reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.601 - Employee Health Program

Current through Register Vol. 48, No. 6, June 28, 2024
A hospital shall provide an employee health program to support a safe, healthy workplace by providing timely and quality health assessments, prevention services and if needed, intervention strategies. In order to minimize the possibility of contamination and transfer of infection, the employee health program shall include the establishment of policies and monitoring procedures to ensure that all employees are free from communicable infections and open skin lesions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.602 - New Employees

Current through Register Vol. 48, No. 6, June 28, 2024
A. To ensure that every person accepted for employment is medically capable of performing the required job duties, a new employee shall be required to satisfactorily pass a health assessment conducted prior to direct patient contact by one of the following:
1. Medical Doctor or Doctor of Osteopathy;
2. Physician Assistant;
3. Nurse Practitioner; or
4. Registered nurse, pursuant to standing orders approved by a physician as required by hospital policy by the physician. The standing orders must be reviewed annually, with a copy maintained at the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.603 - Employee Records

Current through Register Vol. 48, No. 6, June 28, 2024
A. All employee health records, including any medical history, shall be retained in a separate and confidential file in Employee Health. Access to these records will be permitted only to those authorized through hospital policy.
B. The hospital shall have policies and procedures for the maintenance and destruction of employee health records after employment has been terminated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.604 - Volunteer Workers. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All volunteer workers who handle food or provide patient care shall have a physical examination prior to their initial food handling or patient care activity. If a volunteer worker's patient care responsibility is limited to only administering vaccinations, then the facility does not need to have a physical examination of that volunteer worker.
B. For patient care volunteers, the tuberculin testing and treatment program described in Section 602.B also applies.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.605 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.606 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.607 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.608 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.609 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.610 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.611 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.612 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.613 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.614 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.615 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.616 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.617 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.618 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.600 - EMPLOYEE HEALTH. (II) › Section 61-16.619 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.701 - Incident Reports

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility shall document every incident, and include an incident review, investigation, and evaluation as well as corrective action taken, if any. The Facility shall retain all documented incidents reported pursuant to this section for three (3) years following the incident. For the first year following the incident, these records shall be kept on site and readily available at that Facility.
B. The Facility shall report the following types of incidents to the Department and the patient, patient's responsible party, sponsor, or emergency contact within twenty-four (24) hours or by the next regular business day from when the facility had reasonable cause to believe an incident occurred. The Facility shall notify the Department via the Department's electronic reporting system or as otherwise determined by the Department. Initial reports to the Department are intended to collect basic information as may be known at the time about the incident to include, at a minimum, the location of the incident, the type of incident, the date the incident is believed to have occurred or the date the report was filed, the number of residents, clients or patients injured by the incident, as well as contact information for the individual making the report. If the Facility does not have all the information requested, it shall provide a partial report with the information available to the Facility. The following types of incidents require an initial report to the Department as specified in this section:
1. Surgery or other invasive procedure performed on the wrong patient.
2. Surgery or other invasive procedure performed on the wrong site.
3. Wrong surgical or other invasive procedure performed on a patient.
4. Patient death or serious injury associated with patient elopement (disappearance).
5. Patient suicide, attempted suicide, or self-harm that results in serious injury, while being cared for in a healthcare setting.
6. Any incident in which systems designated for oxygen or other gas to be delivered to a patient contain no gas, the wrong gas, or are contaminated by toxic substances.
7. Patient death or serious injury associated with the use of restraints or bedrails while being cared for in a healthcare setting.
8. Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed healthcare provider.
9. Abduction of any patient of any age.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.702 - Loss of Essential Services

Current through Register Vol. 48, No. 6, June 28, 2024
Should a facility experience a loss of an essential service such as cooling, potable water, or electrical power, the facility shall notify the Department by email to HQEP@dhec.sc.gov or other email address prescribed by the Department after ensuring the safety of the patients, but not to exceed twenty-four (24) hours from the loss of service.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.703 - Facility Closure

