reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-151 - Reportable operational or maintenance events

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to outline each hospital's
					 responsibility for reporting serious events that affect the operation and
					 maintenance of the facility.
(1)
				  Hospitals must notify the department within forty-eight hours whenever any of
				  the following events have occurred:
(a) A
				  failure or facility system malfunction such as the heating, ventilation, fire
				  alarm, fire sprinkler, electrical, electronic information management, or water
				  supply affecting patient diagnosis, treatment, or care within the facility;
				  or
(b) A fire affecting patient
				  diagnosis, treatment, or care within the facility.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-156 - Management of human resources

Current through Register Vol. 24-14, July 15, 2024
This section ensures that hospitals provide competent staff
					 consistent with scope of services.
Hospitals must:
(1) Establish, review, and update written job
				  descriptions for each job classification;
(2) Conduct periodic staff performance
				  reviews;
(3) Assure qualified staff
				  available to operate each department including a process for competency, skill
				  assessment and development;
(4)
				  Assure supervision of staff;
(5)
				  Document verification of staff licensure, certification, or
				  registration;
(6) Complete
				  tuberculosis screening for new and current employees consistent with the
Guidelines for Preventing the Transmission of Mycobacterium
				  Tuberculosis in Healthcare Facilities
, 2005.
Morbidity
				  Mortality Weekly Report (MMWR)
Volume 54, December 30, 2005;
(7) Orient staff to their assigned work
				  environment;
(8) Give infection
				  control information to staff upon hire and annually which includes:
(a) Education on general infection control
				  according to chapter 296-823 WAC bloodborne pathogens exposure
				  control;
(b) Education specific to
				  infection control for multidrug-resistant organisms; and
(c) General and specific infection control
				  measures related to the patient care areas where staff work.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-161 - Medical staff

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to establish the development
					 of a medical staff structure, consistent with clinical competence, to ensure a
					 safe patient care environment.
The medical staff must:
(1) Adopt bylaws, rules, regulations, and
				  organizational structure that address:
(a)
				  Qualifications for membership;
(b)
				  Verification of application data;
(c) Appointment and reappointment
				  process;
(d) Length of appointment
				  and reappointment;
(e) Granting of
				  delineated clinical privileges;
(f)
				  Provision for continuous patient care;
(g) Assessment of credentialed practitioner's
				  performance;
(h) Due
				  process;
(i) Reporting
				  practitioners according to
				  RCW
				  70.41.210; and
(j) Provide for medical staff communication
				  and conflict resolution with the governing authority;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-166 - Management of information

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to improve patient outcomes
					 and hospital performance through obtaining, managing, and using
					 information.
Hospitals must:
(1) Provide medical staff, employees and
				  other authorized persons with access to patient information systems, resources,
				  and services;
(2) Maintain
				  confidentiality, security, and integrity of information;
(3) Initiate and maintain a medical record
				  for every patient assessed or treated including a process to review records for
				  completeness, accuracy, and timeliness;
(4) Create medical records that:
(a) Identify the patient;
(b) Have clinical data to support the
				  diagnosis, course and results of treatment for the patient;
(c) Have signed consent documents;
(d) Promote continuity of care;
(e) Have accurately written, signed, dated,
				  and timed entries;
(f) Indicate
				  authentication after the record is transcribed;
(g) Are promptly filed, accessible, and
				  retained according to
				  RCW
				  70.41.190 and chapter 5.46 RCW; and
(h) Include verbal orders that are accepted
				  and transcribed by qualified personnel;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-171 - Improving organizational performance

