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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The scope of the activity program 13g include:. The director of pharmacy shall maintain hcac inventory of drugs and pharmaceutical devices to meet the needs of the patients as described in the facility’s formulary.

Orientation, on-the-job training and inservice programs for medical records personnel shall be provided. Prior to using the completed project, the facility shall receive from the Division written approval for use. When it is not possible 10 medically advisable to give such information to the patient, the information shall be given on his behalf to the patient’s designee.

The director shall be one of the following: The initial assessment shall include the reason for admission, admitting diagnosis, mental status including suicide potential, diagnostic tests or evaluations, and a determination of the need for additional information to include the potential for the physical abuse of self or others and a family assessment when a minor is involved.


January 1, ; Pursuant to G. These minutes shall reflect the transactions, conclusions and recommendations of the meetings. This Paragraph shall apply to both new and existing facilities.

The plan shall include evaluation findings and information about the following:. They shall be aware of the signs and symptoms of hypovolemia due to post-operative bleeding or to excessive diuresis.

This may include infants who require close observation in a licensed acute care bed. December 31, ; Eff. When patients are to be discharged to either another health care facility or a residential setting the attending physician shall assure that the patient has been provided with a discharge plan which incorporates optimum utilization of community resources and post discharge continuity of care and services.


Each hood shall also have filters with a A vacancy which exceeds 30 days shall be reviewed by the Department for action relative to licensure status of the facility.

Distribution of the outside air, added to the system to balance required exhaust, shall be as required by good engineering practice. The reason why the IDAT has objections shall be explained to the potential donor. Nutritional care policies and procedures shall be written by the qualified dietitian. Adjustments shall include provisions so that the direction of air movement shall remain the same when the number of air changes is reduced.

The ACOT recommendations can be obtained free of charge via the internet at: A decision to issue a provisional license is stayed during the pendency of an administrative appeal and the licensee may continue to display its full license during the appeal. If the Rules Review Commission receives written and signed objections in accordance with G.

Rule Actions

An overbed table shall be provided for patients who eat in bed. Records shall be maintained of all orientation and educational programs, and of the participants. Nvac original of microfilmed medical records shall not be destroyed until the medical records department has had an opportunity to review the processed film for content.

Division of Health Service Regulation. The plan shall require: Public notice shall be in at least two forms: The facility has the right to expect the patient to fulfill patient responsibilities as may be nczc in the facilities’ policies affecting patient care and conduct. January 1, ; Temporary Amendment Eff.

Medication administration as indicated by each resident’s condition or physician’s orders shall be carried out as identified in each resident’s plan of care. January 18, ; Eff. The initial orientation to the facility shall be exclusive of the 75 hour training program.


The facility shall provide, directly or by contract, a laundry service or department that provides the following:.


The plan shall establish a system to use this data to document ncwc identify interventions. The facility shall require that environmental services housekeeping provide the following:. Effort shall be made to verify the full and true name, address, date of birth, nearest of kin, provisional diagnosis, condition on admission and discharge, referring physicians, attending physician or service. Lecture 1 — Putting Safety Into Perspective. Such information shall ncwc kept current.

The consultant dietitian shall provide, on site, no less than eight hours of service every two weeks to provide the nutritional aspects of patient care including but not limited to the following:.

These rules are available from the Drug Regulatory Branch of the N.

NC DHSR: Hospital and Ambulatory Surgical Facility Rules

These minutes shall be retained as determined by the facility. Unoccupied areas such as storage rooms shall have temperatures appropriate for the function intended. These policies and procedures shall include:. These policies and procedures shall include: The potential donor must be able to weigh the positive aspects of the donation as well as take into jcac the technical aspects such as the surgery, recovery, financial impact and any unexpected but potential consequences that may result such as a change in the patient’s life, health, insurability, employment or emotional stability.

The facility shall establish and maintain written policies and procedures that include but are not limited to:. Policies and procedures shall include, but shall not be limited to:.