reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart H - STANDARDS FOR USED OIL FUEL MARKETERS › Section 61-107.279.H.74 - Tracking

Current through Register Vol. 48, No. 6, June 28, 2024
a. Any used oil
				  marketer who directs a shipment of off-specification used oil to a burner must
				  keep a record of each shipment of used oil to a used oil burner. Records for
				  each shipment must include the following information:
(1) The name and address of the transporter
				  who delivers the used oil to the burner;
(2) The name and address of the burner who
				  will receive the used oil;
(3) The
				  EPA identification number and the Department registration number of the
				  transporter who delivers the used oil to the burner;
(4) The EPA identification number and the
				  Department permit number of the burner;
(5) The quantity of used oil shipped;
				  and
(6) The date of
				  shipment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart H - STANDARDS FOR USED OIL FUEL MARKETERS › Section 61-107.279.H.75 - Notices

Current through Register Vol. 48, No. 6, June 28, 2024
a. Before a used
				  oil generator, transporter, or processor/re-refiner directs the first shipment
				  of off-specification used oil fuel to a burner, he must obtain a one-time
				  written and signed notice from the burner certifying that:
(1) The burner has notified the Department
				  stating the location and general description of used oil management activities;
				  and
(2) The burner will burn the
				  off-specification used oil only in an industrial furnace or boiler identified
				  in 279.61.a.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart I - DISPOSAL OF USED OIL › Section 61-107.279.I.80 - Applicability

Current through Register Vol. 48, No. 6, June 28, 2024
The requirements of this subpart apply to all used oils
					 that cannot be recycled and are therefore being disposed at a solid waste
					 management facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart I - DISPOSAL OF USED OIL › Section 61-107.279.I.81 - Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
a. Used oils that
				  are identified as a hazardous waste and cannot be recycled in accordance with
				  this regulation must be managed in accordance with the hazardous waste
				  management requirements of R.61-79.260 through 266, 268, 270 and 124.
b. Used oils that are identified as a
				  non-hazardous waste must be disposed of by delivery to a used oil collection
				  facility, used oil energy recovery facility, used oil fuel burner or to an
				  authorized agent for delivery to a used oil collection facility, used oil
				  energy recovery facility, used oil fuel burner or oil recycling
				  facility.
c. Used oils that are not
				  hazardous wastes and cannot be recycled under this part, must be disposed in
				  accordance with the requirements of R.61-107.19 or another
				  regulation promulgated pursuant to S.C. Code Ann. Section
				  44-96-10,
				  et seq. (1976, as amended).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart J - RETAIL SALES REQUIREMENTS › Section 61-107.279.J.90 - Retail Sales Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
a.
				  Any motor, lubricating, or other oil offered for sale, at retail or at
				  wholesale for direct retail sale, for use off the premises, shall be clearly
				  marked or labeled as containing a recyclable material which must be disposed of
				  only at a used oil collection facility. A statement on a container of
				  lubricating or other oil offered for sale is in compliance with this section if
				  it contains the following statement: 'Don't pollute. Conserve resources. Return
				  used oil to collection centers.'
b.
				  Motor oil retailers shall post and maintain, at or near the point of sale, a
				  durable and legible sign, not less than eleven (11) inches by fifteen (15)
				  inches in size, informing the public of the importance of the proper collection
				  and disposal of used oil and how and where used oil may be properly
				  disposed.
c. The Department may
				  inspect any place, building, or premises subject to this subpart and issue
				  warnings and citations to any person who fails to comply with the requirements
				  of this subsection.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart K - MONITORING › Section 61-107.279.K.91 - Monitoring

Current through Register Vol. 48, No. 6, June 28, 2024
Should the Department confirm environmental and/or health
					 problems associated with the collection, aggregation, storage, transportation,
					 processing, re-refining or recycling of used oil, monitoring (including
					 groundwater, surface water, and air quality monitoring and analysis, and
					 product quality testing and analysis) may be required by the Department as
					 appropriate and based on a case by case evaluation to ensure protection of the
					 environment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart L - USED OIL FILTER MANAGEMENT › Section 61-107.279.L.92 - Used Oil Filter Management