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to ensure that performance
					 improvement activities of staff, medical staff, and outside contractors result
					 in continuous improvement of patient health outcomes. In this section "near
					 miss" means an event which had the potential to cause serious injury, death, or
					 harm but did not happen due to chance, corrective action or timely
					 intervention.
Hospitals must:
(1) Have a hospital-wide approach to process
				  design and performance measurement, assessment, and improving patient care
				  services according to
				  RCW
				  70.41.200 and include, but not be limited to:
(a) A written performance improvement plan
				  that is periodically evaluated;
(b)
				  Performance improvement activities which are interdisciplinary and include at
				  least one member of the governing authority;
(c) Prioritize performance improvement
				  activities;
(d) Implement and
				  monitor actions taken to improve performance;
(e) Education programs dealing with
				  performance improvement, patient safety, medication errors, injury prevention;
				  and
(f) Review serious or
				  unanticipated patient outcomes in a timely manner;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-176 - Infection control program

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to identify and reduce the
					 risk of acquiring and transmitting infections and communicable diseases between
					 patients, employees, medical staff, volunteers, and visitors.
Hospitals must:
(1) Develop, implement and maintain a written
				  infection control and surveillance program;
(2) Designate staff to:
(a) Manage the activities of the infection
				  control program;
(b) Assure the
				  infection control program conforms with patient care and safety policies and
				  procedures; and
(c) Provide
				  consultation on the infection control program, policies and procedures
				  throughout the entire facility;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-199 - Fees

Current through Register Vol. 24-14, July 15, 2024
This section establishes the initial licensure and annual
					 fees for hospitals licensed under chapter 70.41 RCW. The license must be
					 renewed every three years.
(1)
				  Applicants and licensees shall submit to the department:
(a) An initial license fee of two hundred
				  twenty dollars for each bed space within the authorized bed capacity for the
				  hospital;
(b) An annual fee of two
				  hundred twenty dollars for each bed space within the authorized bed capacity of
				  the hospital by November 30th of the year.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-201 - Food and nutrition services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to assure patient
					 nutritional needs are met in a planned and organized manner.
Hospitals must:
(1) Designate an individual qualified by
				  experience, education, or training to be responsible for managing the food and
				  nutrition services;
(2) Designate a
				  registered dietitian responsible to develop and implement policies and
				  procedures addressing nutritional care for patients;
(3) Have a registered dietitian available to
				  assess nutritional needs, based on patients' individual nutritional risk
				  screen;
(4) Develop and regularly
				  update an interdisciplinary plan for nutritional therapy based on current
				  standards for patients at nutritional risk. Monitor and document each patient's
				  response to the nutritional therapy in the medical record;
(5) Implement, document and monitor a system
				  for providing nutritionally balanced meals that are planned in advance, and
				  respect cultural diversity; and
(6)
				  Adopt and implement policies and procedures for food service according to
				  chapter 246-215 WAC.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-201, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-206 - Linen and laundry services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to prevent the use of dirty
					 or contaminated laundry or linens.
Hospitals must develop and implement a laundry and linen
					 system that:
(1) Meets the needs of
				  the hospital and patients;
(2)
				  Assures linens and laundry are clean and free from contaminants and toxic
				  residues;
(3) Processes within
				  industry standard pH ranges; and
(4) Processes and stores according to the
Guidelines for Design and Construction of Health Care
				  Facilities
, 2.1-6.4.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-206, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-211 - Pharmaceutical services

Current through Register Vol. 24-14, July 15, 2024
This section assures patient pharmaceutical needs are met
					 in a planned and organized manner.
Hospitals must:
(1) Meet the requirements in chapter 246-873
				  WAC; and
(2) Establish and use a
				  process for selecting medications based on evaluating their relative
				  therapeutic merits, safety, and cost.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-211, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-216 - Laboratory, imaging, and other diagnostic, treatment or therapeutic services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to assure patients'
					 diagnostic, treatment or therapy services are met in a planned and organized
					 manner.
Hospitals must adopt and implement policies and procedures
					 that:
(1) Require pathology and
				  clinical laboratory services on a timely basis;
(2) Assure the laboratory services meet the
				  requirements in chapter 246-338 WAC;
(3) Assure imaging services are directed by
				  an individual qualified by experience, education, or training and meet the
				  requirements in chapter 246-220 WAC.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-216, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-221 - Safe patient handling

