reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.100 - DEFINITIONS AND LICENSURE › Subsection 61-125.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of this regulation, the following
					 definitions shall apply:
A. Abuse.
				  Physical abuse or psychological abuse.
1.
				  Physical Abuse. The act of intentionally inflicting or allowing infliction of
				  physical injury on a patient by an act or failure to act. Physical abuse
				  includes, but is not limited to, slapping, hitting, kicking, biting, choking,
				  pinching, burning, actual or attempted sexual battery, use of medication
				  outside the standards of reasonable medical practice for the purpose of
				  controlling behavior, and unreasonable confinement. Physical abuse also
				  includes the use of a restrictive or physically intrusive procedure to control
				  behavior for the purpose of punishment except that of a therapeutic procedure
				  prescribed by a licensed physician or other legally authorized healthcare
				  professional. Physical abuse does not include altercations or acts of assault
				  between patients.
2. Psychological
				  Abuse. The deliberate use of any oral, written, or gestured language or
				  depiction that includes disparaging or derogatory terms to a patient or within
				  the patient's hearing distance, regardless of the patient's age, ability to
				  comprehend, or disability, including threats or harassment or other forms of
				  intimidating behavior causing fear, humiliation, degradation, agitation,
				  confusion, or other forms of serious emotional distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.200 - ENFORCEMENT OF REGULATIONS › Subsection 61-125.201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
					 consultations, and other pertinent documentation regarding a proposed or
					 licensed facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.200 - ENFORCEMENT OF REGULATIONS › Subsection 61-125.202 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				  Inspections by the Department shall be conducted prior to initial licensing of
				  a facility and subsequent inspections conducted as deemed appropriate by the
				  Department. (I)
B. All facilities
				  are subject to inspection and investigation at any time without prior notice by
				  individuals authorized by South Carolina Code of Laws. When staff members and
				  patients are absent, the facility shall post information at the entrance of the
				  facility to those seeking legitimate access to the facility, including
				  visitors. The posted information shall include contact information and the
				  expected time of return of the staff members and patients. The contact
				  information shall include the name of a designated contact and his or her
				  telephone number. The telephone number for the designated contact shall not be
				  the facility's telephone number. (I)
C. Individuals authorized by South Carolina
				  law shall be allowed to enter the facility for the purpose of inspection and/or
				  investigation and granted access to all properties and areas, objects,
				  requested records, and documentation at the time of the inspection or
				  investigation. The Department shall have the authority to require the facility
				  to make photocopies of those documents required in the course of inspections or
				  investigations. Photocopies shall be used only for purposes of enforcement of
				  regulations and confidentiality shall be maintained except to verify the
				  identity of individuals in enforcement action proceedings. Physical area of
				  Department inspections and investigations shall be determined by the Department
				  based on the potential impact or effect upon patients. (I)
D. When there is noncompliance with the
				  licensing standards, the facility shall submit an acceptable plan of correction
				  in a format determined by the Department. The plan of correction shall be
				  signed by the administrator and returned by the date specified on the report of
				  inspection or investigation. The plan of correction shall describe: (II)
1. The actions taken to correct each cited
				  deficiency;
2. The actions taken to
				  prevent recurrences (actual and similar); and
3. The actual or expected completion dates of
				  those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.200 - ENFORCEMENT OF REGULATIONS › Subsection 61-125.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations may be provided by the Department as
					 requested by the facility or as deemed appropriate by the
					 Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.300 - ENFORCEMENT ACTIONS › Subsection 61-125.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department determines that a facility is in
					 violation of any statutory provision, rule, or regulation relating to the
					 operation or maintenance of such facility, the Department, upon proper notice
					 to the licensee, may deny, suspend, or revoke licenses, or assess a monetary
					 penalty, or both.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.400 - POLICIES AND PROCEDURES

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
			 facility shall maintain written policies and procedures addressing the manner
			 in which the requirements of this regulation shall be met. The written policies
			 and procedures shall be implemented and reflect current facility practice
			 regarding care, treatment, procedures, services, record keeping and reporting,
			 admission and transfer, physician services, nursing services, social services,
			 patient rights and assurances, medication management, pharmaceutical services,
			 meal service operations, emergency procedures, fire prevention, maintenance,
			 housekeeping and infection control, operation of the facility, and other
			 special care and procedures as identified in this section. The policies and
			 procedures shall address the provision of any special care offered by the
			 facility that would include how the facility shall meet the specialized needs
			 of the affected patients. The facility shall have written policies and
			 procedures to address patient exit-seeking and elopement, including prevention
			 and actions to be taken in the event of occurrence, and to control the use and
			 application of physical restraints and all facility practices that meet the
			 definition of a restraint. (II)
B.
