DOCSLIB.ORG

Title-22-Chapter-5.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Title-22-Chapter-5.Pdf Title 22 California Code of Regulations Division 5 Title 22 Social Security Title 22 Social Security California Code of Regulations provides information about nurse-to-patient ratios, licensing and certification of health facilities, home health agencies, clinics, and referral agencies. Title 22 California Code of Regulations Division 5 Table of Contents Chapter 1. General Acute Care Hospitals ............................................................... 17 ................................................................................................................................... 17 Article 1. Definitions ................................................................................................... 17 §70001. Meaning of Words ..................................................................................... 17 §70003. Hospital ..................................................................................................... 17 §70005. General Acute Care Hospital .................................................................... 17 §70006. Acute Psychiatric Care Bed Classification ................................................ 17 §70007. Alteration ................................................................................................... 17 §70009. Autoclaving ............................................................................................... 17 §70011. Basic Services .......................................................................................... 17 §70012. Certificate of Exemption ............................................................................ 17 §70012.1. Certificate of Need ................................................................................. 18 §70013. Child.......................................................................................................... 18 §70015. Cleaning .................................................................................................... 18 §70016. Competency Validation for Patient Care Personnel Other Than Registered Nurses .................................................................................................................... 18 §70016.1. Competency Validation for Registered Nurses ...................................... 18 §70017. Conservator .............................................................................................. 18 §70018. Critical Burn .............................................................................................. 18 §70019. Defined ..................................................................................................... 19 §70021. Department ............................................................................................... 19 §70023. Director ..................................................................................................... 19 §70025. Disinfection ............................................................................................... 19 §70027. Distinct Part .............................................................................................. 19 §70029. Drug Administration .................................................................................. 19 §70031. Drug Dispensing ....................................................................................... 19 §70033. Existing Hospital Building .......................................................................... 19 §70034. General Acute Care Bed Classification ..................................................... 20 §70035. Governing Body ........................................................................................ 20 §70037. Guardian ................................................................................................... 20 Page 1 Title 22 California Code of Regulations Division 5 §70037.1. Human Reproductive Sterilization .......................................................... 20 §70038. Intermediate Care Bed Classification ........................................................ 20 §70041. License ..................................................................................................... 20 §70042. License Category ...................................................................................... 20 §70043. Licensee ................................................................................................... 20 §70045. Maintenance ............................................................................................. 21 §70046. Modernization ........................................................................................... 21 §70047. New Construction ..................................................................................... 21 §70048. New Special Service ................................................................................. 21 §70049. Nursing Unit .............................................................................................. 21 §70051. Outpatient Service .................................................................................... 21 §70053. Patient....................................................................................................... 22 §70053.1. Patient Care Personnel .......................................................................... 22 §70053.2. Patient Classification System ................................................................. 22 §70054. Permanently Converted ............................................................................ 22 §70055. Personnel .................................................................................................. 23 §70057. Principal Officer ........................................................................................ 25 §70059. Restraint ................................................................................................... 26 §70059.1. Rural Area .............................................................................................. 26 §70060. Skilled Nursing Care Bed Classification .................................................... 26 §70061. Special Permit ........................................................................................... 26 §70062. Special Hospital ........................................................................................ 26 §70063. Sterilization ............................................................................................... 