Current through Register Vol. 24-14, July 15, 2024
RCW 70.41.390 mandates hospitals
					 establish and implement a safe patient handling program. The purpose of this
					 section is to guide hospital management in developing and implementing that
					 program.
The hospital must:
(1) Develop and implement a safe patient
				  handling policy that includes:
(a) A patient
				  handling hazard assessment;
(b) An
				  annual performance evaluation of the program;
(c) Procedures for hospital staff to follow
				  who refuse to perform or be involved in patient handling or movement based upon
				  exposing the staff or patient to an unacceptable risk of injury; and
(d) The types of equipment and devices used
				  as part of the program;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-226 - Patient care services

Current through Register Vol. 24-14, July 15, 2024
This section guides the development of a plan for patient
					 care. This is accomplished by supervising staff, establishing, monitoring, and
					 enforcing policies and procedures that define and outline the use of materials,
					 resources, and promote the delivery of care.
Hospitals must:
(1) Provide personnel, space, equipment,
				  reference materials, training, and supplies for the appropriate care and
				  treatment of patients;
(2) Have a
				  registered nurse available for consultation in the hospital at all
				  times;
(3) Adopt, implement, review
				  and revise patient care policies and procedures designed to guide staff that
				  address:
(a) Criteria for patient admission
				  to general and specialized service areas;
(b) Reliable method for personal
				  identification of each patient;
(c)
				  Conditions that require patient transfer within the facility, to specialized
				  care areas and outside facilities;
(d) Patient safety measures;
(e) Staff access to patient care
				  areas;
(f) Use of physical and
				  chemical restraints or seclusion consistent with C.F.R. 42.482;
(g) Use of preestablished patient care
				  guidelines or protocols. When used, these must be documented in the medical
				  record and be preapproved or authenticated by an authorized
				  practitioner;
(h) Care and handling
				  of patients whose condition require special medical or medical-legal
				  consideration;
(i) Preparation and
				  administration of blood and blood products; and
(j) Discharge planning;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-231 - Patient care unit or area

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management of a
					 patient area.
Hospitals must assure:
(1) Each patient room contains:
(a) A bed;
(b) A means for patient privacy;
				  and
(c) A means to call for help or
				  assistance;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-236 - Surgical services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the development and
					 management of surgical services. Hospitals are not required to provide surgery
					 and interventional care in order to be licensed.
If providing surgical services, hospitals must:
(1) Adopt and implement policies and
				  procedures that:
(a) Identify areas where
				  surgery and invasive procedures may be performed;
(b) Define staff access to areas where
				  surgery and invasive procedures are performed;
(c) Identify practitioner's privileges for
				  operating room staff; and
(d)
				  Define staff qualifications and oversight;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-241 - Anesthesia services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving anesthesia. Hospitals are not required to provide
					 anesthesia services in order to be licensed.
If providing anesthesia services, hospitals must:
(1) Adopt and implement policies and
				  procedures that:
(a) Identify the types of
				  anesthesia that may be used;
(b)
				  Identify areas where each type of anesthesia may be used; and
(c) Define the staff qualifications and
				  oversight for administering each type of anesthesia used in the
				  hospital;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-246 - Recovery care