Current through Register Vol. 48, No. 6, June 28, 2024
a. Non-terne plated used oil filters that are
				  not mixed with a hazardous waste as listed in R.61-79, may be disposed of in a
				  municipal solid waste landfill provided all used oil filters are hot-drained
				  for a minimum of twelve (12) hours using one of the following methods:
(1) Puncturing the filter anti-drain back
				  valve or the filter dome end and hot-draining.
(2) Dismantling and hot-draining;
				  or
(3) Any other equivalent
				  hot-draining method which will remove used oil.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart M - VIOLATIONS AND PENALTIES › Section 61-107.279.M.93 - Violations and Penalties

Current through Register Vol. 48, No. 6, June 28, 2024
A violation of this regulation, or any permit or order
					 issued pursuant to or in accordance with this regulation, subjects a violator
					 to the issuance of a Department order, a civil penalty, or to a criminal
					 enforcement action in accordance with S.C. Code Ann., Section
					 44-96-100,
					 as amended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart N - SEVERABILITY › Section 61-107.279.N.94 - Severability

Current through Register Vol. 48, No. 6, June 28, 2024
Should any section, paragraph, sentence, clause or phrase
					 of this regulation be declared unconstitutional or invalid for any reason, the
					 remainder of this regulation shall not be affected thereby.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-107 - Solid Waste Management › Subchapter 61-107.279 - SOLID WASTE MANAGEMENT: USED OIL › Subpart O - VARIANCES › Section 61-107.279.O.95 - Variances

Current through Register Vol. 48, No. 6, June 28, 2024
Any request for variances to these rules and regulations
					 must be directed in writing to, and will be considered by the Department, on an
					 individual basis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.100 - DEFINITIONS, REFERENCES, AND LICENSE REQUIREMENTS › Section 61-108.100.102 - References