26 §70065. Supervision ............................................................................................... 26 §70067. Supplemental Service ............................................................................... 26 §70069. Unit Dose Medication System ................................................................... 26 ................................................................................................................................... 27 Article 2. License ....................................................................................................... 27 §70101. Inspection of Hospitals .............................................................................. 27 §70103. License Required ...................................................................................... 28 §70105. Application Required ................................................................................. 28 Page 2 Title 22 California Code of Regulations Division 5 §70107. Content of Application ............................................................................... 28 §70109. Architectural Plans .................................................................................... 29 §70110. Fee ........................................................................................................... 29 §70111. Fee ........................................................................................................... 30 §70113. Health Planning Agency Review ............................................................... 31 §70113. Projects Requiring a Certificate of Need ................................................... 31 §70113.1. Projects Eligible for a Certificate of Exemption ...................................... 31 §70113.2. Projects Not Subject to Review by a Voluntary Area Health Planning Agency .................................................................................................................... 31 §70113.3. Projects Previously Decided by a Voluntary Area Health Planning Agency .................................................................................................................... 32 §70113.4. Exemption Requests for Remodeling and Replacement Projects .......... 32 §70114. Bed Classification ..................................................................................... 32 §70115. Safety, Zoning and Building Clearance ..................................................... 32 §70117. Issuance, Expiration and Renewal ............................................................ 32 §70119. Provisional Licensing of Distinct Parts ...................................................... 33 §70121. Separate Licenses. ................................................................................... 34 §70123. Posting ...................................................................................................... 34 §70125. Transferability ........................................................................................... 34 §70127. Report
Load more

Recommended publications
  • Defining Patient Handling for Over 70 Years
    Defining Patient Handling for Over 70 Years Table of Contents THE HOYER DIFFERENCE ....................................................... 4 Hoyer Familial Features Mobility Assessment & Lift Selection FLOOR LIFTS .................................................................. 9 Stature Presence Advance Calibre HPL500 HPL700 HPL402 HML400 STAND-AID LIFTS ............................................................ 19 Elevate Journey HSA Series Switch CEILING LIFTS ............................................................... 25 Elara Ceiling & Installation Services Voyager Portable Easytrack FreeStanding Easytrack SLINGS & ACCESSORIES ...................................................... 33 About Hoyer Slings Passive / Ceiling Lift Slings Active Slings Spreader Bar & Cradles Accessories PREVENT PROGRAM .......................................................... 49 ABOUT JOERNS HEALTHCARE ................................................. 51 THE HOYER DIFFERENCE Why is Hoyer® most recognized of patient lifts and slings? At Joerns Healthcare, the manufacturer of Hoyer products, we are committed to providing a complete line of top quality equipment and programs to the care continuum. Home Care Acute Care Hospice SNF/LTC LTACH/IRF Safe Patient Handling Guidelines HOYER LIFTS CREATE THE STANDARD WHEN IT Get up close to the load COMES TO USABILITY. The direct correlation between safe patient Use a wide stable base handling principles and Hoyer’s lift design ensures Ensure a comfortable firm grasp our products are simple, comfortable and,
    [Show full text]
  • Health Care and the Americans with Disabilities
    Call us toll-free National Network 1-800-949-4232 V/TTY Information, Guidance and Training on the Find your regional center at Americans with Disabilities Act www.adata.org Provided By: Pacific ADA Center 1-800-949-4232 (Voice/TTY) (510) 285-5600 (Voice/TTY) [email protected] www.adapacific.org Health Care and the Americans with Disabilities Act The Americans with Disabilities Act (ADA) is a federal civil rights law The ADA that prohibits discrimination against people with disabilities. requires that Therefore, health care organizations that provide services to the health care public are covered by the ADA. entities The ADA requires that health care entities provide full and equal provide full access for people with disabilities. This can be done through: and equal access for • Reasonable Modifications of Policies, Practices, and people with Procedures disabilities. Adjusting policies, practices, and procedures, if needed, to provide goods, services, facilities, privileges, advantages, or accommodations. • Effective Communication Making communication, in all forms, easily understood. • Accessible Facilities Ensuring physical accessibility. Covered health care facilities include, but are not limited to: hospitals, doctors’ offices, pharmacies, dentists’ offices, acupuncturists’ offices, etc. Health care agencies run by state and local governments are covered under Title II of the ADA. Health care organizations run by private businesses or nonprofit organizations are covered under Title III of the ADA. All entities covered by the ADA must provide access to their facilities and programs for people with disabilities. A person with a disability can be a person with a mobility or physical disability, sensory (vision or hearing), intellectual, psychiatric, or other mental disability.
