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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A qualified individual shall be anyone eligible for a N. Care shall be taken to ascertain that blood administered has not exceeded its expiration date, and meets all ncacc for safe administration. The facilities and equipment of the nutrition and dietetic services shall also comply with applicable and safety laws and rules.

Rule Actions

In case of such usage, a legible copy of the laboratory report must be included in the patient record. The director of pharmacy shall be responsible for emergency pharmaceutical services as currently described in the Pharmacy Laws of North Carolina. December 1, ; Expired Eff. If prior written consent was not obtained, the record shall contain a written explanation of why prior consent was not obtained. High-risk, medically unstable or critically ill neonates approximately under 32 weeks of gestational age, or infants, requiring constant nursing care or supervision not limited to continuous cardiopulmonary or respiratory support, complicated surgical procedures, or other intensive supportive interventions.

November 1, ; Repealed Eff. A comprehensive, rehabilitation program utilizes a coordinated and integrated, interdisciplinary approach, directed by a physician, to assess patient needs and to provide treatment and evaluation of physical, psycho-social and cognitive deficits.

It is often used as synonymous with the term “nursing home” which is the usual prerequisite level for state licensure for nursing facility NF certification and Medicare skilled nursing facility SNF certification.

Inpatient rehabilitation facilities providing services to persons with traumatic brain injuries shall meet the requirements in this Rule in addition to those identified in this Section. The assumption is made that most isolation procedures will be for infectious patients and that the room is suitable for normal private patient use when not needed for isolation.


Controlled Substances Act, G. In the event the medical staff and governing body elect not to establish routine laboratory tests for new admissions, the request for such tests shall be left to the discretion of the attending medical staff members. For live donor nephrectomy patients, there shall be continuous physician coverage available for patient evaluation as needed.

NC DHSR: Hospital and Ambulatory Surgical Facility Rules

The facility shall complete a screening interview with the potential donor which confirms the donor’s age, height, weight, demographic information, medical and surgical history, medications, drug or alcohol history, smoking history, and ncwc family or social history. January 1, ; Repealed Eff. Chapter 90, Article 1 to practice medicine in North Carolina.

These policies and procedures shall include:. This Rule does not apply to patients in licensed nursing facility beds since these individuals are granted rights pursuant to G. September 30, ; Temporary Amendment Eff. The design shall consider types and numbers of patients who might need this separation within the facility.

When observation beds are used, the facility shall implement written policies and procedures that address the type of patient use, the mechanism for providing appropriate clinical monitoring, the length of time services may be provided in this setting and documentation requirements.

Dampers shall close upon activation of the fire alarm system unless a part of an engineered smoke control system. An accurate record of nurse aide qualifications shall be maintained for each nurse aide used by a facility and shall be retained in the general personnel files of the facility. The total space requirements shall be those set forth in Rule. 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.

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.

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.


The facility or unit shall sign an agreement Memorandum of Understanding specifying these terms. The laboratory shall be under the supervision of a clinical pathologist, or a physician who has training in clinical laboratory diagnosis designated by the governing body.


Anteroom shall be neutral to corridor. However, there shall be records indicating that obstetrical patients have had a serological test during their current pregnancy.

A hospital with nursing facility or adult care home beds may appeal any decision of the Department to deny, revoke or alter a license by making such an appeal in accordance with G. This list shall detail in language comprehensible to an ordinary layperson the specific nature of the charges or expenses incurred by the patient. The nutrition and dietetic services shall be organized, directed, staffed and integrated with other facility departments to provide optimal nutritional therapy and quality food service to patients.

Filed as a Temporary Rule Eff. These tasks shall be performed under the direct supervision of a registered nurse.

Nca data shall be submitted annually upon request by the Division. Where smoking may be allowed, ventilation rates will need adjustments. Drugs, and pharmaceutical devices which are outdated, visibly deteriorated, unlabeled, inadequately labeled, recalled, discontinued or obsolete shall be identified by a pharmacist and shall be disposed of in compliance with applicable state and federal laws and regulations.