Current through Register Vol. 48, No. 6, June 28, 2024
The following publications/standards are referenced in this
				  regulation:
A. Departmental:
1.R.61-4, Controlled
				Substances;
2.R.61-15, Certification of Need for
				Health Facilities and Services;
3.R.61-16, Minimum Standards for
				Licensing Hospitals and Institutional General Infirmaries;
4.R.61-20, Communicable
				Diseases;
5.R.61-63, Radioactive
				Materials;
6. R.61-64, X-Rays,
				(Title B);
7.R.61-105, Infectious Waste
				Management;
8. Guidelines for
				Prevention and Control of Antibiotic Resistant Organisms in Health Care
				Settings;
9. Guidelines for
				Preventing Transmission of Mycobacterium Tuberculosis in Health Care
				Facilities;
10. South Carolina
				Health Plan.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.100 - DEFINITIONS, REFERENCES, AND LICENSE REQUIREMENTS › Section 61-108.100.103 - License Requirements (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Compliance. An initial license shall not be issued to an owner/operator who has
				not been previously and continuously licensed under Department regulations
				until the licensee has demonstrated to the Department that the proposed
				equipment is in substantial compliance with the licensing standards. In the
				event a licensee who already has a facility/activity/freestanding or mobile
				technology licensed by the Department makes application for another
				facility/activity/freestanding or mobile technology or increase in licensed
				capacity of a facility, the currently licensed facility/activity/freestanding
				or mobile technology shall be in substantial compliance with the applicable
				standards prior to the Department issuing a license to the proposed
				facility/activity/freestanding or mobile technology.
B. A copy of the licensing standards shall be
				maintained by the licensee and accessible to all staff members.
C. No licensee who has been issued a license
				for a particular type of equipment shall establish new care, treatment,
				procedures, and/or services without first obtaining authorization from the
				Department. (I)
D. Issuance and
				Terms of License.
1. A license is issued by
				the Department and shall be posted in a conspicuous place near the licensed
				equipment.
2. The issuance of a
				license does not guarantee adequacy of individual care, treatment, procedures,
				and/or services, personal safety, fire safety or the well-being of any
				patient.
3. A license is not
				assignable or transferable and is subject to revocation at any time by the
				Department for the licensee's failure to comply with the laws and regulations
				of this State.
4. Equipment that is
				licensed pursuant to this regulation and is acquired by a licensed health care
				facility through purchase, contract, lease, or assuming/obtaining possession,
				shall be included as a part of the health care facility's license, and the
				original equipment license shall become null and void.
5. A license shall be effective for specified
				equipment at a specific location(s) for a specified period following the date
				of issue as determined by the Department. A license shall remain in effect
				until the Department notifies the licensee of a change in that
				status.
6. Equipment owned by the
				same entity but not located on the same adjoining or contiguous property shall
				be separately licensed. Roads or local streets, except limited access, e.g.,
				interstate highways, shall not be considered as dividing otherwise adjoining or
				contiguous property.
7. Multiple
				types of equipment on the same premises may be licensed separately even though
				owned by the same entity.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.200 - ENFORCING REGULATIONS › Section 61-108.200.201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, and other pertinent documentation in order to enforce this
				  regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.200 - ENFORCING REGULATIONS › Section 61-108.200.202 - Inspections/Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A. An inspection
				shall be conducted prior to initial licensing of equipment and subsequent
				inspections conducted as deemed appropriate by the Department. Regulatory
				related accreditations may be considered in determining the appropriateness of
				Department inspections.
B. All
				equipment and those areas of the location that impact treatment/procedures
				provided by the equipment are subject to inspection or investigation at any
				time without prior notice by individuals authorized by the
				Department.
C. Individuals
				authorized by the Department shall be granted access to all properties and
				areas, objects, and records that are pertinent to the operation of equipment
				and have the authority to require the licensee to make photocopies of those
				documents required in the course of inspections or investigations. Photocopies
				shall be used for purposes of enforcement of regulations, and confidentiality
				shall be maintained except to verify the identity of individuals in enforcement
				action proceedings. (II)
D. A
				licensee found noncompliant with the standards of this regulation shall submit
				an acceptable written plan of correction to the Department that shall be signed
				by the on-site manager and returned by the date specified on the report of
				inspection or investigation. The written plan of correction shall describe:
				(II)
1. The actions taken to correct each
				cited deficiency;
2. The actions
				taken to prevent recurrences (actual and similar);
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.200 - ENFORCING REGULATIONS › Section 61-108.200.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations may be provided by the Department as requested
				  by the facility or as deemed appropriate by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.300 - ENFORCEMENT ACTIONS › Section 61-108.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a licensee is in
				  violation of any statutory provision, rule, or regulation relating to the
				  operation or maintenance of such equipment, the Department, upon proper notice
				  to the licensee, may impose a monetary penalty and/or deny, suspend, or revoke
				  its license.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.400 - POLICIES AND PROCEDURES › Section 61-108.400.401 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Policies and procedures addressing each section of this
				  regulation regarding care, treatment, procedures, and/or services, rights, and
				  the operation of the equipment shall be developed and implemented, and revised
				  as required in order to accurately reflect actual operation. The licensee shall
				  establish a time period for review of all policies and procedures. These
				  policies and procedures shall be accessible at all times, either by hard copy
				  or electronically.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.501 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Appropriate
				staffing in sufficient numbers and training shall be provided to operate
				equipment in a manner that shall safely and effectively meet the needs and
				condition of the patients, to include the demands of effective emergency