			 All policies and procedures shall be accessible to facility staff, printed or
			 electronically, at all times.
C.
			 The facility shall establish a time period for review, not to exceed two (2)
			 years, of all policies and procedures, and such reviews shall be documented and
			 signed by the administrator.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.501 - General. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Before being
				  employed or contracted as a staff member or volunteer, a direct caregiver shall
				  undergo a criminal background check pursuant to S.C. Code Section
				  44-7-2910.
				  Staff members and volunteers of the facility shall not have a prior conviction
				  or pled no contest (nolo contendere) to unlawful conduct toward a child, as
				  defined by S.C. Code Section 63-45-70; abuse, neglect, or exploitation of a
				  vulnerable adult, as defined by S.C. Code Sections
				  43-35-10,
				  et seq.; or any similar criminal offense. (I)
B. The facility shall define in writing the
				  responsibilities, qualifications, and competencies of staff for all positions.
				  The facility shall ensure that the type and number of staff are:
1. Properly licensed or credentialed in the
				  professional field as required for assigned job duties;
2. Present in numbers to provide services,
				  support, care, and treatment to individuals as required; and
3. Trained as necessary to perform the duties
				  for which they are responsible in an effective manner.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.502 - Administrator. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				  facility shall have a full-time administrator who is responsible for the
				  overall management and operation of the facility and has at least a bachelor's
				  degree in the human services field or nursing.
B. A staff member shall be designated in
				  writing to act in the absence of the administrator, such as, a listing of the
				  lines of authority by position title, including the names of the persons
				  filling these positions.
C. The
				  facility shall notify the Department in writing within seventy-two (72) hours
				  of any change in administrator status and shall provide the Department the name
				  of the newly-appointed administrator, the effective date of the appointment,
				  and the hours each day the individual will be working as the administrator of
				  the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.503 - Staff. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be
				  at least one (1) registered nurse immediately accessible by phone and available
				  to be in the facility within thirty (30) minutes at all times patients are
				  present in the facility.
B. There
				  shall be at least one (1) staff member on duty for each eight (8) patients or a
				  fraction thereof. All staff members on duty shall be awake and dressed at all
				  times. Staff members shall be able to appropriately respond to patient
				  needs.
C. In a facility with
				  multiple floors or buildings, there shall be a staff member available on each
				  floor and/or building at all times patients are present on that floor or in
				  that building.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.504 - Inservice Training. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				  staff and volunteers in the facility shall complete the required SCDMH training
				  in accordance with specific duties and responsibilities outlined in their job
				  description. Training shall be documented in a staff or volunteer record and
				  maintained at the facility.
B. The
				  documentation of all inservice training shall include topic, training source,
				  duration, and shall be signed and dated by the trainer and trainee. A signature
				  by the trainee and the individual providing the training may be omitted for
				  computer-based training. Training shall be provided by qualified persons and
				  electronic media to all staff members and volunteers in the context of their
				  job duties. All required training shall be completed prior to patient contact
				  and at a frequency determined by the SCDMH, but at least annually unless
				  otherwise specified by certificate, for example, cardiopulmonary resuscitation.
				  Training for each staff and volunteer of the facility whose responsibilities
				  include direct patient care shall include:
1.
