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 ACOT recommendations can be obtained free of charge via the internet at: May 1, ; Amended Eff. The reason why the IDAT has objections shall be explained to the potential donor.

Copies of the 10s Patient’s Bill of Rights shall be made available through one of the following ways: In hospitals offering new nursing home services, space shall be provided separately from the main living and dining areas; however, these areas may also be used for social activities.

A facility shall be licensed for no more beds than the number for which required physical space and other required facilities are available. They shall include the following:. The medical nca shall require that the director or other designated physician in charge of the neonatal special or intensive 01a unit has training and experience in care of the neonate. A formal discharge summary shall be forwarded within 48 hours following discharge and shall include the reasons for 10, the diagnosis, functional limitations, services provided, the results of services, referral action recommendations and activities and procedures used by the patient to maintain and improve functioning.

The nutrition and dietetic service policies and procedures shall include, but not be limited to the following: As part of the contract, the pharmacist or service shall be required to maintain at least the standards for operation of the pharmaceutical services outlined in 10w Subchapter. Smoke dampers shall be failsafe to the emergency position.


Isolation 10q shall be negative to anteroom and positive to toilet. 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.


There shall be a system for evaluating the effectiveness of the assessment, planning and implementation delivery of care processes for each patient or resident.

Medical Care Commission MCC to adopt rules to ensure the provisions of this act are properly implemented and the required cost data is submitted quarterly to the Department of Health and Human Services DHHS in a uniform manner for the most frequently reported DRGs for hospital inpatients, 20 most common ambulatory surgical procedures and 20 most common imaging procedures for hospital outpatient settings and ambulatory surgery facilities. Such agreements shall provide for the transfer and admission of patients who no longer require the services of the hospital but do require nursing facility services.

Sufficient time for the discussion, supplemented with written materials, must be allowed for comprehension and assimilation of the information about transplantation and the ramifications of donation. March 1, ; Temporary Amendment Eff.

Rule Actions

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. When a facility elects to provide an outpatient cardiac rehabilitation program, the program shall be subject to 10 NCAC 3S, Sections. February 1, ; December 1, ; March 1, ; March 1, If done off the premises, the facility shall provide for the confidentiality and safekeeping of the records.

A record of activities and individuals participating shall be maintained in the facility. All members of the interdisciplinary team, or a representative of their discipline, shall attend each meeting.


If determined by the department that more than one half of an existing facility is remodeled, the entire existing facility shall be considered a new facility. Administrative policies and procedures concerning food procurement, preparation, and service shall be written by the director of the nutrition and dietetic services.

NC DHSR: Hospital and Ambulatory Surgical Facility Rules

A 10aa shall be established for notifying employees 100a changes in the established personnel policies. It is often used as synonymous with the term “nursing home” ncqc is the usual prerequisite level for state licensure for nursing facility NF certification and Medicare skilled nursing facility SNF certification.

The respiratory therapist shall: The patient or the patient’s next of kin may be charged for the cost of reproducing copies. The facility shall provide, directly or by contract, a laundry service or department that provides the following:. Re-evaluation of the patient immediately prior to the induction of anesthesia shall be performed prior to surgery. Rate of air movement may be varied as needed within the limits required for positive control.

Facilities shall have the ability to store and transfuse autologous blood.

Hospitals shall complete the following evaluation protocols prior to living organ donation:. The approval shall be based on an on-site inspection by the Division or by documentation as may be required by the Division.

Areas not indicated as having continuous directional control may have ventilation systems shut down when space is unoccupied and ventilation is not otherwise needed. The general requirements of this Subchapter shall apply to such facilities except where bcac are specifically waived or modified by the rules of this Section.

February 1, ; Amended Eff.