reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:31 - Drainage systems

Current through Register Vol. 51, page 10, July 15, 2024
Each drain line from sinks in which acid wastes may be poured
				  shall be fabricated from an acid resistant material. Any piping over each
				  operating and delivery room, nursery, food preparation center, food serving
				  facility, food storage area, and any other critical area shall be kept to a
				  minimum and may not be exposed. Special precautions shall be taken to protect
				  these areas from possible leakage of necessary overhead piping systems. Floor
				  drains may not be installed in operating rooms, procedure rooms, or delivery
				  rooms. The building sewers shall discharge into a community sewerage system. If
				  such a system is not available, a facility providing sewage treatment which
				  conforms to applicable local and state regulations is required.
Water from roof systems shall be collected and discharged
				  away from the building foundation. Rain gutters with downspouts and splash
				  blocks shall be provided for pitched roof systems. Provisions shall be made to
				  avoid having water accumulated on sidewalks and parking areas around the
				  building.
The building sewer system shall have a cleanout located
				  outside the perimeter of the building foundation.
General Authority:
SDCL
					 34-12-13(1)(4)(14).
Law Implemented:
SDCL
					 34-12-13(1)(4)(14).
Individual and small on-site wastewater systems, ch
					 74:53:01.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:32 - Electrical distribution system

Current through Register Vol. 51, page 10, July 15, 2024
All material including equipment, conductors, controls, and
				  signaling devices shall be installed to provide a complete electrical system
				  with the necessary characteristics and capacity to supply the electrical
				  facilities shown in the specifications or indicated on the plans. All materials
				  shall be listed as complying with applicable standards of Underwriters'
				  Laboratories, Inc., or other similarly established standards. Fixed and mobile
				  X ray units shall be connected by means of independent feeders or circuits.
				  Each circuit breaker or fusible switch that provide disconnecting means and
				  overcurrent protection for conductors connected to switchboard and distribution
				  panel board shall be enclosed or guarded to provide a dead front type of
				  assembly. The main switchboard shall be located in a separate enclosure
				  accessible only to authorized persons. The switchboard shall be convenient for
				  use, readily accessible for maintenance, clear of traffic lanes, and in a dry
				  ventilated space devoid of corrosive fumes or gases. Each overload protective
				  device shall be designed for operating in the ambient temperature conditions.
				  Each lighting and appliance panel board shall be provided for the circuit on
				  each floor. The provisions of this section do not apply to emergency system
				  circuits.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:33 - Lighting

Current through Register Vol. 51, page 10, July 15, 2024
Any space occupied by people, machinery, or equipment within
				  buildings, the approaches to the buildings, and parking lots shall have
				  artificial lighting approved by the department. Each patient bedroom shall have
				  general lighting of at least ten footcandles (0.929 lumens per square meter)
				  and night lighting. If task illumination is required, a light with an intensity
				  of at least 30 footcandles (2.79 lumens per square meter) at the work surface
				  shall be provided for each patient. At least one luminaire for night lighting
				  shall be switched at the entrance to each patient room. Any patient's reading
				  light and other fixed light not switched at the door shall have a switch
				  control convenient for use at the luminaire. Each switch for control of
				  lighting in a patient area shall be of the quiet operating type. Illumination
				  of at least 100 footcandles (9.29 lumens per square meter) shall be provided at
				  the medication set-up area. Illumination of at least 50 footcandles (4.65
				  lumens per square meter) shall be provided at the activity room work tables.
				  Illumination of at least 30 footcandles (2.79 lumens per square meter) shall be
				  provided in each dining area, physical and restorative therapy area, and at any
				  bathing facility.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:34 - Receptacles or convenience outlets