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management of
					 patients recovering from anesthesia and sedation. Hospitals are not required to
					 provide anesthesia recovery services in order to be licensed.
If providing recovery services, hospitals must:
(1) Adopt and implement policies and
				  procedures that define the qualifications and oversight of staff delivering
				  recovery services;
(2) Assure a
				  physician or licensed independent practitioner capable of managing
				  complications and providing cardiopulmonary resuscitation is immediately
				  available for patients recovering from anesthesia; and
(3) Assure a registered nurse trained and
				  current in advanced cardiac life support measures is immediately available for
				  patients recovering from anesthesia.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-246, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-251 - Obstetrical services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving obstetrical care services. Hospitals are not
					 required to provide obstetrical services in order to be licensed.
If providing obstetrical services hospitals must:
(1) Have the capability to perform cesarean
				  sections twenty-four hours per day, or meet the following criteria when the
				  hospital does not have twenty-four hour cesarean capability:
(a) Limit planned obstetrical admissions to
				  "low risk" patients as defined in WAC
				  246-329-010(18) 
				  childbirth centers;
(b) Inform each
				  obstetrical patient in writing, prior to the planned admission, of the limited
				  obstetrical services as well as transportation and transfer
				  agreements;
(c) Maintain current
				  written agreements for staffed ambulance or air transport available twenty-four
				  hours per day; and
(d) Maintain
				  current written agreements with another hospital to admit transferred
				  obstetrical patients;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-256 - Neonatal and pediatric services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving neonatal or pediatric care services. Hospitals are
					 not required to provide these services in order to be licensed.
If providing neonatal or pediatric care, hospitals
					 must:
(1) Adopt and implement policies
				  and procedures that:
(a) Identify the types
				  of patients and level of care that may be used; and
(b) Define the qualifications and oversight
				  of staff delivering neonatal or pediatric services;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-261 - Critical or intensive care services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving critical or intensive care services. Hospitals are
					 not required to provide these services in order to be licensed.
If providing a critical care unit or services, hospitals
					 must:
(1) Define the qualifications
				  and oversight of staff delivering critical or intensive care
				  services;
(2) Assure at least two
				  licensed nurses skilled and trained in critical care, on duty and in the
				  hospital at all times, when patients are present, and:
(a) Immediately available to provide care to
				  admitted patients; and
(b) All
				  registered nurses trained and current in cardiopulmonary resuscitation with:
(i) Training for the safe and effective use
				  of specialized equipment and procedures in the particular area; and
(ii) At least one registered nurse having
				  successfully completed an advanced cardiac life support training
				  program;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-266 - Alcohol and chemical dependency services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving alcohol and chemical dependency services. Hospitals
					 are not required to provide these services in order to be licensed.
If providing alcoholism or chemical dependency services
					 hospitals must:
(1) Adopt and
				  implement policies and procedures on the development, use, and review of the
				  individualized treatment plan, including participation by:
(a) Multidisciplinary treatment
				  team;
(b) Patient; and
(c) Family as appropriate;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-271 - Psychiatric services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving psychiatric services. Hospitals are not required to
					 provide these services in order to be licensed.
If providing a psychiatric services, hospitals must:
(1) Adopt and implement policies and
				  procedures on the development, use, and review of the individualized treatment
				  plan, including participation by:
(a)
				  Multidisciplinary treatment team;
(b) Patient; and
(c) Family as appropriate;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-276 - Long-term care services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving long-term care services. Hospitals are not required
					 to provide these services in order to be licensed.
If providing long-term care services, hospitals
					 must:
(1) Define the qualifications
				  and oversight of staff delivering long-term care services;
(2) Develop and implement policies and
				  procedures specific to the care and needs of patients receiving the long-term
				  services;
(3) Use hospital policies
				  and procedures which define standards of practice; and
(4) Provide an activities program designed to
				  encourage each patient to maintain or attain normal activity and an optimal
				  level of independence.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-276, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-281 - Emergency services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving emergency services. Hospitals are not required to
					 provide these services in order to be licensed.
If providing emergency services, hospitals must:
(1) Adopt and implement policies and
				  procedures, consistent with
				  RCW
				  70.170.060, for every patient presenting to
				  the emergency department with an emergency medical condition to include:
Transfer of a patient with an emergency medical condition
					 or who is in active labor based on:
(a) Patient request;
(b) Inability to treat the patient due to
				  facility capability;
(c) Staff
				  availability or bed availability; and
(d) The ability of the receiving hospital to
				  accept and care for the patient;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-286 - Emergency contraception

