The proposed amendments and adoptions of rules in Chapters 10A NCAC 13B Licensing of Hospitals and 10A NCAC 13C Licensing of. 10A NCAC 13B – General Requirements: Access and Safety. 10A NCAC 13B – Construction Requirements: Special Care Unit. 10A NCAC 13B MECHANICAL REQUIREMENTS (a) Prior to occupancy of the facility, the facility shall obtain documentation verifying that all mechanical.
|Published (Last):||10 October 2015|
|PDF File Size:||4.15 Mb|
|ePub File Size:||7.92 Mb|
|Price:||Free* [*Free Regsitration Required]|
Dietitians or qualified designees shall attend and participate in meetings relevant to patient nutritional care, including but not limited to patient care conferences and discharge planning.
A facility shall be licensed for no more beds than the number for which required physical space and other required facilities are available.
10A NCAC 13B .6225 MECHANICAL REQUIREMENTS (a) Prior to
However, continuous compliance may be impractical with full utilization of some forms of variable air volume and load shedding systems that may be used for energy conversation.
Commencing with the reporting period ending September 30,an annual data report shall be submitted that includes all sites operated by the licensed hospital.
Hospitals with nursing facility beds with ventilator dependent care patients shall contract with a physician who is licensed to practice in 133b Carolina with Board Certification and who has specialized training in 10w medicine. It shall be directed, staffed and equipped to accurately process, index, and file all medical records.
September 30, ; Temporary Amendment Eff. Policies and procedures shall include, but shall not be limited to: Financial assistance does not include:. The rules contained in this Section shall apply to hospitals providing living organ donation transplant services. Alternate methods, procedures, design criteria, and functional variations from the physical plant requirements, because of extraordinary circumstances, new programs, or unusual conditions, may be approved by the authority having jurisdiction when the facility can effectively demonstrate to the Division’s satisfaction, that the intent of the physical plant requirements are met and that the variation does not reduce the safety or operational effectiveness of the facility; and.
Additional adjustments may be needed when space is unused or unoccupied and air systems are de-energized or reduced. For live liver donors, the same registered nurse shall not take care of both the donor and the recipient. This emergency circuit shall be provided with a minimum of two duplex receptacles identified for emergency use.
It also means the mental health treatment provided in such a unit or department. The Commission will receive written objections until 5: Subsequent to this, if all the facts show that the potential donor is, in fact, in all respects a viable potential donor, then he or she shall execute the ACOT recommended form entitled “Living Liver Donor Informed Consent for Surgery” which is hereby incorporated by reference with all subsequent amendments.
It also means the chemical dependency treatment provided in such a unit or department. In addition, facilities having patients requiring the use of ventilators for more than eight hours a day must meet the following requirements:. These shall include but need not be limited to the following:. This discussion shall include checking with health or life insurance carriers about future “pre-existing conditions” or “exclusions” that may result from donation.
The respiratory therapist shall:. Each emergency circuit serving ventilator dependent patients shall be fed from the automatically transferred critical branch of the essential electrical system. Hours of service by rehabilitation aides in performing nurse-aide duties in areas of the facility nfac than the rehabilitation unit shall not be counted toward the 5. They shall include the following: The CARF report shall show that the facility or unit was surveyed for comprehensive rehabilitation services.
In facilities where there is no department of anesthesia, the medical staff shall assume the responsibility nvac establishing general policies nacc for supervising the administration of anesthetics. This report must be written or dictated following surgery and signed by the surgeon in compliance with medical staff rules. In addition, where applicable, the potential donor shall be given ample time for autologous blood donation through the American Red Cross. The medical staff 1b require that the director or other designated physician in charge of the neonatal special or nncac care unit has training and experience in care of the neonate.
An audit of the financial operations of the facility shall be performed by a public accountant at least once a year.
NC DHSR: Hospital and Ambulatory Surgical Facility Rules
The nutrition care plan shall be included in the medical record of the patient on his discharge plan and transfer orders to the extent necessary for continuity of care. A monthly summary for patients and quarterly summaries for domiciliary residents shall be written relative to each patient’s or resident’s performance in the bowel and bladder training program; and.
Food and Drug Administration unless the use has been approved by the facility’s pharmacy committee. Areas not indicated as having continuous directional control may have ventilation systems shut down when space is unoccupied and ventilation is not otherwise needed.
Board of Medical Examiners to practice medicine. At the time of evaluation by the IDAT, a discussion shall be held between the IDAT social worker and the potential donor and his or her family or next of kin to address the following areas: If the manager is not a registered bcac administrator or an accredited records technician, the facility shall retain a person with those qualifications on a part-time or consulting basis.
The scope of the activity program shall include:.
10A NCAC 13B MECHANICAL REQUIREMENTS (a) Prior to
However this approval shall be revoked if the Division determines, as a result of a physical site visit, that these safeguards are not adequate to safeguard the health and safety of patients. This Rule does not apply to the dispensing of medications from a pharmacy utilizing a unit of use drug delivery system. Specialized nutrition therapies include supplementation with medical foods, enteral and parenteral nutrition.
The reason why the IDAT has objections shall be explained to the potential donor. Each job description shall include a written description of the education, experience, license, certification, or other qualifications required for the position.
March 16, May 15, Comments may be submitted by: These procedures shall require the following: The facility also shall provide other nursing personnel sufficient to assure that at least activities of daily living, personal grooming, restorative nursing actions and other health care needs as identified in each patient’s or resident’s plan of care are met.
They shall have ready access to the surgical team responsible for the patient’s post-operative care. Note 1 – Ratings based on ASHRAE Note 2 – Rating based on DOP Dioctyl-phthalate test method 8 Any system utilized for occupied areas shall include provisions to avoid air stagnation in interior spaces where comfort demands are met by temperatures of surrounding areas; 9 All rooms and areas in the facility used for patient care shall have provisions for year round mechanical ventilation; 10 Each patient’s room shall have at least one openable window, opening to the outside to permit ventilation; and 11 In psychiatric units, all convectors, HVAC enclosures, or air distribution devices that are exposed in the room shall be constructed with rounded corners and shall be fastened with tamper-proof screws.