Current through Register Vol. 51, page 10, July 15, 2024
Each operating, delivery, and emergency room shall have at
				  least three receptacles. In locations where mobile X ray is used, an additional
				  receptacle, distinctively marked for X ray use, shall be provided. Each patient
				  bedroom shall have duplex receptacles as follows: one on each side of the head
				  of each bed; receptacles for luminaires and motorized beds, if used; and one
				  receptacle on each wall. Single polarized receptacles marked for use of X ray
				  only shall be located in corridors of patient areas so that mobile equipment
				  may be used in any location within a patient room. If the same mobile X ray
				  unit is used in operating rooms and in nursing areas, all receptacles for X ray
				  use shall be the same. Where capacitive discharge or battery-powered mobile X
				  ray units are used, polarized receptacles are not required. Duplex receptacles
				  for general use shall be installed approximately 50 feet apart in all corridors
				  and within 25 feet of ends of corridors. Receptacles in patient rooms of
				  pediatric units shall be of the safety type. Receptacles in corridors of
				  pediatric units shall be of a safety type or shall be controlled by switches
				  located at a nurses' station or another supervised location.
General Authority:
SDCL
					 34-12-13(4) and
					 (14).
Law Implemented:
SDCL
					 34-12-13(4) and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:35 - Staff call system

Current through Register Vol. 51, page 10, July 15, 2024
A staff call system shall be provided for patient use to
				  summon assistance from staff. Staff call systems which provide two-way voice
				  communication shall be equipped with an indicating light at each calling
				  station which lights and remains lighted as long as the voice circuit is
				  operating. An emergency calling station convenient for patient use shall be
				  provided at each patient toilet, bath, or shower and at toilets serving
				  patients in laboratory, physical therapy, emergency, and X ray departments. An
				  emergency staff calling station shall be provided for staff use in each
				  operating, delivery, recovery, emergency, and intensive nursing care room and
				  in nurseries, supervised wards for mental patients, and rooms for
				  children.
The system shall be utilized and maintained in such a manner
				  as to ensure that it is a consistent and effective means for a patient to alert
				  staff of the need for assistance. The call stations convenient for patient use
				  shall be provided at each bed, patient toilet, bathing or shower facility used
				  by the patient. The call system shall also meet at least one of the following
				  requirements:
(a) The call system
				utilizing fixed call stations that are convenient for patient use and activated
				by a pull cord or other approved device. The fixed system shall actuate a
				visual signal at the patient room door, and in the clean workroom, soiled
				workroom, and nourishment station of the nursing unit. In multicorridor nursing
				units, additional visible signals shall be installed at corridor
				intersections;
(b) The call system
				utilizing wireless devices that are convenient for patient use and activated by
				a pull cord or other approved device. The wireless system shall actuate a
				visual and audible signal at the staff station and on pocket paging devices
				carried by all direct care staff. Wireless devices shall be fully supervised,
				shall be capable of alarm reset at the source, and transmit low battery alert.
				Wireless devices shall utilize batteries that are readily available;
				or
(c) Another type of call system
				that has been submitted for review and approved by the department.
General Authority:
SDCL
					 34-12-13(4) and
					 (14).
Law Implemented:
SDCL
					 34-12-13(4) and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:36 - Submittal of plans and specifications

Current through Register Vol. 51, page 10, July 15, 2024
Plans and specifications for new construction shall be
				  submitted to the department for evaluation of function and fire protection
				  including concealed spaces. The department's approval shall be obtained before
				  beginning construction. Modification during construction shall be submitted to
				  the department for review and shall be approved prior to the modification. A
				  written narrative describing the intended use of the proposed construction
				  shall accompany the plans and specifications.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:37 - Pipe requirements

Current through Register Vol. 51, page 10, July 15, 2024
All piping systems for potable water shall be installed to
				  eliminate any dead-end runs of piping. Before placing potable water systems in
				  service, the piping system shall be disinfected in accordance with in article
				  20:54 and certification shall be available from the installer showing the
				  method used, date of installation, test procedure used to verify chlorine
				  concentrations, and date the system was flushed and placed in service.
Pipe covering, vapor barriers, and adhesives used must have a
				  flame spread of not more than twenty-five and a smoke emission factor of not
				  more than fifty when tested in accordance with the NFPA 255, 2006 edition,
				  Standard Method Test for Surface Burning Characteristics of Building
				  Material.
General Authority:
SDCL
					 34-12-13(1)(3).
Law Implemented:
SDCL
					 34-12-13(1)(3).
NFP 255, 2006 edition, "Standard Method of Test for Surface
					 Burning Characteristics of Building Materials." Copies may be obtained at
https://www.nfpa.org/Codes-and-Standards/All-Codes-and-Standards/List-of-Codes-and-
					 Standards
. Cost: $60.50.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:38 - Detached structures