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to the permanent closure of a facility, the Department shall be notified in writing of the intent to close and the effective closure date. Within 10 days of the closure, the facility shall notify the Department of the provisions for the maintenance of the records, the identification of displaced patients, the relocated site, and the dates and amounts of patient refunds. On the date of closure, the license shall be returned to Department.
B. In instances where a facility temporarily closes, the Department shall be given written notice within a reasonable time in advance of closure. At a minimum this notification shall include, but not be limited to: the reason for the temporary closure, the location where the patients have been/will be transferred, 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 construction standards of the facility prior to its reopening. If the facility is closed for a period longer than one year, and there is a desire to re-open, the facility shall be subject to all licensing requirements prior to reopening, including construction-related requirements for a new facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.704 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no patients in a facility for any reason for a period of ninety (90) calendar days or more, the Facility shall notify the Department in writing that there have been no admissions, no later than the hundredth (100th) day following the date of departure of the last active patient. At the time of that notification, the Department shall consider, upon appropriate review of the situation, the necessity of inspecting the Facility prior to any new and/or re-admissions to the Facility. If the Facility has no patients for a period longer than one year, and there is a desire to admit a patient, the Facility shall be subject to all licensing requirements prior to admission of a patient, including construction-related requirements for a new facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.705 - Joint Annual Report

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall submit a "Joint Annual Report" as specified by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.700 - REPORTING. (II) › Section 61-16.706 - Hospital Infections Disclosure Act (HIDA) & Reporting Requirements. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall collect data and submit reports to the Department on hospital acquired infection rates and methods and adequacy of selected infection control process pursuant to S.C. Code of Laws Sections 44-7-2410 through 44-7-2460.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.801 - Compliance

Current through Register Vol. 48, No. 6, June 28, 2024
In order to be in compliance with The Lewis Blackman Hospital Patient Safety Act, hospitals are required to:
A. Identify all clinical staff, clinical trainees, medical students, interns, and resident physicians as such with identification badges that include their names, their departments, and their job or trainee titles.
B. Institute a procedure whereby a patient may request that a nurse call his or her attending physician regarding the patient's personal medical care.
C. If the patient is able to communicate with and desires to call his or her attending physician or designee, upon the patient's request, the nurse must provide the patient with the telephone number and assist the patient in placing the call.
D. Provide a mechanism, available at all times, and the method for accessing it, through which a patient may access prompt assistance for the resolution of the patient's personal medical care concerns.
E. Establish procedures for the implementation of the mechanism providing for initiation of contact with administrative or supervisory clinical staff who shall promptly assess the urgent patient care concern and cause the patient care concern to be addressed.
F. Provide to each patient prior to, or at the time of the patient's admission to the hospital for inpatient care or outpatient surgery, written information describing the general role of clinical trainees, medical students, interns, and resident physicians in patient care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.802 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.803 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.804 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.805 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.806 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.807 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.808 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.809 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.800 - REQUIREMENTS OF THE LEWIS BLACKMAN ACT (I) › Section 61-16.810 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.900 - EMERGENCY PREPAREDNESS › Section 61-16.901 - All-Hazards Emergency Operations Plan. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All facilities shall develop, implement, and maintain a written all-hazards emergency operations plan for actions to be taken in the event of a disaster and/or emergency evacuation. Additionally, in instances where there are applications for increases in licensed bed capacity or a change in ownership, the emergency plan shall be updated to reflect the proposed new total licensed bed capacity and/or change in ownership. The Facility shall review the plan at least annually.
B. The all-hazards emergency operations plan shall include, but not be limited to:
1. A sheltering plan to include:
a. Name, address, and phone number of the sheltering facility(ies) to which patients will be relocated during a disaster; and
b. A letter of agreement signed by an authorized representative of each sheltering facility, which shall include: the number of relocated patients that can be accommodated; sleeping, feeding, and medication plans for the relocated patients; and provisions for accommodating relocated staff members. The letter shall be updated with the sheltering facility at least every three (3) years and whenever significant changes occur. For those facilities located in Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, and Jasper counties, at least one (1) sheltering facility shall be located in a county other than these counties.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.900 - EMERGENCY PREPAREDNESS › Section 61-16.902 - Internal Medical Surge