				  Basic first-aid to include emergency procedures as well as procedures to manage
				  and care for minor accidents and injuries (non-nursing staff only);
2. Management and care of persons with
				  contagious and/or communicable disease (non-nursing staff only);
3. OSHA standards regarding bloodborne
				  pathogens;
4. Medication management
				  including storage, interactions, and adverse reactions (as applicable to job
				  duties);
5. Assessment and
				  prevention of suicide;
6. Crisis
				  interventions and treatment;
7.
				  Patient rights and grievance procedures;
8. Confidentiality of patient information and
				  records;
9. Abuse, neglect, and
				  exploitation;
10.
				  Elopement;
11. Use of restraint
				  techniques that promote patient safety, including alternatives to physical
				  restraints, in accordance with the provisions of Section 903;
12. Fire response training within twenty-four
				  (24) hours of their first day on the job in the facility (see Section 1503);
				  and
13. Emergency procedures and
				  disaster preparedness to address various types of potential disasters within
				  twenty-four (24) hours of initial patient contact (see Section 1400).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.505 - Job Orientation

Current through Register Vol. 48, No. 6, June 28, 2024
All staff members and volunteers shall have documented
					 orientation to the purpose and environment of the facility within twenty-four
					 (24) hours of their first day on the job in the facility. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.500 - STAFF AND TRAINING › Subsection 61-125.506 - Health Status. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All staff
				  members and volunteers who have contact with patients, including food service
				  staff and volunteers, shall have a documented health assessment within twelve
				  (12) months prior to initial patient contact. The health assessment shall
				  include tuberculin skin testing as described in Section 1702.
B. If a staff member or volunteer is working
				  at multiple facilities operated by the same licensee, copies of the documented
				  health assessment shall be accessible at each facility. For any other staff
				  member or volunteer, a copy of the tuberculin skin testing shall be acceptable
				  provided the test had been completed within three (3) months prior to patient
				  contact.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.600 - REPORTING › Subsection 61-125.601 - Incidents

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				  shall document every incident, and include an incident review, investigation or
				  evaluation, as well as corrective action taken, if any. The facility shall
				  retain all documented incidents reported pursuant to this section for six (6)
				  years after the patient involved is last discharged.
B. The facility shall report the following
				  types of incidents to the Department within twenty-four (24) hours of the
				  incident on the Department's electronic reporting system or as otherwise
				  determined by the Department. In addition to reporting to the Department, the
				  facility shall immediately, within twenty-four (24) hours, notify the attending
				  physician and emergency contact of patients or staff injured or affected by one
				  of the following incidents, and shall immediately, within twenty-four (24)
				  hours, notify local law enforcement of a patient elopement. Incidents requiring
				  immediate, within twenty-four (24) hours, reporting to the Department, other
				  specified individuals, and to appropriate authorities, include, but are not
				  limited to, the following:
1. Crimes against
				  patients;
2. Confirmed or suspected
				  abuse, neglect, or exploitation;
3.
				  Medication errors with adverse reaction;
4. Hospitalization or death resulting from
				  the incident;
5. Severe hematoma,
				  laceration or burn requiring medical attention or hospitalization;
6. Bone or joint fracture;
7. Severe injury;
8. Attempted suicide;
9. Fire; (II)
10. Natural disaster; (II)
11. Displacement or relocation of patients;
				  and
12. Elopement.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.600 - REPORTING › Subsection 61-125.602 - Closure and Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				  facility shall notify the Department in writing prior to permanent closure of
				  the facility and shall provide the effective closure date. The facility shall
				  return its license to the Department on the date of closure. The facility shall
				  notify the Department in writing within ten (10) days of closure on provisions
				  for records maintenance and identification of displaced patients and their
				  relocation.
B. The facility shall
				  notify the Department in writing within fifteen (15) days prior to a temporary
				  closure or within twenty-four (24) hours if the temporary closure is due to an
				  emergency and provide the reason for the temporary closure, patient
				  relocations, records maintenance plan, and anticipated reopening date.