Current through Register Vol. 51, page 10, July 15, 2024
A detached structure or auxiliary building used for
				  combustible storage or vehicle parking built adjacent to, but not directly
				  attached to, a health care facility shall either be separated from the facility
				  by a minimum distance of 20 feet or provided with two-hour fire rated
				  separation, or equip the structure with a complete automatic sprinkler
				  system.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
Fire safety code requirements, §
											44:75:03:01.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:13 - Construction Standards › Section 44:75:13:39 - Water therapy facilities

Current through Register Vol. 51, page 10, July 15, 2024
Each water therapy facility operated by a facility and used
				  by any patient or the public, must be designed, constructed, and maintained
				  using the "Recommended Standards for Swimming Pool Design and Operation," 1996
				  edition.
A facility shall collect and submit at least one water sample
				  weekly for each swimming pool or spa facility under the facility's control to
				  an EPA-certified laboratory for bacteriological analysis. The facility shall
				  report any unsafe water sample test results to the department within three days
				  after receipt of such test results. Upon the receipt an unsafe water sample,
				  the facility must submit two consecutive negative samples to the department to
				  confirm treatment procedures have eliminated the contamination. If a resample
				  test is positive, the facility must close the affected water facility and
				  submit two consecutive negative samples prior to allowing patient or public use
				  of affected water treatment facility. The facility shall use a colorimetric
				  test kit for the monitoring and adjusting of disinfectant levels and pH in
				  swimming pool or spa facility. A The facility shall maintain a daily log of
				  disinfectant levels and pH.
General Authority:
SDCL
					 34-12-13(1)(14).
Law Implemented:
SDCL
					 34-12-13(1)(14).
Recommended Standards for Swimming Pool Design and
					 Operation Copies are available at no cost at
https://doh.sd.gov/documents/Food/standardsforswimmingpooldesign.pdf
.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:01 - Application of standards

Current through Register Vol. 51, page 10, July 15, 2024
The construction standards in this chapter apply to all new
				  hospital facilities and to any alteration, addition, and change in space use to
				  currently approved existing hospital facilities. In a hospital with a capacity
				  of 50 beds or less, some functions allotted separate spaces or rooms in these
				  standards may be combined if the resulting plan does not compromise safety or
				  medical practice.
General Authority:
SDCL
					 34-1-17(4) and
					 (5),
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:02 - Newborn nursery unit

Current through Register Vol. 51, page 10, July 15, 2024
Each nursery shall provide a lavatory, emergency nurses
				  call, oxygen, and facilities for viewing the babies. Each full-term nursery
				  room may contain not more than 12 bassinets with a minimum area of 24 square
				  feet (2.23 square meters) per bassinet. An examination and workroom with
				  lavatory shall be provided and may serve up to 24 bassinets. A janitor's closet
				  for storage of housekeeping supplies and equipment which contains a floor
				  receptor or service sink shall be provided.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:03 - Psychiatric unit

Current through Register Vol. 51, page 10, July 15, 2024
If a psychiatric unit is included as a separate nursing
				  unit, it shall be designed as other nursing units with extra care taken to
				  provide close supervision for patients. Service areas shall be
				  provided.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
Requirements for service areas in each nursing unit,
					 §
											44:75:13:07.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:04 - Surgical suites

Current through Register Vol. 51, page 10, July 15, 2024
Hospitals with 50 beds or less that accept surgical patients
				  shall provide one operating room. The number of operating rooms for hospitals
				  over 50 beds shall be based on the expected surgical workload. The surgical
				  suite shall be located to prevent through traffic. A recovery room with
				  charting space, medication storage and preparation space, and a clinical sink
				  is required.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:05 - Service areas in surgical suite