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility desiring to activate internal medical surge and temporarily admit patients in excess of licensed bed capacity due to an emergency shall provide written notification to the Department upon prescribed forms that include the following information:
1. A description of the emergency situation;
2. An outline of the maximum number of patients to be admitted;
3. An anticipated date of discharge of the patients; and
4. A description of how and where the patients will be housed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.900 - EMERGENCY PREPAREDNESS › Section 61-16.903 - External Medical Surge

Current through Register Vol. 48, No. 6, June 28, 2024
A. Some emergency situations might overwhelm a Facility's plans for Internal Medical Surge or render the licensed inpatient hospital building(s) unusable. In such situations, a Facility may activate External Medical Surge and operate an Alternate Care Site (ACS) under the authority of its license during an emergency situation such as a mass casualty event or Facility evacuation. To activate an ACS, the Facility's census must be projected to surge beyond its planned Internal Medical Surge capacity or the Facility's main building, or a portion of the building, must be rendered unusable.
B. If a Facility desires to be approved to operate an ACS, the Facility shall:
1. Conduct an assessment of the proposed ACS location utilizing the Department's Alternate Care Site Preliminary Assessment Form. Every ACS shall be planned, designed, and equipped to provide adequate accommodations for the care, safety, and treatment of each patient. Buildings selected for ACS should comply with the local building codes and ordinances applicable to the buildings' original intended use. It is the Facility's responsibility to use the assessment process to assure that an ACS building is in compliance with local codes and has the structural soundness and capacity to provide patient treatment contemplated by the Facility.
2. Once a location has been identified, the Department will meet with Facility staff to discuss the details of the ACS. When appropriate, the Department will send written confirmation that the location has been approved for future use as an ACS. The location will retain its status as an ACS unless modifications are made to the site. Modifications that might affect the use of an ACS include, but are not limited to, renovations, construction, demolition, or change of ownership. Any modifications to the site should be reported in writing to the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.900 - EMERGENCY PREPAREDNESS › Section 61-16.904 - Emergency Call Data. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Emergency call information shall be immediately available to personnel on each unit when needed. Emergency call data shall include at least the following information:
A. Non emergency telephone numbers of fire and police departments;
B. Name, address, and telephone number of all personnel to be called in case of fire or emergency;
C. Name, address, and telephone number of physician on call;
D. Name, address, and telephone number of supervisory personnel when on call; and
E. Address and telephone number of a poison control center.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.900 - EMERGENCY PREPAREDNESS › Section 61-16.905 - Security

Current through Register Vol. 48, No. 6, June 28, 2024
In order to assure the safety and well-being of all patients,
				  staff, and visitors, the administration shall conduct an annual risk assessment
				  to identify potential areas or situations that may cause harm or where an
				  incident may occur. Based upon the findings of that assessment, the
				  administration shall develop and implement a plan to provide for the
				  appropriate level of security necessary.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1000 - ACCOMMODATIONS FOR PATIENTS. (II) › Section 61-16.1001 - Maximum Number of Beds

Current through Register Vol. 48, No. 6, June 28, 2024
A. No facility shall have set up or in use at any time more beds than the number stated on the face of the license except in cases of justified emergencies. The following categories of beds are not chargeable to the licensed number:
1. Labor room;
2. Newborn nursery;
3. Recovery room;
4. Emergency room treatment;
5. Classroom use only.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1000 - ACCOMMODATIONS FOR PATIENTS. (II) › Section 61-16.1002 - Location of Beds

Current through Register Vol. 48, No. 6, June 28, 2024
A. In semi-private and multi-bed rooms there shall be curtains or other means of providing privacy that completely shield the patient.
B. Beds, gurneys, recliners, chairs or other similar furniture shall not be placed in corridors, solaria or other locations not designed as patient room areas except in cases of justified emergencies.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1000 - ACCOMMODATIONS FOR PATIENTS. (II) › Section 61-16.1003 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1000 - ACCOMMODATIONS FOR PATIENTS. (II) › Section 61-16.1004 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1000 - ACCOMMODATIONS FOR PATIENTS. (II) › Section 61-16.1005 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1101 - Physician's Responsibility