				  Facilities that are temporarily closed longer than one (1) year shall reapply
				  for licensure with the Department and be subject to all applicable licensing
				  and construction requirements for new facilities.
C. The facility shall notify the Department
				  in writing if there have been no patients in the facility for any reason for
				  ninety (90) days or more no later than one hundred (100) days after the last
				  patient is discharged. Facilities that are zero census longer than one (1) year
				  shall reapply for licensure with the Department and be subject to all
				  applicable licensing and construction requirements for new
				  facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.700 - PATIENT RECORDS › Subsection 61-125.701 - Content. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				  shall initiate and maintain on site an organized record for each patient. The
				  record shall contain sufficient documented information to identify the patient
				  and the agency and/or person responsible for each patient; support the
				  diagnosis and secure the appropriate care and services (as needed); justify the
				  care and services provided to include the course of action taken and results;
				  the symptoms or other indications of sickness or injury; changes in physical
				  and/or mental condition; the response and/or reaction to care, medication, and
				  diet provided; and promote continuity of care among providers, consistent with
				  acceptable standards of practice. All entries shall be written legibly in ink,
				  typed or electronic media, and signed, and dated.
B. If the facility permits any portion of a
				  patient's record to be generated by electronic or optical means, there shall be
				  policies and procedures to prohibit the use or authentication by unauthorized
				  users.
C. Specific entries and
				  documentation shall include at a minimum:
1.
				  Consultations by physicians or other authorized healthcare providers;
2. Signed and dated orders and
				  recommendations for all medication, care, services, procedures, and diet from
				  physicians or other authorized healthcare providers, which shall be completed
				  prior to, or at the time of admission, and subsequently, as warranted; (I)
3. Intake screening and initial
				  physical assessment completed by a nurse;
4. Signed and dated original consent for
				  treatment; (I)
5. The report of
				  the mental status examination and other mental health assessments, as
				  appropriate;
6. Daily progress
				  notes by the direct care staff involved in the treatment of the patient, as
				  applicable, to include documentation of significant behavioral events and
				  actions taken by staff; and
7.
				  Medication management and administration, and treatment records.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.700 - PATIENT RECORDS › Subsection 61-125.702 - Screening. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				  shall have written protocols for screening individuals presenting for
				  evaluation. The facility shall maintain documentation of the rationale for the
				  denial of admission and referral of the individual as applicable.
B. Each facility shall provide screening
				  services on a twenty-four (24) hours per day, seven (7) days per week basis. No
				  person shall remain in the facility for more than eight (8) hours without being
				  admitted or denied admission.
C.
				  Initial screening for risk of suicide or harm to self or others shall be
				  conducted and documented for each individual presenting to the
				  facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.700 - PATIENT RECORDS › Subsection 61-125.703 - Assessments. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A nursing
				  assessment shall be documented for all patients admitted within twenty-four
				  (24) hours.
B. An emotional and
				  behavioral assessment shall be documented for all patients admitted within
				  twenty-four (24) hours. This assessment shall be completed by a mental health
				  professional or other unit staff under the supervision of a mental health
				  professional.
C. A direct
				  psychiatric evaluation, including diagnosis, shall be documented by a
				  physician, psychiatrist, physician assistant, or advanced practice registered
				  nurse for all patients admitted within twenty-four (24) hours.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.700 - PATIENT RECORDS › Subsection 61-125.704 - Individual Plan of Care. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				  An individual plan of care ("IPC") shall be developed for each admitted
				  patient. The plan shall be based on initial and ongoing needs, and completed
				  within twenty-four (24) hours of admission. The IPC shall be documented in the
				  patient's record and shall include the following:
1. Patient's name;
2. Diagnosis;
3. Date of IPC development;
4. Problems and strengths of the
				  patient;
5. Individual objectives
				  that relate to the specific problems identified;
6. Interventions that address each specific
				  objective;
7. Signatures of direct
				  care staff involved in the treatment of the patient and the development of the
				  ICP;
8. Signature of the patient.
				  Reasons for refusal to sign and/or inability to participate in IPC development
				  shall be documented; and
9.