				on-site action that might arise. Such staffing numbers and training shall:
1. Meet the recommendations of the equipment
				manufacturers;
2. Adhere to current
				professional organizational standards;
3. Comply with all local, state, and federal
				laws.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.502 - On-Site Manager (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Licensees shall have an on-site manager who shall be capable of meeting the
				responsibilities of operating and/or maintaining the equipment to ensure that
				it is in compliance with these regulations and shall demonstrate adequate
				knowledge of these regulations
B. A
				staff member shall be designated by name or position, in writing, to act in the
				absence of the on-site manager.
C.
				Mobile units shall maintain a list of individuals approved by the licensee to
				be the on-site manager(s) on a day-to-day basis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.503 - Medical Director (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There
				shall be a medical director who shall be a physician who is responsible for the
				quality of medical equipment services provided to patients.
B. The on-site manager and medical director
				may be the same person.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.504 - Medical Staff (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Physicians and other legally authorized health care providers performing
				treatment/procedures shall be appropriately licensed to perform these functions
				as well as adequately trained in any special requirements that are necessary to
				perform such treatment/procedures.
B. Privileges for each medical staff member
				to perform treatment/procedures and anesthesia shall be in accordance with
				criteria that the medical staff has established and approved.
C. There shall be a roster of medical staff
				having treatment/procedures and anesthesia privileges, specifying the
				privileges and limitations of each and a current listing of all types of
				treatment/procedures offered.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.505 - Qualifications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Those persons
				who practice within the lawful scope of their practice utilizing ionizing
				radiation such as cardiac catheterization (fluoroscopy) shall be appropriately
				qualified in accordance with R.61-63 and R.61-64.
B. Those individuals providing the following
				services shall have the following qualifications:
1. Magnetic Resonance Imaging (MRI).
a. Physicians responsible for reviewing all
				indications for examinations, specifying the use and dosage of contrast agents,
				etc. shall be certified in radiology by the American Board of Radiology, the
				American Osteopathic Board of Radiology, or the Royal College of Physicians and
				Surgeons of Canada with documented evidence of MRI training and meet the
				guidelines of the American College of Radiology Standard for Continuing Medical
				Education.
b. Individuals
				conducting MRI's shall be licensed nurses or Radiologic Technologists with
				documented evidence of appropriate MRI training.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.506 - Inservice Training (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Training for the tasks each staff member performs shall be conducted in order
				to provide the care, treatment, procedures, and/or services delineated in
				Sections501.A and 800.
B. The
				following training shall be provided by appropriate resources, e.g., licensed
				or registered persons, video tapes, books, etc., to all staff members as
				appropriate to their job duties and responsibilities prior to patient contact
				and at a frequency determined by the policies and procedures but at least
				annually:
1. Cause, effect, transmission,
				prevention, and elimination of infections, to include standard precautions,
				management and care of persons with contagious and/or communicable disease,
				e.g., hepatitis, tuberculosis, HIV infection;
2. OSHA standards regarding bloodborne
				pathogens;
3. Confidentiality of
				patient information and records and the protection of patient rights;
4. Emergency procedures and disaster
				preparedness within 24 hours of the employee's first day on the job (see
				Section1100);
5. Fire response
				training within 24 hours of the employee's first day on the job (see
				Section1203);
6. Aseptic
				techniques, such as handwashing, disinfecting, the handling and storage of
				equipment and supplies, and, if applicable, scrubbing practices, proper gowning
				and masking, dressing care techniques, and sterilizing techniques.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.500 - STAFF › Section 61-108.500.507 - Health Status (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				staff members who have contact with patients shall have, within 12 months prior
				to initial patient contact, a health assessment as defined in
				Section101.R.
B. The health
				assessment shall include tuberculin screening as described in
				Section1404.
C. If a staff member
				is working at multiple locations operated by the same licensee, copies of
				records for tuberculin screening and the pre-employment health assessment shall
				be acceptable at each location. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.601 - Incidents/Accidents (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A record of each
				incident and/or accident occurring in the equipment location area involving
				patients or staff members shall be retained.
1. Serious incidents/accidents and/or medical
				conditions as defined below and any illness resulting in death or inpatient
				hospitalization shall be reported via telephone to the next-of-kin or
				responsible party immediately and in writing to the Department's Division of
				Health Licensing within 10 days of the occurrence.
2. Serious medical conditions shall be
				considered as, but not limited to: major permanent loss of function, hemolytic
				transfusion reaction involving administration of blood or blood products, a
				procedure on the wrong patient or wrong body part, fractures of major limbs or
				joints, severe burns, lacerations, or hematomas, and actual or suspected abuse
				or mistreatment of patients.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.602 - Fire/Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Department's Office of Fire and Life Safety and the
				  Division of Health Licensing shall be notified immediately via telephone or
				  facsimile regarding any fire occurring at the equipment location and followed
				  by a complete written report to include fire department reports, if any,
				  submitted within a time period determined by the policies and procedures, but
				  not to exceed 10 days from the occurrence of the fire.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.603 - Communicable Diseases (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All cases of diseases that are required to be reported to the
				  appropriate county health department shall be reported in accordance with
				  R.61-20.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.604 - On-site Manager Change