Current through Register Vol. 48, No. 6, June 28, 2024
It shall be the responsibility of each physician to complete and authenticate the medical record within a stipulated time after discharge, not to exceed 30 days after discharge.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1102 - Organization

Current through Register Vol. 48, No. 6, June 28, 2024
The responsibility for supervision, filing, indexing, maintenance and storage of medical records shall be assigned to a responsible employee of the hospital who has had training in this field.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1103 - Indexing

Current through Register Vol. 48, No. 6, June 28, 2024
Medical records shall be properly indexed, organized, filed and ready for access by members of the staff.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1104 - Ownership

Current through Register Vol. 48, No. 6, June 28, 2024
Medical records of patients are the property of the organization and must not be released from the hospital's authority or control except by court order.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1105 - Contents

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each entry in the medical records must be legible, dated, timed and signed/authenticated by the clinician or designee that created the entry. A medical record must be created for all patients admitted to the hospital and newborns delivered in the hospital. Initials will be accepted provided such initials can be readily identified within the medical record. A minimum medical record shall include the following information:
1. An admission record must be prepared for each patient and must contain the following information, when obtainable: Name; address, including county; age; date of birth; sex; marital status; religion; race and ethnicity; health insurance number; provisional diagnosis; case number; days of care; social security number; name and telephone number of person or persons to be notified in the event of emergency; name of referring physician; name of attending physician; date and hour of admission;
2. History and physical within 48 hours after admission;
3. Provisional or working diagnosis;
4. Pre-operative diagnosis;
5. Plan of care;
6. Complete surgical record, if any, including technique of operation and findings, statement of tissue and organs removed and post-operative diagnosis;
7. Report of anesthesia;
8. Nurses' notes;
9. Progress notes;
10. Gross pathological findings and microscopic, if applicable;
11. Vital signs and other measurements appropriate to patient;
12. Medication Administration Record or similar document for recording of medications, treatments and other pertinent data. This record shall be signed/authenticated after each medication administered or treatment is rendered;
13. Final diagnosis and discharge summary, including date and time of discharge;
14. In case of death, cause and autopsy findings, if autopsy is performed, unless the death becomes subject to review by the coroner's office, and;
15. Special examinations, if any, e.g., consultations, clinical laboratory, x-ray and other examinations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1106 - Orders for Medication and Treatment

Current through Register Vol. 48, No. 6, June 28, 2024
All medical records shall contain the necessary consent forms for the treatment provided, along with orders for medication and treatment, signed/authenticated and dated by the prescriber or his designee. All orders, including verbal orders, shall be properly recorded in the medical record, dated and signed/authenticated by the prescriber within 30 days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1107 - Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A. Provisions shall be made by the hospital for the storage of medical records in an environment which will prevent unauthorized access and deterioration. The records shall be treated as confidential and shall not be disposed of before 10 years. Records may be destroyed after 10 years provided that:
1. Records of minors must be retained until after the expiration of the period of election following achievement of majority as prescribed by statute; and
2. The hospital retains a register, either electronic or paper based.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1108 - Information to be Provided to Other Health Care Providers

Current through Register Vol. 48, No. 6, June 28, 2024
In order to contribute to the continuity of quality of care, procedures must be established and implemented to provide discharge summaries and/or other appropriate information to health care providers to whom patients are discharged, transferred or referred.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1109 - Maintenance and Disposal

Current through Register Vol. 48, No. 6, June 28, 2024
Records shall be maintained and disposed of as specified in Section 1107.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1100 - MEDICAL RECORDS. (II) › Section 61-16.1110 - Access to Medical Records

