules shall be established by the director of radiology
						services or the radiation safety committee, or both, as to the use, removal,
						handling and storage of the radium element, its disintegration products, and
						other radioactive elements.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 127 - RADIOLOGY SERVICES › POLICIES › Section 127.35 - Patient care records

Current through Register Vol. 54, No. 28, July 13, 2024
Authenticated reports of radiology interpretations and of
						consultation, therapy, and radiotherapy summaries shall be part of the
						patient's medical record and shall conform to the requirements of Chapter 115
						(relating to medical records).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Nuclear medicine and consultation services should be
						conveniently available to meet the needs of the patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.2 - Organizational options

Current through Register Vol. 54, No. 28, July 13, 2024
When these services are obtained outside the hospital for
						hospitalized patients, the providers of such services must be approved by the
						medical staff and must have a current permit from the Department of
						Environmental Protection.
The provisions of this § 129.2 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 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.3 - Organization and staffing

Current through Register Vol. 54, No. 28, July 13, 2024
The system for providing nuclear medicine services shall
						be clearly defined by the chief executive officer or the governing
						body.
The provisions of this § 129.3 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 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.4 - Director

Current through Register Vol. 54, No. 28, July 13, 2024
Direction of nuclear medicine services shall be provided
						by a member of the medical staff who is certified by the American Board of
						Nuclear Medicine or an equivalent Board who is eligible for Board
						certification, or who has successfully completed an approved residency in
						nuclear medicine or equivalent training. The director may be available full
						time or part time, depending on the size and complexity of the service. The
						director shall ensure that proper radiation safety principles and practices are
						observed.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.5 - Consultation by physicist

Current through Register Vol. 54, No. 28, July 13, 2024
The services of a radiation physicist or other physical
						scientist shall be available, as needed.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › GENERAL PROVISIONS › Section 129.6 - Education program for nuclear medicine personnel

Current through Register Vol. 54, No. 28, July 13, 2024
Nuclear medicine personnel should have the opportunity to
						further their knowledge and skills through on-the-job training, in-service
						education programs, and attendance at workshops and institutes held outside the
						hospital.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › FACILITIES › Section 129.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Nuclear medicine services, when provided within the
						hospital, shall have adequate space and facilities to meet, with safety, the
						diagnostic and therapeutic needs of the patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › FACILITIES › Section 129.12 - Space requirements

Current through Register Vol. 54, No. 28, July 13, 2024
Space and facilities for the nuclear medicine service
						should include those necessary for the reception, examination, and diagnostic
						study of patients, as well as for related clerical work and
						conferences.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › FACILITIES › Section 129.13 - Storage and disposal requirements

Current through Register Vol. 54, No. 28, July 13, 2024
Facilities shall be provided for the safe preparation,
						transportation, storage, and disposal of radioactive materials so that
						radiation levels meet the regulations of the Department of Environmental
						Protection and the United States Nuclear Regulatory
						Commission.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › FACILITIES › Section 129.14 - Equipment

Current through Register Vol. 54, No. 28, July 13, 2024
The type, quantity and quality of equipment for the
						nuclear medicine service shall be adequate to conduct reliable diagnostic
						studies and therapy. Standards having equivalent energy radiations of the
						radionuclides used in patient studies shall be utilized for routine calibration
						and be readily available.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › POLICIES › Section 129.21 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be written policies and procedures for the
						nuclear medicine services. They shall be reviewed annually, revised as
						necessary, and dated to indicate the date of last review.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 129 - NUCLEAR MEDICINE SERVICES › POLICIES › Section 129.22 - Standardized diagnostic studies

Current through Register Vol. 54, No. 28, July 13, 2024
The director of nuclear services shall establish
						procedures to guide personnel in the standardized performance of diagnostic
						studies and to ensure that the identity, strength, and integrity of
						radio-pharmaceutical agents are maintained.