Current through Register Vol. 48, No. 6, June 28, 2024
The Department's Division of Health Licensing shall be
				  notified in writing by the licensee of freestanding technology within 10 days
				  of any change in on-site manager. The notice shall include at a minimum the
				  name of the newly appointed individual, documented qualifications as required
				  by Section502, and the effective date of the appointment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.605 - Joint Annual Report

Current through Register Vol. 48, No. 6, June 28, 2024
Licensees, if required by the Department's Planning and
				  Certificate of Need Division to submit a "Joint Annual Report," shall complete
				  and return this report within the time period specified by that
				  Division.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.606 - Accounting of Controlled Substances and Devices (I)

Current through Register Vol. 48, No. 6, June 28, 2024
In accordance with R.61-4, any licensee whose licensed
				  equipment is housed in a facility registered with the Department's Bureau of
				  Drug Control shall report any theft or significant loss of controlled
				  substances to the Bureau of Drug Control upon discovery of the loss/theft.
				  Pursuant to S.C. Code Ann. Section
				  40-43-91
				  (1976, as amended), any licensee whose licensed equipment is housed in a
				  facility permitted by the S.C. Board of Pharmacy shall report the loss or theft
				  of controlled substances or devices within thirty working days of the discovery
				  of the loss/theft to the S.C. Board of Pharmacy.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.607 - Equipment Change

Current through Register Vol. 48, No. 6, June 28, 2024
The Department's Division of Health Licensing shall be
				  notified in writing by the licensee within 10 days of any change, upgrade
				  and/or replacement of licensed equipment.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.600 - REPORTING › Section 61-108.600.608 - Equipment Location Closure