Current through Register Vol. 48, No. 6, June 28, 2024
Only authorized personnel should have access to medical records and a hospital shall have policies and procedures to assure that a patient's protected health information is private. The patient shall have access to his/her clinical records within a reasonable timeframe and a hospital shall have a process in place to facilitate that access if requested.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1201 - Basic Facility Functions (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
Pharmaceutical Services.
The Facility must have pharmaceutical services that meet the needs of the patients. The Facility must have a pharmacy directed by a registered pharmacist or a drug storage area under competent supervision. The medical staff is responsible for developing policies and procedures that minimize drug errors. This function may be delegated to the Facility's organized pharmaceutical service.
1. Pharmacy management and administration. The pharmacy or drug storage area must be administered in accordance with accepted professional principles.
a. A full-time, part-time, or consulting pharmacist must be responsible for developing, supervising, and coordinating all the activities of the pharmacy services.
b. The pharmaceutical service must have an adequate number of personnel to ensure quality pharmaceutical services, including emergency services.
c. Current and accurate records must be kept of the receipt and disposition of all drugs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1202 - Optional Hospital Services (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
Surgical Services.
If the hospital provides surgical services, the services must be well organized and provided in accordance with acceptable standards of practice. If outpatient surgical services are offered, the services must be consistent in quality with inpatient care in accordance with the complexity of services offered.
1. The organization of the surgical services must be appropriate to the scope of the services offered.
a. The operating rooms must be supervised by an experienced registered nurse or a doctor of medicine or osteopathy.
b. Licensed practical nurses (LPNs) and surgical technologists (operating room technicians) may serve as "scrub nurses" under the supervision of a registered nurse.
c. Qualified registered nurses may perform circulating duties in the operating room. In accordance with applicable State laws and approved medical staff policies and procedures, LPNs and surgical technologists may assist in circulatory duties under the supervision of a qualified registered nurse who is immediately available to respond to emergencies.
d. Surgical privileges must be delineated for all practitioners performing surgery in accordance with the competencies of each practitioner. The surgical service must maintain a roster of practitioners specifying the surgical privileges of each practitioner.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1203 - Radiology

Current through Register Vol. 48, No. 6, June 28, 2024
A. Imaging services
				shall be under the supervision of a full-time radiologist, consulting
				radiologist, or a physician experienced in the particular imaging modality and
				the physician in charge must have the credentials required by facility
				policies.
B. Activities of the
				imaging service may include radio-therapy.
C. All imaging equipment shall be operated by
				personnel trained in the use of imaging equipment and knowledgeable of all
				applicable safety precautions required by the Department. Copies of additional
				regulations are available from the Department.
D. A written, signed/authenticated report on
				each x-ray or diagnostic image and therapy treatment shall be made a part of
				the patient's record; copies of the report shall be readily accessible in the
				imaging department. Each request for x-ray or diagnostic image examination
				shall include a concise statement of the reason for the examination.
E. The length of time that an x-ray image
				shall be kept on file shall be determined by the individual hospital. For its
				own protection, every hospital should consult with its legal counsel before
				selling or disposing of film.
F.
				Patients and employees shall be provided protection from radiation in
				accordance with current practices outlined by the Department.
G. Ultrasound and echocardiogram services
				shall be available within one hour on a twenty-four (24) hour basis.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1204 - Pharmacy Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				pharmaceutical service shall be directed by a registered pharmacist either on a
				full or part-time basis. The pharmacist directing the pharmaceutical services
				is responsible to the administration of the hospital for developing,
				supervising and coordinating all of the activities of the pharmacy department,
				which should include, but are not limited to, the following:
1. Dispensing medications in such form that
				will minimize additional preparation before administering to the
				patient.
2. Monitoring all
				medication orders to ensure that clinically significant chemical and
				therapeutic incompatibilities within the patient's drug regimens are reported
				to the prescribing physician.
3.
				Providing education programs for the facility's personnel and counseling
				patients regarding their medications, including their safe use.
4. Providing a method by which medications
				can be obtained during the absence of a pharmacist in the facility in such a
				manner that will minimize the potential for medication error and assure control
				and accountability of any drugs. A pharmacist shall be available on an on-call
				basis at all times.
5. Assisting in
				the formulation of professional policies regarding the evaluation, appraisal,
				selection, procurement, storage, distribution, use, and safety procedures
				relating to drugs in the facility.
6. Monthly review of drugs and drug records
				in all locations in which drugs are stored, including, but not limited to,
				nursing stations, emergency rooms, outpatient departments, operating suites,
				emergency kits, etc.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1205 - Drug Distribution and Control

