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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Where smoking may be allowed, ventilation rates will need adjustments. Emergency MD skills self-assessment. Informed choice has several aspects. Competency evaluation shall be conducted in each of the following areas: January 1, ; Amended Eff.

The medical staff shall be established in accordance with the by-laws, rules or regulations of cnac medical staff and with the written policies, rules or regulations of the facility. Each job description shall include a written description of the education, experience, license, certification, or other qualifications required for the position.

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:. Orientation, on-the-job training and inservice programs for medical records personnel shall be provided.

March 31, ; Amended Eff. The donor’s designee shall also be present at this appointment.

13g For any research study proposed for conduct under an FDA “Exception from Informed Consent Requirements for Emergency Research” or an HHS “Emergency Research Consent Waiver” in which informed consent is waived but community consultation and public 10x about the research are required, any facility proposing to be engaged in the research study also must verify that the proposed research study has been registered with the North Carolina Medical Care Commission.

State Medical Facilities Plan.


On the basis of specialized facilities and services available, the Division shall license each such hospital according to cnac following medical types: The medical staff shall review medical records periodically for completeness and shall:. In documented instances of bona fide shortages of certified persons, uncertified individuals expecting to become certified may be employed for a maximum of 38 months without qualifications.


March 1, ; Temporary Amendment Eff. When the governing body does not concur in the medical staff recommendation regarding the clinical privileges of an individual, there shall be a review of the recommendation by a joint committee of the medical staff and governing body before a final decision is reached by the governing body.

January 18, ; Eff. The scope of the activity program shall 10z Formal appointment for membership and granting of 100a privileges shall follow procedures set forth in the by-laws, rules or regulations of the medical staff.

Rule Actions

Hours of service by the rehabilitation aide are counted toward therapy hours during that time the aide works under the immediate, on-site supervision of the physical therapist or occupational therapist. If prior written consent was not obtained, the record shall contain a written explanation of why prior nac was not obtained. The social services director shall have authority to carry ncqc provisions ncax in Rule. The following ncsc shall apply throughout this Section, unless the context clearly indicates to the contrary:.

The governing board shall assure that policies and procedures are available and implemented for assessing each patient’s or resident’s health care needs and planning for meeting identified health care needs. 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.

This plan must be available for inspection during the initial licensure survey prior to issuance of a license. 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.

The contract shall be available for review by the Division. In the event of such an emergency, steps shall be taken to assure that the borrowed medications shall be replaced promptly and so documented. Microfilming may be done on or off the premises. Protection from abuse and exploitation; reporting.



The director of pharmacy shall be responsible for emergency pharmaceutical services as currently described in the Pharmacy Laws of North Carolina. The written policies, rules, and regulations shall:. Occupancies up to and including Four Stories. First, the potential donor must know he or she has a choice, meaning he or she can freely decide either to donate or not to donate an organ. Division of Health Service Regulation. For facilities performing live donor nephrectomies, radiological staff shall be available for pre-operative assessment, peri-operative care, and post-operative follow-up as required.

These policies shall be developed by the nutrition and dietetic services in cooperation with personnel from other departments or services which are involved with nutrition and dietetic nxac and they shall be reviewed at least every three years, revised as necessary, and dated to indicate the time of last review.

These shall include but need not be limited to the following:.

NC DHSR: Hospital and Ambulatory Surgical Facility Rules

The minimum nursing hours per spinal cord injury patient in the unit shall be nfac. Competency evaluation shall be conducted in each 13bb the following areas:.

Representatives of the Department shall have access to these files in accordance with G. These rules reflect a revision of the temporary rules by requiring the submission of annual data quarterly, as a means to improve cost comparison for the citizens of N. Referenced rules are available from the N. Each annual report shall be submitted by January 1. An overbed table shall be provided for patients who eat in bed.