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Prior to the permanent closure of a business where equipment is licensed, the
				Department's Division of Health Licensing shall be notified in writing of the
				intent to close and the effective closure date. Within 10 days of the closure,
				the Division of Health Licensing shall be notified of the provisions for the
				maintenance of the records. On the date of closure, the current original
				license shall be returned to the Division of Health Licensing.
B. When a business where equipment is
				licensed temporarily closes, the Division of Health Licensing shall be given
				written notice within a reasonable time in advance of closure. At a minimum
				this notification shall include, but is not limited to: the reason for the
				temporary closure, the manner in which the records are being stored, and the
				anticipated date for reopening. The Department shall consider, upon appropriate
				review, the necessity of inspecting and determining the applicability of
				current standards to the equipment prior to its usage. If the location is
				closed for a period longer than one year, and there is a desire to re-open, the
				licensee shall re-apply to the Department and shall be subject to all licensing
				requirements at the time of that application.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.700 - PATIENT RECORDS › Section 61-108.700.701 - Content (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An organized
				record shall be initiated and maintained for each patient. The record shall
				contain: sufficient documented information to identify the patient; the person
				responsible for each patient; the description of the diagnosis and the care,
				treatment, procedures, and/or services provided, to include the course of
				action taken and results; and the response and reaction to the care, treatment,
				procedures, and/or services provided. All entries shall be indelibly written,
				signed by the author, and dated.
B.
				Specific entries/documentation shall include at a minimum:
1. Consultations by physicians or other
				legally authorized health care providers;
2. Orders and recommendations for all care,
				treatment, procedures, and/or services from physicians or other legally
				authorized health care providers, completed prior to, or at the time of patient
				arrival, and subsequently, as warranted;
3. Care, treatment, procedures, and/or
				services provided;
4. Record of
				administration of each dose of medication and procedures followed if an error
				is made;
5. Special procedures and
				preventive measures performed, e.g., isolation for symptoms of
				tuberculosis;
6. Notes of
				observation during recovery, to include vital signs pre- and
				post-treatment/procedure;
7.
				Discharge summary, including condition at discharge or transfer, instructions
				for self-care and instructions for obtaining post-treatment/procedure emergency
				care;
8. Special information, e.g.,
				allergies, etc.
9. Signed informed
				consent for treatment as required by HIPAA and, if applicable, consent for
				participation in research;
10. If
				applicable, anesthesia records of pertinent pre-treatment/procedure reports
				including pre-anesthesia evaluation, type of anesthesia, technique and dosage
				used, and post-anesthesia follow-up note.
11. Treatment/procedure report (dictated or
				written into the record immediately after treatment/procedure) to include at
				least:
a. Description of findings;
b. Techniques utilized to perform
				treatment/procedure;
c. Specimens
				removed, if applicable;
d. Primary
				physician and assistants.
12. Reports of all laboratory, radiological,
				and diagnostic procedures along with tests performed and the results
				appropriately authenticated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.700 - PATIENT RECORDS › Section 61-108.700.702 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				licensee shall provide accommodations, space, supplies, and equipment adequate
				for the protection, security, and storage of patient records.
B. When a patient is transferred to an
				emergency facility, a transfer summary, to include, at a minimum, the
				diagnosis, care, treatment, procedures, and/or services provided, and
				medication administration record, shall accompany the patient to the receiving
				facility at the time of transfer or forwarded immediately after the transfer.
				Documentation of the information forwarded shall be maintained in the patient
				record. (I)
C. The patient record
				is confidential. Records containing protected or confidential health
				information shall be made available only to individuals granted access to that