Current through Register Vol. 48, No. 6, June 28, 2024
The pharmaceutical service shall have written policies and
				  procedures for control and accountability, drug distribution, and assurance of
				  quality of all drugs and biological products throughout the hospital. The
				  pharmacist-in-charge shall provide the current license for the institutional
				  pharmacy from the SC Board of Pharmacy, the individual's professional license,
				  and the professional licenses of all personnel working within the pharmacy upon
				  request of the Departments inspectors. The pharmacist-in-charge of an
				  institutional pharmacy shall establish written policies and procedures to
				  provide for access to drugs by the medical staff whenever a licensed pharmacist
				  is not physically present in an institutional facility by use of night cabinets
				  and/or by access to the pharmacy. A licensed pharmacist must be on call at all
				  times.
A. A record of the stock and
				distribution of all controlled substances in Schedule II shall be maintained in
				such a manner that the disposition of any particular item may be readily
				traced. All such records shall be maintained in compliance with the
				requirements of the Federal and State Controlled Substances Acts.
B. Records for investigational drugs shall be
				maintained in the pharmacy in compliance with the Federal Food and Cosmetic Act
				Regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1206 - Physical Facilities and Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A. Drug storage on the nursing units shall be
				reviewed monthly by the pharmacist or a properly trained individual designated
				by the pharmacist; a record of each review shall be maintained. All floor
				stocks shall be properly controlled. Medications requiring refrigeration shall
				be kept in a secured refrigerator used exclusively for medications, or in a
				secured manner in which medications are separated from other items kept in a
				refrigerator (e.g. Lock Box). Refrigerators shall be provided with a
				thermometer accurate to plus or minus 2 degrees F. Documentation of appropriate
				temperature control is required by manual or electronic means.
B. Pharmacy practice shall be governed by the
				SC Board of Pharmacy Practice Act as detailed in the S.C. Code of Laws. If
				services are provided at more than one location, each location must be
				permitted by the SC Board of Pharmacy.
C. Only personnel approved by the hospital
				administrator or his/her designees shall have access to the pharmacy.
D. Emergency boxes, kits or (crash) carts
				shall be sealed and, when not in actual use, stored either in a secured area or
				under visual control from the nurses' station. The contents of these containers
				shall be approved by the appropriate committee of the facility. An inventory
				list of the contents shall be maintained in or on the container.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1200 - PATIENT CARE AND SERVICES › Section 61-16.1207 - Labeling of Medications

Current through Register Vol. 48, No. 6, June 28, 2024
A. Any
				medication administered to inpatients shall be identified with its name and
				strength labeled on the container in which it is provided or on each single
				unit package. The labeling of medications administered to inpatients shall be
				in compliance with applicable Federal, State, and local laws and regulations.
				The labeling information may also be available through electronic
				means.
B. Labeling of drugs
				dispensed to outpatients shall be in compliance with applicable federal, state,
				and local laws and regulations .
C.
				Outdated or discontinued medications shall be returned to the pharmacy for
				proper disposition in accordance with good pharmaceutical practice and facility
				policy. Medications that have been subjected to contamination shall not be
				redispensed.
D. Unused medications
				may be turned over to the patient for whom prescribed on discharge only on the
				written order of the attending physician. Such medications must be returned to
				the pharmacy to be labeled in accordance with Section 1207.A before
				release.
E. Medical staff in
				conjunction with the pharmacist in charge shall establish policy and procedure
				when certain medications not specifically prescribed as to time or number of
				doses will be automatically stopped after a time limit set by the medical
				staff.
F. Multi-dose vials shall be
				labeled with the date and time when opened.
G. Up-to-date reference materials shall be
				readily available.