Current through Register Vol. 51, page 10, July 15, 2024
The size of the service areas in each surgical suite depends
				  on the surgical workload. Each surgical suite shall include the following
				  service areas:
(1) A surgical
				supervisor station;
(2) Sterilizing
				facilities near the operating room with high speed autoclave;
(3) Facilities for storage and preparation of
				medication;
(4) Scrub-up facilities
				located adjacent to operating rooms;
(5) Soiled workroom containing a counter with
				sink, clinical sink, hand sink, waste receptacle, and soiled linen
				receptacles;
(6) Storage for
				sterile and unsterile supplies, which may be in a clean workroom;
(7) Storage room or cabinet for anesthetic
				agents;
(8) Nitrous oxide and
				oxygen facilities with storage room if these services are not piped
				in;
(9) Clean work area for storage
				and assembly of supplies containing counter and sink;
(10) Equipment storage area for surgical and
				monitoring equipment;
(11) Floor
				receptor or service sink and storage for housekeeping supplies and
				equipment;
(12) Clothing change
				areas, lockers, and toilet rooms for doctors, nurses, technicians, and other
				personnel; and
(13) Stretcher
				alcove.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:06 - Obstetrical suite

Current through Register Vol. 51, page 10, July 15, 2024
The obstetrical suite shall be located to prevent through
				  traffic. The number of delivery rooms and labor rooms required shall be based
				  on the estimated annual birthrate. A patients' toilet room shall be provided
				  adjoining each labor room or shall be conveniently accessible within the
				  obstetrical suite. Bathing facilities shall be conveniently
				  available.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:07 - Service areas in obstetrical suite

Current through Register Vol. 51, page 10, July 15, 2024
The size of the service areas in each obstetrical suite
				  depends on the obstetrical workload. Each obstetrical suite shall include the
				  following service areas:
(1) A
				supervisor's station;
(2)
				Sterilizing facilities with high speed autoclave convenient to delivery
				rooms;
(3) Facilities for storage
				and preparation of medication;
(4)
				Scrub-up facilities adjacent to delivery rooms;
(5) A soiled workroom containing a counter
				with a sink, clinical sink, hand sink, waste receptacle, and soiled linen
				receptacles;
(6) Storage for
				sterile and unsterile supplies, which may be in clean workroom;
(7) Storage room or cabinet for anesthetic
				agents;
(8) Nitrous oxide and
				oxygen facilities with storage room if these services are not piped
				in;
(9) Clean work area for storage
				and assembly of supplies, containing counter and sink;
(10) Equipment storage area for surgical and
				monitoring equipment;
(11) Floor
				receptor or service sink and storage for housekeeping supplies and
				equipment;
(12) Clothing change
				areas, lockers, and toilet rooms with handwashing facility for doctors, nurses,
				technicians, and other personnel; and
(13) Stretcher alcove.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:08 - Emergency and outpatient care areas of the facility

Current through Register Vol. 51, page 10, July 15, 2024
The size of emergency and outpatient care areas shall be
				  based on admissions and shall be located to prevent outpatients from traversing
				  inpatient areas. Emergency and outpatient care areas shall include:
(1) A well marked and sheltered entry with
				nearby emergency parking and convenient access for ambulances;
(2) Admission and patient records
				area;
(3) Examination and treatment
				room with lavatory;
(4) A
				handwashing sink;
(5) Storage for
				sterile supplies;
(6) Wheelchair
				and stretcher alcove;
(7) Floor
				receptor or service sink and storage for housekeeping supplies and
				equipment;
(8) A secure area for
				storage and preparation of medications:
(9) A soiled workroom.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:09 - Diagnostic imaging suite