    [Show full text]
  • Provider Accessibility 2 Slides Per Page(Pdf)
    6/24/2020 The Geographic Distribution of Accessible Medicaid Participating Primary Care Offices in LA County Mary Lou Breslin, M.A. Nancy R. Mudrick, M.S.W., Ph.D Kyrian Nielsen, M.S.W. 3075 Adeline Street, Suite 210 • Berkeley, CA 94703 • 510.644.2555 • 510.841.8645 fax/tty www.dredf.org 1 Acknowledgements We would like to thank the organizations that have supported this work. Pacific ADA Center WITH Foundation True North Foundation We also wish to acknowledge June Kailes and Brenda Premo, whose work with California Medicaid Managed Care plans more than a decade ago was instrumental in the development of the data collection process and the data we present. 2 1 6/24/2020 Presentation Overview Part I • Why does accessibility and geographic location matter? • Review research and data documenting access barriers • Describe legal requirements for health care setting access Part II • Describe a feasible method for measuring primary care office accessibility across a region • Present a tool based upon ADA architectural standards to assess accessibility • Show use of geographic and census data to evaluate the match of accessible offices to number of potential users • Provide an example of data analysis combining access characteristics and geographic location Part III • Policy applications for these methods and analyses 3 Learning Objectives We would like you take away from this presentation— 1) An understanding of the potential impact of the geographic distribution of accessible doctors’ offices on health care for people with disabilities 2)
    [Show full text]
  • New York State Medicaid Program Durable Medical Equipment
    NEW YORK STATE MEDICAID PROGRAM DURABLE MEDICAL EQUIPMENT PROCEDURE CODES Durable Medical Equipment Procedure Codes ___________________________________________________________________________________ Table of Contents 4.0 General Information and Instructions…………………. 2 4.1 Medical/Surgical Supplies……………………………….. 6 4.2 Enteral Therapy…………………………………………..... 23 4.3 Hearing Aid Battery……………………………………….. 25 4.4 Durable Medical Equipment……………………………... 26 4.5 Orthotics…………………………………………………….. 59 4.6 Prescription Footwear……………………………………. 80 4.7 Prosthetics…………………………………………………..83 Version 2009-1 (4/1/2009) Page 1 of 101 Durable Medical Equipment Procedure Codes ___________________________________________________________________________________ 4.0 GENERAL INFORMATION AND INSTRUCTIONS Note: Fees are now published in Fee Schedule section of the DME Provider Manual, located at http://www.emedny.org/ProviderManuals/DME/index.html. 1. a. For dates of service prior to September 1, 1999, reimbursement for Durable Medical Equipment is limited to the lower of: -the acquisition cost (by invoice to the Provider) plus 50%, or -the usual and customary charge to the general public. If the charge for an item of Durable Medical Equipment exceeds the price indicated for that item, attach an invoice to the claim form which shows the actual acquisition cost. Do not attach an invoice if the charge to Medicaid is less than or equal to the price indicated or the item was prior approved. b. For dates of service on or after September 1, 1999, reimbursement for Durable Medical Equipment is limited to the lower of: -the price as indicated in the fee schedule for Durable Medical Equipment; or -the usual and customary price charged to the general public. c. Reimbursement for Durable Medical Equipment with no price indicated in the fee schedule, Prescription Footwear and unlisted Supply Items is limited to the lower of: -the acquisition cost (by invoice to the Provider) plus 50%, or -the usual and customary charge to the general public.