				  Projected discharge date and anticipated post-discharge needs, including
				  documentation of resources needed in the community.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.700 - PATIENT RECORDS › Subsection 61-125.705 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				  licensee shall provide accommodations, space, supplies, and equipment for the
				  protection, storage, and maintenance of patient records. Patient records shall
				  be stored in an organized manner.
B. The patient record is confidential and
				  shall be made available only to individuals authorized by the facility and/or
				  the South Carolina Code of Laws. (II)
C. Records generated by organizations or
				  individuals contracted by the facility for care or services shall be maintained
				  by the facility that has admitted the patient.
D. Upon discharge of a patient, the record
				  shall be completed within thirty (30) days, and filed in an inactive or closed
				  file maintained by the licensee. Prior to the closing of a facility for any
				  reason, the licensee shall arrange for preservation of records to ensure
				  compliance with these regulations. The licensee shall notify the Department, in
				  writing, describing these arrangements and the location of the
				  records.
E. Records of patients
				  shall be maintained for at least six (6) years following the discharge of the
				  patient. Unless otherwise indicated, other regulation-required documents shall
				  be retained at least twelve (12) months or since the last Department general
				  inspection, whichever is the longer period.
F. Records of current patients are the
				  property of the facility. The records of current patients shall be maintained
				  at the facility and shall not be removed without court order.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.800 - ADMISSION AND RETENTION (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
			 Individuals seeking admission shall be appropriate for the services, treatment,
			 and care offered. The facility shall establish admission criteria that are
			 consistently applied and comply with the facility's policies and
			 procedures.
B. No supervision,
			 care, or services shall be provided to individuals who have not been admitted
			 as patients of the facility.
C.
			 Patient stays shall not exceed fourteen (14) consecutive calendar
			 days.
D. A facility shall not
			 retain any patients who primarily need detoxification services.
E. A facility shall not retain any of the
			 following persons:
1. A patient with a
			 psychiatric condition of such severity that it can only be safely treated in an
			 inpatient setting;
2. A patient
			 with an unstable medical condition of such severity that it can only be safely
			 managed in an inpatient setting;
3.
			 A patient that does not voluntarily consent to admission or treatment;
			 or
4. A patient that is violent or
			 combative, and/or posing an imminent risk to themselves or others.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.900 - PATIENT CARE AND SERVICES › Subsection 61-125.901 - General. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The written
				  informed consent between the patient and the facility shall include at least
				  the following:
1. An explanation of the
				  specific care, services, and/or equipment provided by the facility;
2. An explanation of the conditions under
				  which the patient may be discharged and the agreement terminated; and
3. Documentation of the explanation of the
				  patient's rights (see Section 1000) and the grievance procedure.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.900 - PATIENT CARE AND SERVICES › Subsection 61-125.902 - Transportation. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall secure or provide transportation for
					 patients when a physician's services are needed. If a physician's services are
					 not immediately available and the patient's condition requires immediate
					 medical attention, the facility shall provide or secure transportation for the
					 patient to appropriate health care providers.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.900 - PATIENT CARE AND SERVICES › Subsection 61-125.903 - Safety Precautions and Restraints. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Periodic or continuous mechanical,
				  physical or chemical restraints during routine care of a patient shall not be
				  used, nor shall patients be restrained for staff convenience or as a substitute
				  for care or services. However, in cases of extreme emergencies when a patient
				  is posing an immediate danger to him or herself or others, mechanical and/or
				  physical restraints may be initiated by staff of the facility to prevent harm
				  to the patient, to other patients, or to staff, provided that use of mechanical
				  and/or physical restraints must be ended as soon as the immediate threat of
				  harm has ended, and in no case shall the use of restraints continue beyond one
				  (1) hour unless ordered by a physician or other authorized healthcare provider.
				  An order for use of restraints must provide that their use shall be
				  discontinued as soon as the immediate threat of harm posed by the patient has
				  ended or until appropriate medical care can be secured, but in no case shall an
				  order be valid for more than eight (8) hours. Only those devices specifically
				  designed as restraints may be used.