Current through Register Vol. 51, page 10, July 15, 2024
The diagnostic imaging suite shall contain:
(1) One or more radiographic rooms with
				necessary radiation protection;
(2)
				A film processing room;
(3) Toilet
				room adjoining each fluoroscopy and ultrasound room;
(4) Dressing area for ambulatory
				patients;
(5) Holding area for
				stretcher patients;
(6) Waiting
				space; and
(7) An office with film
				viewing facilities.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:10 - Laboratory suite

Current through Register Vol. 51, page 10, July 15, 2024
Clinical laboratory facilities and equipment consistent with
				  the needs of the patients shall be provided. Handwashing fixtures shall be
				  provided and equipped with valves which can be operated without the use of
				  hands
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:11 - Pharmacy or drug room

Current through Register Vol. 51, page 10, July 15, 2024
The pharmacy or drug room shall be well ventilated and have
				  a locking door. The pharmacy or drug room shall be sized for the distribution
				  system used and shall have a work counter with sink, a separate locked and
				  fastened compartment or room for the storage of controlled substances,
				  refrigerated and frozen storage spaces, and other approved storage for drugs.
				  If additive injectables are prepared, a sterile products area shall be
				  provided. The work space shall be well illuminated. Emergency power shall be
				  provided for essential services. Heating, ventilation, and air conditioning
				  services shall be provided to maintain the temperature of the room between 59
				  degrees Fahrenheit (15 degrees centigrade) and 86 degrees Fahrenheit (30
				  degrees centigrade).
General Authority:
SDCL
					 34-12-13(1), (3), (4) and
					 (9).
Law Implemented:
SDCL
					 34-12-13(1), (3), (4) and
					 (9).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:12 - Administration department

Current through Register Vol. 51, page 10, July 15, 2024
The facility's administration department shall include a
				  business office, information center, administrator's office, admitting office,
				  personnel lounge, medical library, lobby, and public and personnel toilet
				  rooms. There shall be an office for the director of nursing, space for
				  inservice training, and a housekeeper's office.
General Authority:
SDCL
					 34-12-13(3)(4).
Law Implemented:
SDCL
					 34-12-13(3)(4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:13 - Medical records unit

Current through Register Vol. 51, page 10, July 15, 2024
The medical records unit shall include an active record
				  storage area; record review and dictating area; work area for sorting,
				  recording, or microfilming; and an inactive record storage area which may be
				  omitted if microfilming is used.
General Authority:
SDCL
					 34-12-13(3) and
					 (10).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (10).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:14 - Central medical and surgical supply department

Current through Register Vol. 51, page 10, July 15, 2024
The clean and soiled areas of the central medical and
				  surgical supply department shall be separated from each other. Space for
				  cleaning equipment and disposing or processing of unclean articles shall be
				  provided in the decontamination area and the plumbing fixtures shall be at
				  least those provided for the soiled utility room. The clean workroom shall be
				  divided into work space, clean storage area, sterilizing facilities, and
				  storage area for sterile supplies. Pathological waste sterilization may not be
				  done in this area. An unsterile supply storage area shall be provided, but it
				  may be located in an area outside this department. Handwashing fixtures shall
				  be provided between the clean and soiled work areas. The decontamination area
				  shall contain a two compartment sink with a drainboard on both
				  sides.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:15 - Central stores

Current through Register Vol. 51, page 10, July 15, 2024
General central storage rooms shall have a total area of not
				  less than 20 square feet (1.86 square meters) for each bed. General storage
				  should be concentrated in one area on-site, but up to 50 percent of the general
				  storage space may be provided off-site.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:16 - Details and finishes

Current through Register Vol. 51, page 10, July 15, 2024
Ceiling heights of operating rooms, delivery rooms,
				  cystoscopic rooms, radiographic rooms, and rooms with ceiling-mounted surgical
				  light fixtures shall be at least nine feet (2.74 meters).
The ceilings in isolation rooms, X-ray film processing rooms,
				  central sterilization rooms, and operating rooms shall be an epoxy painted
				  gypsum board membrane or an equivalent material for ease of cleaning and for
				  improved maintenance of clean surfaces below the ceilings.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:17 - Ventilation