    [Show full text]
  • Use of Assistive Devices to Lift, Transfer, and Reposition Hospital
    Use of Assistive Devices to Lift, Transfer, and Reposition Hospital Patients 12/19/2018 on BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3YzRZ0r/T2sqSGT7wq0QKKZU8sW3RYEw+4i3dSDs/xwsXQgG/XqXVng== by https://journals.lww.com/nursingresearchonline from Downloaded Ashley L. Schoenfisch ▼ Kristen L. Kucera ▼ Hester J. Lipscomb ▼ Jennifer McIlvaine ▼ Lori Becherer ▼ Downloaded Tamara James ▼ Susan Avent from Background: Devices to lift, transfer, and reposition patients are recommended for healthcare workers' and patients' safety, but https://journals.lww.com/nursingresearchonline their intended use has yet to be fully realized. Objective: The aim of this study was to describe hospital nursing staff use of lift/transfer devices and the presence of factors at the time of lifts/transfers with potential to influence whether devices are used. Methods: Participants were 108 US nursing staff in a university-based medical center and two community hospitals. A self-completed questionnaire was used to collect demographic and work characteristics, typical frequency of patient lifts/ transfers, training in and typical use of lift equipment, and specific factors that could influence use. Proportional distributions of lifting/transferring and repositioning frequencies in a typical shift, amount of equipment use, and factors present were by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3YzRZ0r/T2sqSGT7wq0QKKZU8sW3RYEw+4i3dSDs/xwsXQgG/XqXVng== examined overall and across worker and work-related characteristics. Results: Although trained in equipment use, only 40% used equipment for at least half of lifts/transfers. During lifts/transfers, factors often present included patient unable to help with lift/transfer (91.3%) or of a size/weight where participant needed assistance to help lift/transfer (87.5%); availability of others who could assist with manual lift (86.3%) or use of lift equipment (82.4%); and equipment functioning properly (86.4%), having supplies available (82.5%), and being easy to retrieve from storage (81.6%).
    [Show full text]
  • Breaking Down Barriers, Breaking the Silence: Making Health Care Accessible for Women with Disabilities
    BREAKING DOWN BARRIERS, BREAKING THE SILENCE: MAKING HEALTH CARE ACCESSIBLE FOR WOMEN WITH DISABILITIES Independence Care System New York Lawyers for the Public Interest Report Co-Authors Independence Care System Independence Care System is dedicated to supporting adults with physical disabilities and chronic conditions to live at home and participate fully in community life. ICS operates a nonprofit Medicaid managed long-term care plan (MLTC) serving residents of Manhattan, Brooklyn, the Bronx and Queens. Member-centered care coordination is the heart of our work, aimed at ensuring that our members’ needs are comprehensively assessed, that they participate in developing their Care Plans, and that they are followed during transitions from a hospitalization or nursing facility back home. Using an interdisciplinary team model of care management, our Care System is responsive, coordinated, expert, empowering, respectful and flexible. Founded in 2000, ICS was the only plan in NewYork focused on the unique needs of people with physical disabilities. Since then, our membership has grown to more than 3,000—both people with disabilities and senior adults. We operate a nationally recognized Disability Care Coordination Model and award-winning specialized care management programs in Multiple Sclerosis,Women’s Health, andWheelchair Evaluation and Support. NewYork Lawyers for the Public Interest NYLPI is a nonprofit civil rights law firm whose mission is to advance equality and civil rights, with a focus on health justice, disability justice and environmental justice, through the power of community lawyering and partnerships with the private bar. Created in 1976 to address previously unmet legal needs, NYLPI combines a pro bono clearinghouse with an in-house practice that blends innovative lawyering, community organizing and advocacy.
    [Show full text]
  • Factors Associated with Lift Equipment Use During Patient Lifts and Transfers by Hospital Nurses and Nursing Care Assistants
    International Journal of Nursing Studies 91 (2019) 35–46 Contents lists available at ScienceDirect International Journal of Nursing Studies journal homepage: www.elsevier.com/ijns Factors associated with lift equipment use during patient lifts and transfers by hospital nurses and nursing care assistants: A prospective observational cohort study a, b,c e d,e Kristen L. Kucera *, Ashley L. Schoenfisch , Jennifer McIlvaine , Lori Becherer , c,e e f c Tamara James , Yeu-Li Yeung , Susan Avent , Hester J. Lipscomb a Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, United States b Duke University School of Nursing, Durham, NC, United States c Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University School of Medicine, United States d Injury Prevention Research Center, University of North Carolina at Chapel Hill, United States e Duke Occupational and Environmental Safety Office, Durham, NC, United States f Duke University Health System, Durham, NC, United States A R T I C L E I N F O A B S T R A C T Article history: Background: Despite wide availability of patient lift equipment in hospitals to promote worker and Received 25 April 2018 patient safety, nursing staff do not consistently use equipment. Received in revised form 31 August 2018 Objective: To determine the influence of factors on the use or non-use of lift equipment during patient Accepted 3 November 2018 lifts/transfers. Design: Prospective observational cohort study. Keywords: Setting: One university teaching hospital and two community hospitals in a large health system in Lift equipment use southeastern United States.