				information, in accordance with state and federal laws. The licensee shall have
				a written policy designating the persons allowed to access confidential patient
				information. Written consent by the patient shall be obtained prior to release
				of information except to persons authorized by law. If the patient is mentally
				incompetent, written consent is required from the patient's responsible party.
				(II)
D. Records generated by
				organizations or individuals with whom the licensee contracts for care,
				treatment, procedures, and/or services shall be maintained at the equipment
				location. Appropriate information shall be provided to assure continuity of
				care.
E. The licensee shall
				determine the medium in which information is stored. The information shall be
				readily retrievable and accessible by staff, as needed, and for regulatory
				compliance inspections.
F. Upon
				discharge of a patient, the record shall be completed within 60 days and filed
				in an inactive/closed file maintained by the licensee. Prior to the closing of
				an equipment location for any reason, the licensee shall arrange for
				preservation of records to ensure compliance with these regulations and other
				applicable law. The licensee shall notify the Department's Division of Health
				Licensing, in writing, describing these arrangements and the location of the
				records.
G. Records of patients
				shall be retained for at least six years following the discharge of the
				patient. Records of minors shall be retained until after the expiration of the
				period of election following achievement of majority as prescribed by statute.
				Other documents required by this regulation, e.g., fire drills, shall be
				retained at least 12 months or until the next Division of Health Licensing
				inspection.
H. Patient records are
				the property of the licensee; the original record shall not be removed without
				court order. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.801 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Care, treatment,
				procedures, and/or services shall be provided, given, or performed effectively
				and safely in accordance with orders from physicians or other legally
				authorized health care providers, and precautions shall be taken for patients
				with special conditions, e.g., pacemakers, pregnancy, Alzheimer's disease,
				etc., and/or for those who may be susceptible to deleterious effects as a
				result of the treatment.
B. If a
				patient or potential patient has a communicable disease, a physician or other
				legally authorized health care provider shall insure that adequate care can be
				provided to prevent the spread of the disease and that the staff members are
				adequately trained and qualified to manage the patient, or transfer the patient
				to an appropriate facility, if necessary.
C. When the licensee engages a source to
				provide services normally provided by the staff, e.g., staffing, training,
				equipment maintenance, there shall be a written agreement with the source that
				describes how and when the services are to be provided, the exact services to
				be provided, and a statement that these services are to be provided by
				qualified individuals. The source shall comply with this regulation in regard
				to patient care, treatment, procedures, and/or services, confidentiality, and
				rights. (II)
D. The licensee shall
				comply with all current federal, state, and local laws and regulations related
				to patient care, treatment, procedures, and/or services, and
				protection.
E. A current listing of
				all types of treatment and procedures offered shall be available. A
				chronological record of all treatment and procedures performed shall be
				maintained that shall include patient identification, pre-treatment/procedure
				diagnosis, type of treatment/procedure performed, type of anesthesia utilized
				(if applicable), and any unusual occurrence.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.802 - Anesthesia Services (If Provided) (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Anesthesia shall be administered only by
				those individuals indicated in Section505.B.3.a.
B. After the administration of a general
				anesthetic, a patient shall be attended by a physician until the patient may be
				safely placed under post-operative/procedure supervision by the nursing staff
				who shall then attend the patient until he or she has regained full
				consciousness, or until the effects of the anesthetic have sufficiently
				subsided for the patient to be able to summon aid when needed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.803 - Licensees Utilizing Ionizing Radiation (II)

