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.

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Rule Actions

Public notice shall be in at least two forms: Statutes addressing such rights are as follows:. These categories for membership shall be identified and defined in the medical staff bylaws, rules or regulations adopted by the active medical staff. Smoke dampers shall be failsafe to the emergency position. Insurance issues health and life shall also be discussed with the potential donor and an attempt shall be made to answer any questions asked by the donor.

The written policies, rules, and regulations shall: Variable supply air and ncaac systems that allow maximum isolation room space flexibility with reversible air movement direction would be acceptable only if appropriate adjustments can be ensured for different types of isolation occupancies.

When nuclear medicine services are offered, the facility shall establish and maintain written policies and procedures for the provision of those services which shall provide for the safety of patients and staff, management of radioactive isotopes and the maintenance of equipment according to the manufacturers’ recommendations. January 1, ; Repealed Eff. These rules are available from the Drug Regulatory Branch of the N. Physical therapy and occupational therapy space shall not be included in ncqc totals.

The minimum direct care nursing staff shall be 5. The number of air changes may be reduced or varied to any extent required for odor control when the space is not in use. Consultation by phone is acceptable. The medical staff shall review medical records periodically for completeness and shall:.

Specialized nutrition therapies include supplementation with medical foods, enteral and parenteral nutrition. Copies of these publications can be obtained from the various organizations at the addresses listed: Nothing in these rules shall be construed as precluding the use of temperatures lower than those noted when the patients’ comfort and medical conditions make lower temperatures desirable.

No drug which is listed in Paragraph b of this Rule shall be used for any purpose which is not approved by the U. A qualified individual shall be anyone nxac for a N.


Ncav following shall cnac provided to each unit: Nutrition therapy shall apply the principles of the science of nutrition and be administered in accordance with the law and rules including but not limited to G.

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.

They shall have ready access to the surgical team responsible for the patient’s post-operative care. The case manager shall be responsible for promoting the program’s responsiveness to the needs of the patient and shall participate in all team conferences concerning the patient’s progress toward the accomplishment of specified goals. Informed consent must be obtained prior to actual participation in such a program and the patient or legally responsible party, may, at any time, refuse to continue in any such program to which he has previously given informed consent.

December 1, ; March 1, ; Pursuant to G. Board of Pharmacy, a part-time director of pharmacy shall have responsibility for control and dispensing of drugs. Emergency MD skills self-assessment. The facility shall provide, directly or by contract, a laundry service or department that provides the following:. The IDAT member shall also discuss financial considerations. Isolation room shall be negative to anteroom and positive to toilet. In addition, this form shall comply with G.


The contract shall be available for review by the Division. The facility shall provide for pharmaceutical services which are administered in accordance with the pharmacy laws of North Carolina including but not limited to G.

Nutritional care policies and procedures shall be written by the qualified dietitian. This number shall be determined as follows:. For the purpose of this Rule, “closed accounts” are patient accounts with a zero balance at the end of the data reporting period. Any of the professional staff involved in the patient’s care may be the designated case manager for one or more cases. The reason why the IDAT has objections shall be explained to the potential donor.

Medical staff shall require that facility personnel are capable of nacc life-saving measures at a first-aid level of response nxac any patient or person 13 need of such services.

An overbed table shall be provided for patients who eat in bed. 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 113b 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 hcac in the room shall be constructed with rounded corners and shall be fastened with tamper-proof screws.



Protection from abuse and exploitation; reporting. The following definitions shall apply to inpatient rehabilitation facilities or units only:. March 31, ; Amended Eff. If a licensee has a provisional license at the time that the licensee submits a renewal application, the license, if renewed, shall also be a provisional license unless the Department determines that the licensee can be returned to nvac licensure status.

NC DHSR: Hospital and Ambulatory Surgical Facility Rules

May 1, ; Pursuant to G. The facility to which the patient is to be transferred must first have accepted the patient for transfer. September 30, ; Temporary Amendment Eff. The administrator shall make these policies and procedures known to the staff, patients and residents, and families of patients and residents and shall ensure their availability to the public by placing them in a conspicuous place. The donor’s designee shall also be present jcac this appointment.

If the manager is not a registered record administrator or an accredited records technician, the 10w shall retain a person with those qualifications on a part-time or consulting basis. This emergency circuit shall be provided with a minimum of two duplex receptacles identified for emergency use. Policies and procedures shall include, but shall not be limited to:. There shall be a system for evaluating the effectiveness of 10w assessment, planning and implementation delivery of care processes for each patient or resident.

Filling or refilling drug containers with prescription drugs for subsequent use by a patient is “dispensing”.