    [Show full text]
  • Providers | Patient Lift Systems Policy
    PROVIDER POLICIES & PROCEDURES ________________________________________________________________________ PATIENT LIFT SYSTEMS The primary purpose of this document is to assist providers enrolled in the Connecticut Medical Assistance Program (CMAP) with the information needed to support a medical necessity determination for patient lift systems. By clarifying the information needed for prior authorization of services, HUSKY Health hopes to facilitate timely review of requests so that individuals obtain the medically necessary care they need as quickly as possible. A patient lift is used to safely transfer an individual with physical limitations between bed, chair, wheelchair, commode, or shower/bath chair and back, using electric, mechanical, or hydraulic power. Types of lift systems include a mobile floor lift, a sit-to-stand lift, a fixed overhead lift suspended from a ceiling mount or overhead track, and a portable lift suspended from overhead or wall track in which the motor is detaching and reattached between the various tracks. Patient lifts, incorporate a postural component for the person being lifted; i.e., straps, vests, slings, belts, body cradle. A patient lift with a sling and/or or other seated postural component is generally used for persons whose mobility is limited, who is unable to transfer independently using other durable medical equipment, transfer strategies, or assistance from a caretaker. A sit-to-stand lift is used for persons with some mobility but who lack strength or muscle control to rise to a standing position from a bed, wheeled mobility device, chair, or commode. These lifts use straps, vests, or belts to make this transition possible. CLINICAL GUIDELINE Coverage guidelines for patient lift systems are made in accordance with the Department of Social Services (DSS) definition of Medical Necessity.
    [Show full text]
  • When the Injured Nurse Returns to Work: an Institutional Ethnography
    When the Injured Nurse Returns to Work: An Institutional Ethnography by Laurel Ann Clune A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Lawrence S. Bloomberg Faculty of Nursing University of Toronto © Copyright by Laurie Clune 2011 When the Injured Nurse Returns to Work: An Institutional Ethnography Laurel Clune Doctor of Philosophy in Nursing Science Laurence S. Bloomberg Faculty of Nursing, University of Toronto 2011 Abstract Nursing is a high risk profession for injury. A Canadian survey reports many nurses are in poor physical and emotional health; they sustain more musculoskeletal and violence related injuries than other occupational groups. In Ontario, an injury management approach called Early Return to Work (RTW) requires injured workers, including nurses, to go back to work before full recovery. The Workplace Safety and Insurance Board cite this approach as beneficial to both the employer and employee. This study uses an institutional ethnographic approach to examine critically the RTW process from the standpoint of injured registered nurses. Through interviews and mapping activities with nurses, other health professionals and managers, a rendering of the social organization of hospital injury management emerges. The findings suggest that the implementation of RTW is complicated and difficult for nurses, their families and hospital employers. Injured nurses engage in significant amounts of domestic, rehabilitation and accommodation work in order to participate in the RTW process. When the returning nurse is unable to engage in full duties hospital operations become disorganized. Collective agreements and human resources procedures limit the participation of injured nurses in creative and/or new roles that could utilize their knowledge and skills.