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to ensure that all hospitals
					 with emergency rooms provide emergency contraception as a treatment option to
					 any woman who seeks treatment as a result of a sexual assault.
Every hospital that provides emergency care must:
(1) Develop and implement policies and
				  procedures regarding the provision of twenty-four-hour/seven-days per week
				  emergency care to victims of sexual assault;
(2) Provide the victim of sexual assault with
				  medically and factually accurate and unbiased written and oral information
				  about emergency contraception;
(3)
				  Orally inform each victim in a language she understands of her option to be
				  provided emergency contraception at the hospital; and
(4) Immediately provide emergency
				  contraception, as defined in WAC
				  246-320-010, to each victim of
				  sexual assault if the victim requests it, and if the emergency contraception is
				  not medically contraindicated.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
						09-07-050, § 246-320-286, filed 3/11/09, effective
						4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-291 - Dialysis services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving dialysis services. Hospitals are not required to
					 provide these services in order to be licensed.
If providing renal dialysis care, hospitals must:
(1) Adopt and implement policies and
				  procedures consistent with C.F.R. 42.405, End Stage Renal Disease Facilities
				  for:
(a) Cleaning and sterilization
				  procedures when dialyzers are reused;
(b) Water treatment, to ensure water quality;
				  and
(c) Bacterial contamination and
				  chemical purity water testing;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-296 - Management of environment for care

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to manage environmental
					 hazards and risks, prevent accidents and injuries, and maintain safe conditions
					 for patients, visitors, and staff.
(1)
				  Hospitals must have an environment of care management plan that addresses
				  safety, security, hazardous materials and waste, emergency preparedness, fire
				  safety, medical equipment, utility systems and physical environment.
(2) The hospital must designate a person
				  responsible to develop, implement, monitor, and follow-up on all aspects of the
				  management plan.
(3) Safety. The
				  hospital must establish and implement a plan to:
(a) Maintain a physical environment free of
				  hazards;
(b) Reduce the risk of
				  injury to patients, staff, and visitors;
(c) Investigate and report safety related
				  incidents;
(d) Correct or take
				  steps to avoid reoccurrence of the incidents in the future;
(e) Develop and implement policies and
				  procedures on safety related issues such as but not limited to physical hazards
				  and injury prevention; and
(f)
				  Educate and periodically review with staff, policies and procedures relating to
				  safety and job-related hazards.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-500 - Applicability of WAC 246-320-500 through 246-320-600

Current through Register Vol. 24-14, July 15, 2024
The purpose of construction regulations is to provide for
					 a safe and effective patient care environment. These rules are not retroactive
					 and are intended to be applied as outlined below.
(1) These regulations apply to hospitals
				  including:
(a)New buildings to be licensed as
				  a hospital;
(b)Conversion of an
				  existing building or portion of an existing building for use as a
				  hospital;
(c)Additions to an
				  existing hospital;
(d)Alterations
				  to an existing hospital; and
(e)Buildings or portions of buildings
				  licensed as a hospital and used for hospital services;
(f) Excluding nonpatient care buildings used
				  exclusively for administration functions.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout the chapter
				  unless the context clearly requires otherwise. For the purposes of this
				  chapter, the following words and phrases have the following meanings unless the
				  context clearly indicates otherwise:
(1) "Abuse" means an act by any individual
				which injures, exploits or in any way jeopardizes a patient's health, welfare,
				or safety including, but not limited to:
(a)
				Physically damaging or potentially damaging nonac-cidental acts;
(b) Emotionally damaging verbal behavior and
				harassment or other actions which may result in emotional or behavioral
				problems; and
(c) Sexual use,
				exploitation and mistreatment through inappropriate touching, inappropriate
				remarks or encouraging participation in pornography or prostitution.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-020 - Licensure - Initial, renewal, modifications