B. Emergency restraint orders shall specify
				  the reason for the use of the restraint, the type of restraint to be used, the
				  maximum time the restraint may be used, and instructions for observing the
				  patient while restrained, if different from the facility's written procedures.
				  Patients certified by a physician or other authorized healthcare provider as
				  requiring restraint for more than eight (8) hours shall be transferred to an
				  appropriate facility.
C. During
				  emergency restraint, patients shall be monitored at least every fifteen (15)
				  minutes, and provided with an opportunity for motion and exercise at least
				  every thirty (30) minutes. Prescribed medications and treatments shall be
				  administered as ordered, and patients shall be offered nourishment and fluids
				  and given bathroom privileges.
D.
				  The use of mechanical restraints shall be documented in the patient's record,
				  and shall include the date and time implemented, the length of time restrained,
				  observations while patient is restrained, and the requirements of Section 903.C
				  above.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.900 - PATIENT CARE AND SERVICES › Subsection 61-125.904 - Discharge and Transfer

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				  discharge summary, based upon the particular needs of the patient, shall be
				  documented and provided to the patient at the time of discharge that includes:
1. Reason(s) for discharge;
2. Specific instructions for post-discharge
				  care; and
3. Contact information
				  for how to access community services, if applicable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1000 - RIGHTS AND ASSURANCES

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
			 facility shall comply with all current federal, state, and local laws and
			 regulations concerning patient care, patient rights and protections, and
			 privacy and disclosure requirements, such as the Omnibus Adult Protection Act
			 notice and Title VII, Section 601 of the Civil Rights Act of 1964. (I)
B. Patient rights shall be
			 guaranteed and, at a minimum, the facility shall inform the patient of: (II)
1. The care to be provided and the
			 opportunity to participate in care and treatment planning;
2. Grievance and complaint
			 procedures;
3. Confidentiality of
			 patient records;
4. Respect for the
			 patient's property;
5. Specific
			 coverage and non-coverage of services and of his or her liability for
			 payment;
6. Freedom from abuse and
			 exploitation; and (I)
7. Respect
			 and dignity in receiving treatment, care, and services. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1100 - PATIENT PHYSICAL EXAMINATION (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All patients admitted to a facility shall
			 have a signed and dated physical examination conducted by a physician or other
			 authorized healthcare provider within twenty-four (24) hours of admission. The
			 physical examination shall include a medical history and diagnosis supporting
			 admission.
B. If a patient or
			 potential patient has a communicable disease, the administrator shall seek
			 advice from a physician or other authorized healthcare provider in order to:
1. Ensure the facility has the capability to
			 provide adequate care and prevent the spread of that condition, and that the
			 staff members and volunteers are adequately trained; and
2. Transfer the patient to an appropriate
			 facility, if necessary.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1201 - General. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Medications, including controlled substances, medical
					 supplies, and those items necessary for the rendering of first aid, shall be
					 properly managed in accordance with federal, state, and local laws and
					 regulations. Such management shall address the securing, storing, and
					 administering of medications, medical supplies, first aid supplies, and
					 biologicals, their disposal when discontinued or expired, and their disposition
					 at discharge, death, or transfer of a patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1202 - Medication and Treatment Orders. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications and treatments, including
				  oxygen, shall be administered to patients only upon orders of a physician or
				  other authorized healthcare provider. Medications accompanying patients at
				  admission may be administered to patients provided the medication is in the
				  original labeled container and the order is subsequently obtained as a part of
				  the admission physical examination.
B. All verbal orders shall be received by a
				  nurse and shall be signed and dated by a physician or other authorized
				  healthcare provider no later than three (3) business days after the order is
				  given.