Current through Register Vol. 51, page 10, July 15, 2024
All air supply and air exhaust systems shall be mechanically
				  operated. All fans serving exhaust systems shall be located at the discharge
				  end of the system. All air supplied to an operating room, delivery room,
				  nursery or any other sensitive area shall be delivered at or near the ceiling
				  of the area served. All air exhausted from the area shall be removed near floor
				  level. At least two exhaust outlets shall be used in each operating and
				  delivery room. Exhaust wall outlets shall be located not less than three inches
				  (0.076 meters) above the floor.
A ventilation system in operating, delivery, emergency,
				  isolation, central sterilization, or nursery room shall be a ducted system. A
				  ventilation system using the building concealed space (return air plenum) from
				  a clean room is not acceptable.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (4).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:18 - Air filters

Current through Register Vol. 51, page 10, July 15, 2024
Each ventilation system serving an operating room, delivery
				  room, nursery, isolation room, laboratory sterile room, and the recirculated
				  central air systems serving other hospital areas shall be equipped with a
				  minimum of two filter beds. Filter bed number one shall be located upstream of
				  the conditioning equipment and shall have a minimum efficiency of thirty
				  percent. Filter bed number two shall be located downstream of the conditioning
				  equipment and shall have a minimum efficiency of ninety percent. Central
				  systems using one hundred percent outdoor air and serving other than sensitive
				  areas shall be provided with filters rated at eighty percent efficiency. These
				  filter efficiencies shall be warranted by the manufacturer and shall be based
				  on the ASHRAE 52.2, 2007 edition, American Society of Heating, Refrigeration,
				  and Air Conditioning Engineers dust spot test method with atmospheric dust. The
				  exhausts from all laboratory hoods in which infectious or radioactive materials
				  are processed shall be equipped with filters with a ninety-nie percent
				  efficiency. Filter frames shall be durable and shall provide an airtight fit
				  with the enclosing ductwork. All joints between filter segments and the
				  enclosing ductwork shall have positive seal against air
				  leakage.
General Authority:
SDCL
					 34-12-13(2)(3)(14).
Law Implemented:
SDCL
					 34-12-13(2)(3)(14).
ASHRAE 52.2, 2007 edition, American Society of Heating,
					 Refrigeration, and Air Conditioning Engineers Copies are available at
https://webstore.ansi.org/standards/ashrae/ashrae522017
.
					 Cost: $87.00.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:19 - Ducts

Current through Register Vol. 51, page 10, July 15, 2024
Ducts which penetrate construction intended for X ray or
				  other ray protection shall not impair the effectiveness of the protection.
				  Porous duct lining materials may not be used in the interior of duct systems
				  serving sensitive areas such as operating and delivery rooms, nurseries, and
				  isolation rooms.
General Authority:
SDCL
					 34-12-13(1), (2), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (2), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:20 - Plumbing fixture devices

Current through Register Vol. 51, page 10, July 15, 2024
Flush valves installed on plumbing fixtures shall be of a
				  quiet operating type equipped with silencers. Bedpan flushing devices shall be
				  provided in each patient toilet room and in the soiled
				  workrooms.
General Authority:
SDCL
					 34-12-13(1) and
					 (3).
Law Implemented:
SDCL
					 34-12-13(1) and
					 (3).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:21 - Operating and delivery room lighting

Current through Register Vol. 51, page 10, July 15, 2024
Operating and delivery rooms shall have general lighting for
				  the room in addition to special lighting units at the surgical and obstetrical
				  tables. Each special lighting unit for local lighting at tables shall be
				  connected to an independent circuit.
General Authority:
SDCL
					 34-12-13(3) and
					 (4).
Law Implemented:
SDCL
					 34-12-13(3) and
					 (4).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:22 - Equipment installation in special areas

Current through Register Vol. 51, page 10, July 15, 2024
X ray stationary installations and mobile equipment shall
				  conform to rules of the state electrical commission.
General Authority:
SDCL
					 34-12-13(3).
Law Implemented:
SDCL
					 34-12-13(3).
Electrical installations, ch
					 20:44:05.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:23 - Emergency electric supply