Current through Register Vol. 24-14, July 15, 2024
(1) A person shall have a current license
				issued by the department before operating or advertising a private psychiatric
				hospital.
(2) An applicant for
				initial licensure shall submit to the department, forty-five days or more
				before commencing business:
(a) A completed
				application on forms provided by the department;
(b) Certificate of need approval according to
				the provisions of chapter 246-310 WAC for the number of beds indicated on the
				application;
(c) Verification of
				department approval of facility plans submitted for construction review
				according to the provisions of WAC
				246-322-250;
(d) A criminal history background check in
				accordance with WAC
				246-322-030(2);
(e) Verification of approval as a private
				psychiatric hospital from the state director of fire protection according to
				RCW
				71.12.485;
(f) The fee specified in WAC
				246-322-990; and
(g) Other information as required by the
				department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-025 - Responsibilities and rights-Licensee and department

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee shall:
(a) Comply with the provisions of chapter
				71.12 RCW and this chapter;
(b)
				Post the private psychiatric hospital license in a conspicuous place on the
				premises;
(c) Maintain the bed
				capacity at or below the licensed bed capacity;
(d) Cooperate with the department during
				on-site surveys and investigations;
(e) Respond to a statement of deficiencies by
				submitting to the department, according to the dates specified on the statement
				of deficiencies form:
(i) A written plan of
				correction for each deficiency stated in the report and date to be completed;
				and
(ii) A progress report stating
				the dates deficiencies were corrected.
(f) Obtain department approval before
				changing the bed capacity;
(g)
				Obtain department approval before starting any construction or making changes
				in department-approved plans or specifications;
(h) Notify the department immediately upon a
				change of administrator or governing body;
(i) When assuming ownership of an existing
				hospital, maintain past and current clinical records, registers, indexes, and
				analyses of hospital services, according to state law and regulations;
				and
(j) Obtain department approval
				of a plan for storing and retrieving patient records and reports prior to
				ceasing operation as a hospital.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-030 - Criminal history, disclosure, and background inquiries

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee or license applicant shall
				require a disclosure statement as defined in
				RCW
				43.43.834 for each prospective employee,
				volunteer, contractor, student, and any other individual associated with the
				hospital having direct contact with vulnerable adults as defined under
				RCW
				43.43.830.
(2) The license applicant having direct
				contact with vulnerable adults shall obtain a Washington state patrol criminal
				history background disclosure statement and submit it to the department with
				the initial application for licensure.
(3) The licensee or license applicant shall:
(a) Require a Washington state patrol
				criminal history background inquiry, as specified in
				RCW
				43.43.842(1), from the
				Washington state patrol or the department of social and health services for
				each:
(i) Staff person, student, and any
				other individual currently associated with the hospital having direct contact
				with vulnerable adults, when engaged on or since July 22, 1989; and
(ii) Prospective staff person, student, and
				individual applying for association with the hospital prior to allowing the
				individual direct contact with vulnerable adults, except as allowed by
				subsection (4) of this section;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-040 - Governing body and administration

Current through Register Vol. 24-14, July 15, 2024
The governing body shall:
(1) Adopt written policies concerning the
				purposes, operation and maintenance of the hospital, and the safety, care and
				treatment of patients;
(2) Provide
				staff, facilities, equipment, supplies and services to meet the needs of
				patients within the purposes of the hospital;
(3) Establish and maintain a current written
				organizational plan delineating positions, responsibilities, authorities, and
				relationships of positions within the hospital;
(4) Appoint an administrator responsible for
				implementing the policies adopted by the governing body;
(5) Appoint a psychiatrist as medical
				director responsible for directing and supervising medical treatment and
				patient care twenty-four hours per day;
(6) Maintain an organized professional staff
				accountable to the governing body;
(7) Appoint and periodically reappoint the
				professional staff;
(8) Require and
				approve professional staff bylaws and rules concerning, at a minimum:
(a) Organization of the professional
				staff;
(b) Delineation of
				privileges;
(c) Requirements for
				membership;
(d) Specific mechanisms
				for appointing and reappointing members;
(e) Granting, renewing and revising clinical
				privileges, including temporary ward privileges for community
				psychiatrists;
(f)
				Self-government;
(g) Required
				functions;
(h) Accountability to
				the governing body; and
(i)
				Mechanisms to monitor and evaluate quality of care and clinical performance;
				and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-050 - Staff