C. Medications and medical
				  supplies ordered for a specific patient shall not be provided or administered
				  to any other patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1203 - Administering Medication and/or Treatments. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Doses of medication shall be administered
				  by the same nurse who prepared them for administration. Preparation shall occur
				  no earlier than one (1) hour prior to administering. Preparation of doses for
				  more than one (1) scheduled administration shall not be permitted. Each
				  treatment or medication dose administered shall be recorded on the patient's
				  medication administration record ("MAR") as it is administered, or treatment
				  administration record ("TAR") after it is rendered. Should an ordered dose of
				  medication or treatment not be administered or rendered, an explanation as to
				  the reason shall be recorded on the MAR or TAR. The MAR shall be documented to
				  include the medication name, dosage, mode of administration, date and time of
				  administration, and the signature of the nurse administering the medication. If
				  the ordered dosage is to be given on a varying schedule, for example, "take two
				  tablets the first day and one tablet every other day by mouth with noon meal,"
				  the number of tablets shall also be recorded. The TAR shall be documented to
				  include the type of treatment, date and time of treatment, and the signature of
				  the nurse rendering the treatment.
B. A facility nurse may monitor patient blood
				  sugar levels provided the facility has received a "Certificate of Waiver" from
				  the Clinical Laboratories Improvement Amendments ("CLIA").
C. Self-administering of medications by a
				  patient is permitted only:
1. Upon the
				  specific written orders of the physician or other authorized healthcare
				  provider; and
2. The facility shall
				  ascertain by patient demonstration to the staff and document that she or he
				  remains capable of self-administering medications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1204 - Medication Containers (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				  Medications for patients shall be obtained from a permitted pharmacy or
				  authorized healthcare provider as allowed by law on an individual prescription
				  basis. These medications shall bear a label affixed to the container which
				  reflects at least the following: name of pharmacy, name of patient, name of the
				  prescribing physician or other authorized healthcare provider, date and
				  prescription number, directions for use, and the name and dosage unit of the
				  medication. The label shall be brought into accord with the directions of the
				  physician or other authorized healthcare provider each time the prescription is
				  refilled. Medication containers having soiled, damaged, incomplete, illegible,
				  or makeshift labels shall be returned to the pharmacy for re-labeling or
				  disposal.
B. Medications for each
				  patient shall be kept in the original containers including unit dose systems.
				  There shall be no transferring between containers, or opening blister packs to
				  remove medications for destruction or adding new medications for
				  administration.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1205 - Medication Storage (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				  Medications shall be stored and safeguarded in a locked medicine preparation
				  room, cabinet or cart. Medications shall be monitored and attended at all times
				  to prevent access by unauthorized individuals. Expired or discontinued
				  medications shall not be stored with current medications. Storage areas shall
				  not be located near sources of heat, humidity, or other hazards that may
				  negatively impact medication effectiveness or shelf life.
B. Medications requiring refrigeration or
				  freezing shall be stored in a locked refrigerator or freezer as appropriate at
				  the temperature range established by the manufacturer used exclusively for that
				  purpose. Food and drinks shall not be stored in the same refrigerator or
				  freezer in which medications and biologicals are stored. Refrigerators and
				  freezers shall be provided with a thermometer accurate to plus or minus two (2)
				  degrees Fahrenheit.
C. Medications
				  shall be stored:
1. In accordance with
				  manufacturer's directions and in accordance with all applicable federal, state,
				  and local laws and regulations;
2.
				  Separately from poisonous substances, such as cleaning and germicidal agents,
				  or body fluids;
3. In a manner that
				  provides for separation between topical and oral medications, and which
				  provides for separation of each patient's medication; and
4. In medicine preparation rooms or cabinets
				  that are well-lighted and of sufficient size to permit orderly storage and
				  preparation of medications. Keys to the medicine preparation room, cabinet,
				  refrigerator or medication cart at the staff work area shall be under the
				  control of a designated licensed nurse.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1200 - MEDICATION MANAGEMENT › Subsection 61-125.1206 - Disposition of Medications (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				  Upon discharge or death of a patient, a facility in possession of unused
				  medications belonging to the patient that do not constitute a controlled
				  substance under 21 U.S.C. Section 802(32) shall release the unused medications
				  to the patient, family member, or responsible party, as appropriate, and shall
				  document the release with the signature of the person receiving the unused
				  medications unless specifically prohibited by the attending physician or other
				  authorized healthcare provider.