Current through Register Vol. 51, page 10, July 15, 2024
Each facility shall have an emergency source of electric
				  supply to provide electricity during an interruption of the normal electric
				  supply. The source of emergency electric supply shall be an automatic emergency
				  generating set when the normal service is supplied by one or more central
				  station transmission lines, or an automatic generating set or a central station
				  transmission line when the normal electric supply is generated on the premises.
				  The required emergency generating set, including the prime mover and generator,
				  shall be located on the premises. The emergency generator set shall be of
				  sufficient kilowatt capacity to supply all lighting and power load demands of
				  the emergency system.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:24 - Emergency electrical circuit connections

Current through Register Vol. 51, page 10, July 15, 2024
Emergency electrical service shall be furnished to circuits
				  as follows:
(1) Lighting of exit ways
				and all necessary ways of approach to them, including exit signs and exit
				direction signs, exterior of exits, exit doorways, stairways, and
				corridors;
(2) Surgical,
				obstetrical, and emergency room operating lights;
(3) Lighting for nursery, laboratory,
				recovery room, intensive care areas, nursing stations, medication preparation
				areas, and labor rooms;
(4)
				Lighting for the generator set location, the switch gear location, and the
				boiler room;
(5) Equipment
				essential to life safety and for protection of important equipment or vital
				materials;
(6) Nurses calling
				system;
(7) Alarm system, including
				fire alarms actuated at manual stations;
(8) Water flow alarm devices of sprinkler
				system if electrically operated;
(9) Fire detecting and smoke detecting
				systems;
(10) Paging or speaker
				systems if intended for issuing instructions during emergency
				conditions;
(11) Alarms required
				for nonflammable medical gas systems, if installed;
(12) Receptacles for incubators for
				infants;
(13) Pump for central
				suction system;
(14) Sewage or sump
				lift pump, if installed;
(15)
				Receptacles for blood bank refrigerator;
(16) At least two duplex receptacles for the
				laboratory;
(17) Receptacles in
				operating, recovery, intensive care, and delivery rooms except those for X
				ray;
(18) At least one duplex
				receptacle in each nursery;
(19)
				Duplex receptacles in patient corridors; and
(20) Equipment, such as burners and pumps,
				necessary for operation of one or more boilers required for heating and
				sterilization and their necessary auxiliaries and controls.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:25 - Emergency power for electrical heating

Current through Register Vol. 51, page 10, July 15, 2024
If electricity is the only source of power normally used for
				  space heating, the emergency service shall provide for heating of operating,
				  delivery, labor, recovery, intensive care, nurseries, and patient rooms.
				  Emergency heating of patient rooms is not required if the hospital is supplied
				  by at least two utility service feeders, each supplied by separate generating
				  sources, or a network distribution system fed by two or more generators, with
				  the facility feeders routed, connected, and protected so that a fault any place
				  between the generators and the facility will not be likely to cause an
				  interruption of more than one of the facility service
				  feeders.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:14 - Additional hospital standards › Section 44:75:14:26 - Emergency electrical system details

Current through Register Vol. 51, page 10, July 15, 2024
The emergency electrical system shall be so controlled that
				  after interruption of the normal electric power supply the generator is brought
				  to full voltage and frequency and connected within ten seconds through one or
				  more primary automatic transfer switches to all emergency lighting; all alarms;
				  blood banks; nurses' call; equipment necessary for maintaining telephone
				  service; pump for central suction system; and receptacles in operating and
				  delivery rooms, patient corridors, recovery rooms, intensive care nursing
				  areas, and nurseries. All other lighting and equipment required to be connected
				  to the emergency system shall either be connected through the primary automatic
				  transfer switching or shall be subsequently connected through other automatic
				  or manual transfer switching. A receptacle connected to the emergency system
				  shall be distinctively marked for identification. A storage-battery-powered
				  light, provided to augment the emergency lighting or for continuity of lighting
				  during the interim of transfer switching immediately following an interruption
				  of the normal service supply, may not be used as a substitute for the required
				  generator. If fuel is normally stored on the site, the storage capacity shall
				  be sufficient for 24-hour operation. If fuel is normally piped underground to
				  the site from a utility distribution system, storage facilities on the site are
				  not required.
General Authority:
SDCL
					 34-12-13(1), (3), and
					 (14).
Law Implemented:
SDCL
					 34-12-13(1), (3), and
					 (14).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:15 - Swing bed patients' Rights › Section 44:75:15:01 - Application of chapter - Swing bed patients' rights policies