Current through Register Vol. 48, No. 6, June 28, 2024
All equipment where ionizing radiation is utilized shall be
				  in compliance with those professional organizational standards specified in
				  R.61-63 and
				  R.61-64.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.804 - Laboratory Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Laboratory services required in connection with the treatment/procedure to be
				performed shall be provided or arrangements made to obtain such
				services.
B. Should tests be
				conducted that involve human specimens by utilizing any laboratory equipment
				such as finger-stick glucose, hemoglobin, monitoring devices, etc., for the
				purpose of providing information for the diagnosis, prevention, or treatment of
				disease or impairment, or assessment of health, a Certificate of Waiver from
				the Clinical Laboratories Improvement Amendments (CLIA) Program shall be
				obtained through the Department's CLIA Program.
C. Laboratory supplies shall not be
				expired.
D. A pathologist shall
				examine all tissue specimens except for those types of specimens that the
				medical staff has determined and documented do not require
				examination.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.805 - Adverse Conditions (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Should a patient experience any adverse condition or
				  complication during or after the performance of the treatment/procedure, he or
				  she shall remain at the equipment location until the condition/complication is
				  eliminated, as determined by the physician, and the patient is stabilized.
				  Patients requiring care beyond the capability of the equipment or staff shall
				  be transferred to an appropriate facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.800 - CARE/TREATMENT/PROCEDURES/SERVICES › Section 61-108.800.806 - Patient Instruction (If applicable) (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Written instructions shall be issued to all patients upon
				  discharge and shall include at a minimum the following:
A. Signs and symptoms of possible
				complications;
B. Telephone number
				at the location of the equipment or the attending physician or other
				knowledgeable professional staff member, should any complication occur or
				questions arise;
C. An emergency
				telephone number should any complication occur. It shall be the responsibility
				of the attending physician to arrange for needed care;
D. Limitations regarding activities, foods,
				etc.;
E. Date for follow-up or
				return visit, if applicable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.900 - RIGHTS AND ASSURANCES › Section 61-108.900.901 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The licensee
				shall comply with all current federal, state, and local laws and regulations
				concerning patient care, treatment, procedures, and/or services, patient rights
				and protections, discrimination, and privacy and disclosure requirements, e.g.,
				S.C. Code Ann. Section
				44-81-10
				(1976, as amended).
B. The licensee
				shall develop and post in a conspicuous place in a public area a
				grievance/complaint procedure to be exercised on behalf of the patients that
				includes the address and phone number of the Department's Division of Health
				Licensing and a provision prohibiting retaliation should the grievance right be
				exercised.
C. Care, treatment,
				procedures, and/or services provided, and the charges for such, shall be
				delineated in writing. Patients shall be made aware of such charges and
				services, as verified by the signature of the patient or responsible
				party.
D. Patients shall be
				permitted to use a telephone and allowed privacy when making calls.
E. Adequate safeguards shall be provided for
				protection and storage of patients' personal belongings.
F. Patient rights shall be guaranteed,
				prominently displayed, and, the patient shall be informed of these rights, to
				include, at a minimum:
1. The care, treatment,
				procedures, and/or services to be provided;
2. Informed consent for care, treatment,
				procedures, and/or services;
3.
				Respect for the patient's property;
4. Freedom from mental and physical abuse and
				exploitation;
5. Privacy while
				being treated and while receiving care;
6. Respect and dignity in receiving care,
				treatment, procedures, and/or services;
7. Refusal of treatment. The patient shall be
				informed of the consequences of refusal of the treatment/procedure, and the
				reason shall be reported to the physician and documented in the patient
				record;
8. Refusal of experimental
				treatment and drugs;
9.
				Confidentiality and privacy of records.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-108 - STANDARDS FOR LICENSING FREESTANDING OR MOBILE TECHNOLOGY › Sec2 61-108.1000 - MEDICATION MANAGEMENT › Section 61-108.1000.1001 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including controlled substances, medical supplies, intravenous solutions, and
				those items necessary for the rendering of first aid shall be properly managed
				in accordance with local, state, and federal laws and regulations, to include
				the securing, storing, and administering of medications, medical supplies,
				first aid supplies, biologicals and their disposal when discontinued or
				expired, or at discharge, death, or transfer of a patient.
B. Non-legend medications may be retained and
				labeled as stock for administration as ordered by a physician or other legally
				authorized health care provider.
C.
				If controlled substances are to be used, a controlled substances registration
				from the Department's Bureau of Drug Control and a controlled substance
				registration from the Federal Drug Enforcement Administration (DEA) shall be
				obtained. The registration(s) shall be displayed in a conspicuous
				location.
D. Upon the advice and
				written approval of the Medical Director or consultant pharmacist, an emergency
				kit or cart of lifesaving medicines and equipment shall be maintained for the
				use of physicians or other legally authorized health care providers in treating
				the emergency needs of patients.
1. The
				kit/cart shall be sealed and stored in such a manner as to prevent unauthorized
				access and to ensure a proper environment for preservation of the medications
				within, but in such a manner as to allow immediate access.
2. The emergency medication kit/cart shall
				display the following information:
a. "For
				Emergency Use Only";
b. Name,
				address, and telephone number of the consultant pharmacist.
3. Whenever the kit/cart is
				opened, it shall be restocked and resealed within a reasonable time to prevent
				risk of harm to a patient.
4.
				Contents of each section of the kit/cart shall be listed and maintained on or
				in the kit/cart, and shall correspond to the list. Documentation of monthly
				checks of expiration dates of medications and supplies is to be retained for a
				period of two years or until the Department's Division of Health Licensing's
				next inspection, whichever is longer.