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Employ sufficient, qualified staff to:
(a) Provide adequate patient
				services;
(b) Maintain the hospital
				free of safety hazards; and
(c)
				Implement fire and disaster plans;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-060 - HIV/AIDS education and training (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
					 95-22-012, § 246-322-060, filed 10/20/95, effective 11/20/95. Statutory
					 Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-322-060, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 70.24.310. 89-21-038 (Order 3), §
					 248-22-017, filed 10/12/89, effective
					 11/12/89.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-100 - Infection control

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Establish and implement an effective
				hospital-wide infection control program, which includes at a minimum:
(a) Written policies and procedures
				describing:
(i) Types of surveillance used to
				monitor rates of nosocomial infections;
(ii) Systems to collect and analyze data;
				and
(iii) Activities to prevent and
				control infections;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-120 - Physical environment

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide a safe and clean environment for
				patients, staff and visitors;
(2)
				Provide ready access and equipment to accommodate individuals with physical and
				mental disabilities;
(3) Provide
				adequate lighting in all areas;
(4)
				Provide natural or mechanical ventilation sufficient to remove odors, smoke,
				excessive heat and condensation from all habitable rooms;
(5) Provide a heating system operated and
				maintained to sustain a comfortable, healthful temperature in all habitable
				rooms;
(6) Provide an adequate
				supply of hot and cold running water under pressure meeting the standards in
				chapters 246-290 and 246-291 WAC, with:
(a)
				Devices to prevent backflow into the potable water supply system; and
(b) Water temperature not exceeding 120°F
				automatically regulated at all plumbing fixtures used by patients;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-140 - Patient living areas

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide patient sleeping rooms with:
(a) A minimum of eighty square feet of
				useable floor space in a single bedroom;
(b) A minimum of seventy square feet of
				useable floor space per bed in a multipatient room;
(c) A minimum ceiling height of seven feet
				six inches over the required floor area;
(d) A maximum capacity of four
				patients;
(e) A floor elevation no
				lower than three feet six inches below grade, with grade extending horizontally
				ten or more feet from the building;
(f) A clear window area on an outside wall
				equal to or greater than one-tenth the floor area with a minimum of ten square
				feet;
(g) Only security or maximum
				security windows;
(h) Direct access
				to and from a corridor, common-use activity room, or other common-use
				area;
(i) Sufficient room
				furnishings maintained in safe and clean condition including:
(i) A bed for each patient at least
				thirty-six inches wide or appropriate to the special needs and size of the
				patient;
(ii) A cleanable, firm
				mattress; and
(iii) A cleanable or
				disposable pillow; and
(j) At least three feet between beds, and
				adequate space between furnishings to allow easy entrance, exit, and traffic
				flow within the room;
(k) A means
				to assure patient privacy when appropriate;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-150 - Clinical facilities

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) An adequate number of counseling or
				treatment rooms for group or individual therapy programs with reasonable
				soundproofing to maintain confidentiality;
(2) One or more seclusion rooms, with or
				without an exterior window, intended for short-term occupancy, with:
(a) Staff-controlled locks and relites in the
				door, or equivalent;
(b) Provisions
				for authorized staff to observe the occupant at all times;
(c) A minimum of eighty square feet of floor
				space, exclusive of fixed equipment, with a minimum room dimension of eight
				feet; and
(d) Shielded,
				tamper-proof lighting fixtures;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-160 - Bathrooms, toilet rooms and handwashing sinks