    [Show full text]
  • And 17-Year Old Workers Using Power-Driven Patient Lift Devices
    Enclosure I NIOSH Assessment of Risks for 16- and 17-Year Old Workers Using Power-Driven Patient Lift Devices Thomas R. Waters, Ph.D., James Collins, Ph.D. and Dawn Castillo, MPH Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) Objective To determine under what circumstances or conditions 16- and 17-year-old youth can safely operate or assist in the operation of power-driven patient lift devices, NIOSH researchers explored available data, reviewed relevant scientific literature, and conducted a biomechanical analysis. I. Review of Literature A. Surveillance Data It is unclear how many 16- and 17-year olds are currently employed in jobs that involve the use of power-driven patient lift devices. Such work may occur in a variety of job titles or occupations in a variety of health care settings. NIOSH analyzed microdata files from the Bureau of Labor Statistics’ Current Population Survey (CPS) to provide insight into the potential number of youth workers, using the job titles of nursing aides, orderlies and attendants, and the job settings of nursing care facilities and hospitals. Based on 2009 CPS data, there were an estimated 3,979 16- and 17-year old fulltime equivalents (FTE) (one FTE=2,000 hours worked per year; 40 hours per week for 50 weeks per year) working as nursing aides, orderlies and attendants [NIOSH 2010]. Eighty-three percent were females (3,307) and forty percent (1,585) worked in nursing care facilities. Employees 16- and 17-years of age represented less than 1% of nursing aides, orderlies and attendants FTEs.
    [Show full text]
  • Mechanical Patient Lift Prohibition
    Wisconsin Association of Homes and Services for the Aging, Inc. 204 South Hamilton Street Madison, WI 53703 608-255-7060 FAX 608-255-7064 www.wahsa.org Mechanical Patient Lift Prohibition Issue: The U.S. Department of Labor (DoL) issued a regulation effective July 19, 2010 which revises the Child Labor provisions in the Fair Labor Standards Act by prohibiting 16- and 17-year old employees “from operating, tending, . working from, repairing, servicing, or disassembling a crane, derrick, elevator, hoist or high-lift truck.” According to representatives of the DoL Wage and Hour Division, mechanical lifts used for lifting and transferring the elderly in nursing homes and assisted living facilities fall within that prohibition. WAHSA Position: Oppose. Support for a compromise which would permit 16- and 17-year old caregivers to operate or assist in the operation of a power-driven mechanical patient lift with the assistance of an experienced caregiver at least 18 years of age. Arguments in Support of WAHSA Position: According to the Wisconsin Department of Workforce Development (DWD), the DoL regulation conflicts with the Wisconsin Safe Lift Initiative to incorporate mechanical lifting devices in all health care settings in an effort to reduce the number of employee back injuries. In a September 16, 2010 letter to Art Kerschner, Jr., Chief of the Child Labor and Special Enforcement Branch of the DoL Wage and Hour Division, former DWD Secretary Roberta Gassman wrote that “using the lifts is actually safer for the employee so prohibiting an age group seems contradictory.” The safety issue also was raised in a December 10, 2010 letter to Nancy Leppink, Deputy Administrator of the DoL Wage and Hour Division, from U.S.
    [Show full text]
  • Survey of Patient Mobility and Lift Technologies Toward Advancements and Standards
    Draft: 9/15/06 Survey of Patient Mobility and Lift Technologies Toward Advancements and Standards Roger Bostelman, James Albus July 2006 Disclaimer: NIST does not endorse products discussed within this report nor manufacturers of these products. Products mentioned are for information purposes only and are not expressed as an endorsement for them or their manufacturer. 1 of 95 Draft: 9/15/06 EXECUTIVE SUMMARY This survey provides a review of example off-the-shelf lift and wheelchair products on the market today. Also, it provides a review of example research in these areas including advancements in intelligent wheelchair designs and capabilities. We have focused on lift devices, wheelchairs, the combination of wheelchairs and lift devices, rehabilitation and standards. What appears to be lacking, as determined by our research for this survey, are the following points regarding wheelchair dependents: • There is limited research and development in the area of advanced patient lift devices, beyond standers, that are combined with wheelchairs to allow lift above approximately 5.5 cm (14 in) to reach upper shelves and even upper floors, • There is limited research and development in the area of patient lift devices combined with wheelchairs to place patients on toilets, chairs, or beds or in bathtubs, • There has been and is research and development ongoing in the area of advanced intelligent wheelchairs but, has yet to reach the commercial market due to: cost, lacking robust capabilities, little or no clinical trials, or other issues, • There
    [Show full text]