B.
				  Upon death of a patient, a facility in possession of unused medications
				  belonging to the patient that constitute a controlled substance under 21 U.S.C.
				  Section 802 shall release the unused medication to an applicable person under
				  21 C.F.R. Section
				  1317.30 for disposal in accordance with
				  requirements of the federal Drug Enforcement Administration. The facility shall
				  document the release for disposal in the patient's record.
C. Upon discharge of a patient, a facility in
				  possession of unused medications belonging to the patient that constitute a
				  controlled substance under 21 U.S.C. Section 802 shall release the unused
				  medication to the "ultimate user" under 21 U.S.C. Section 802. The facility
				  shall document the release in the patient's record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1300 - MEAL SERVICE › Subsection 61-125.1301 - General. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				  facilities that prepare food on-site shall be approved by the Department, and
				  regulated, inspected, and permitted pursuant to Regulation 61-25, Retail Food
				  Establishments.
B. When meals are
				  catered to a facility, such meals shall be obtained from a food service
				  establishment graded by the Department pursuant to R.61-25, and there shall be
				  a written executed contract with the food service establishment.
C. All food served to the patients shall meet
				  the requirements of R.61-25 for temperature, storage, display, and general
				  protection against contamination. The use of home canned foods is
				  prohibited.
D. There shall be at
				  least one (1) hand sink equipped with hot and cold water, liquid soap, and an
				  individualized method of drying hands. A handwashing sink shall be equipped to
				  provide water at a temperature of at least one hundred (100) degrees Fahrenheit
				  through a mixing valve or combination faucet.
E. Washing and sanitation of all food contact
				  and non-food contact surfaces, equipment, and utensils shall meet the standards
				  required by R.61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1300 - MEAL SERVICE › Subsection 61-125.1302 - Meals and Special Diets

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				  facilities shall provide dietary services to meet the daily nutritional needs
				  of the patients. (I)
B. A minimum
				  of three (3) nutritionally-adequate meals in each twenty-four (24) hour period
				  shall be provided for each patient unless otherwise directed by the patient's
				  physician or other authorized healthcare provider. Not more than fourteen (14)
				  hours shall elapse between the serving of the evening meal and breakfast the
				  following day. (II)
C. Specific
				  times for serving meals shall be established.
D. Suitable food and snacks shall be
				  available and offered between meals at no additional cost to the patients.
				  (II)
E. Special diets shall be
				  prescribed, dated and signed by the physician. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1300 - MEAL SERVICE › Subsection 61-125.1303 - Diets. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
If the facility accepts patients in need of
					 medically-prescribed special diets, the menus for such diets shall be planned
					 by a professionally-qualified dietitian or shall be reviewed and approved by a
					 physician or other authorized healthcare provider. The facility shall maintain
					 documentation that each of these menus has been planned by a dietitian, a
					 physician or other authorized healthcare provider. At a minimum, documentation
					 for each patient's special diet menu shall include the signature of the
					 dietitian, the physician or other authorized healthcare provider, his or her
					 title, and the date he or she signed the menu. Facility staff preparing a
					 patient's special diet shall be knowledgeable of the procedure to prepare each
					 special diet. The preparation of any patient's special diet shall follow the
					 written guidance provided by a registered dietitian, physician, or other
					 authorized healthcare provider authorizing the patient's special diet. For each
					 patient receiving a special diet, this written guidance shall be documented in
					 the patient's record.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-125 - Consumer Electronic Equipment Collection and Recovery › Section 61-125.1300 - MEAL SERVICE › Subsection 61-125.1304 - Menus

Current through Register Vol. 48, No. 6, June 28, 2024
One (1) week's menus, including routine and special diets
					 and any substitutions or changes made, shall be readily available and posted in
					 one (1) or more conspicuous places in a public area.