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) One toilet, handwashing sink and bathing
				fixture for each six patients, or fraction thereof, on each patient-occupied
				floor of the hospital, with:
(a) Provisions
				for privacy during toileting, bathing, showering, and dressing;
(b) Separate toilet rooms for each sex if the
				toilet room contains more than one toilet;
(c) Separate bathrooms for each sex if the
				bathroom contains more than one bathing fixture; and
(d) One or more grab bars at each toilet and
				bathing fixture appropriate to the needs of patients; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-170 - Patient care services

Current through Register Vol. 24-14, July 15, 2024
(1) The
				licensee shall:
(a) Provide an initial
				physical and mental health assessment by a physician, advanced registered nurse
				practitioner, or physician assistant. The initial mental status exam may be
				conducted by a mental health professional;
(b) Admit only those patients for whom the
				hospital is qualified by staff, services and equipment to give adequate care;
				and
(c) Provide appropriate
				transfer and acceptance of a patient needing medical care services not provided
				by the hospital, by:
(i) Transferring
				relevant data with the patient;
(ii) Obtaining written or verbal approval by
				the receiving facility prior to transfer; and
(iii) Immediately notifying the patient's
				family.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-180 - Patient safety and seclusion care

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee shall assure seclusion and
				restraint are used only to the extent and duration necessary to ensure the
				safety of patients, staff, and property, as follows:
(a) Staff shall not inflict pain or use
				restraint and seclusion for retaliation or personal convenience;
(b) Staff shall document all assaultive
				incidents in the clinical record and review each incident with the appropriate
				supervisor;
(c) Staff shall observe
				any patient in restraint or seclusion at least every fifteen minutes,
				intervening as necessary, and recording observations and interventions in the
				clinical record;
(d) Staff shall
				notify, and receive authorization by, a physician, physician assistant, or
				psychiatric advanced registered nurse practitioner within one hour of
				initiating patient restraint or seclusion;
(e) A physician, physician assistant, or
				psychiatric advanced registered nurse practitioner shall examine each
				restrained or secluded patient and renew the order for every twenty-four
				continuous hours of restraint and seclusion; and
(f) A mental health professional or
				registered nurse shall evaluate the patient when secluded or restrained more
				than two continuous hours, and reevaluate the patient at least once every eight
				continuous hours of restraint and seclusion thereafter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-190 - Provisions for patients with tuberculosis

Current through Register Vol. 24-14, July 15, 2024
A licensee providing inpatient services for mentally ill
				  patients with suspected or known infectious tuberculosis shall:
(1) Design patient rooms with:
(a) Ventilation to maintain a negative
				pressure condition in each patient room relative to adjacent spaces, except
				bath and toilet areas, with:
(i) Air movement
				or exhaust from the patient room to the out-of-doors with the exhaust grille
				located over the head of the bed;
(ii) Exhaust at the rate of six air changes
				per hour;
(iii) Make-up or supply
				air from adjacent ventilated spaces for four or less air changes per hour, and
				tempered outside air for two or more air changes per hour; and
(iv) Ultraviolet generator irradiation as
				follows:
(A) Use of ultraviolet fluorescent
				fixtures with lamps emitting wave length of 253.7 nanometers;
(B) The average reflected irradiance less
				than 0.2 microwatts per square centimeter in the room at the five foot
				level;
(C) Wall-mount type of
				fixture installed over the head of the bed, as close to the ceiling as possible
				to irradiate the area of the exhaust grille and the ceiling; and
(D) Lamps changed as recommended by the
				manufacturer; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-200 - Clinical records

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee
				shall establish and maintain an organized clinical record service, consistent
				with recognized principles of record management, directed, staffed, and
				equipped to:
(a) Ensure timely, complete and
				accurate identification, checking, processing, indexing, filing, and retrieval
				of records;
(b) Facilitate
				compilation, maintenance, analyses, and distribution of patient care
				statistics; and
(c) Protect records
				from undue deterioration and destruction.