Current through Register Vol. 51, page 10, July 15, 2024
Each facility offering swing bed services shall comply with
				  this chapter. Each facility offering swing bed services shall establish
				  policies consistent with this chapter to protect and promote the rights of each
				  swing bed patient.
General Authority:
SDCL
					 34-12-13(15).
Law Implemented:
SDCL
					 34-12-13(15).
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:15 - Swing bed patients' Rights › Section 44:75:15:02 - Facility to inform swing bed patient of rights

Current through Register Vol. 51, page 10, July 15, 2024
Prior to or at the time of admission, a facility shall
				  inform the swing bed patient, both orally and in writing, of the patient's
				  rights and of the rules governing the patient's conduct and responsibilities
				  while in the facility. The patient shall acknowledge in writing that the
				  patient received the information. During the patient's stay the facility shall
				  notify the patient, both orally and in writing, of any changes to the original
				  information. The patient's right to receive visitors. Visiting hours and
				  policies of the facility shall permit and encourage the visiting of patients by
				  friends and relatives. Visitors may not cause a disruption to the care and
				  services residents receive or infringement on other residents rights or place
				  an undue burden on the facility.
General Authority:
SDCL
					 34-12-13.
Law Implemented:
SDCL
					 34-12-13.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:75 - Hospital, specialized Hospital critical access Hospital, and rural emergency Hospital facilities › Chapter 44:75:15 - Swing bed patients' Rights › Section 44:75:15:03 - Facility to provide information on available services

Current through Register Vol. 51, page 10, July 15, 2024
A facility shall provide the following information in
				  writing to each patient:
(1) A list of
				services available in the facility and the charges for such services. The
				facility shall specify which items and services are included in the services
				for which the patient may not be charged, those other items and services that
				the facility offers and for which the patient may be charged, and the amount of
				any such charges;
(2) A description
				of how a patient can protect personal funds;
(3) A list of names, addresses, and telephone
				numbers of client advocates;
(4) A
				description of how to file a complaint with the department concerning abuse,
				neglect, and misappropriation of patient property;
(5) A description of how the patient can
				contact the patient's physician, including the name and specialty of the
				physician;
(6) A description of how
				to apply for and use Medicare and Medicaid benefits, and the right to establish
				eligibility for Medicaid, including the addresses and telephone numbers of the
				nearest office of the South Dakota Department of Social Services and of the
				United States Social Security Administration;
(7) A description of the bed-hold policy
				which indicates the length of time the bed will be held for the patient, any
				policies regarding the held bed, and readmission rights of the patient;
				and
(8) A description explaining
				the responsibilities of the patient and family members regarding
				self-administered medication.
A signed and dated admission agreement between the patient or
				  the patient's legal representative and the facility shall include subdivisions
				  (1) to (8), inclusive, of this section. The patient or patient's legal
				  representative and the facility shall complete the admission agreement before
				  or at the time of admission and before the patient has made a commitment for
				  payment for proposed or actual care. The agreement may not include ambiguous or
				  misleading information and may not be in conflict with this chapter. The
				  agreement shall be printed for ease of reading by the patient. If the agreement
				  exceeds three pages, it shall contain a table of contents or an index of
				  principal sections. Any change in the information shall be given to the patient
				  or the patient's legal representative as a signed and dated addendum to the
				  original agreement.
General Authority:
SDCL
					 34-12-13.
Law Implemented:
SDCL
					 34-12-13.