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Chapter 667 Hospital Standards Medical Facilities Service 1000 N. E. 10th Street Oklahoma City, OK 73117-1299 Telephone 405.271.6576 CHAPTER 667 HOSPITAL STANDARDS AVAILABLE ONLINE AT: http://mfs.health.ok.gov UNOFFICIAL COPY Rules Effective: September 11, 2015 Important Reminder Please remember that laws and rules are subject to change throughout the calendar year. The Oklahoma State Department of Health attempts to provide the most current unofficial laws and rules in this booklet, but changes may occur within months or even weeks of the printing date. Several sites on the Internet make up-to-date laws and rules available free of charge. The official rules are published in The Oklahoma Administrative Code and The Oklahoma Register, as required by 75 O.S., Section 250 et seq. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911. Oklahoma laws, including pending legislation, are available through the Oklahoma Legislative Information Service at: www.lsb.state.ok.us The Oklahoma State Department of Health makes detailed information available by facility types at www.health.ok.gov. Select the “Program” icon and then look for the listing of regulated entities under “Protective Health Services.” This. publication, printed by Protective Health Services, was issued by the Oklahoma State Department of Health as authorized by Terry Cline, PhD, Commissioner. 30 copies were printed in October 2015 at a cost of $.00. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH TITLE 310. OKLAHOMA STATE DEPARTMENT OF HEALTH CHAPTER 667. HOSPITAL STANDARDS "Unofficial Version" Subchapter Section 1. General Provisions 310:667-1-1 3. Patient Rights 310:667-3-1 5. Compliance With Federal, State, & Local Laws 310:667-5-1 7. Governing Body 310:667-7-1 9. Medical Staff 310:667-9-1 11. Quality Improvement 310:667-11-1 13. Infection Control 310:667-13-1 15. Nursing Service 310:667-15-1 17. Food And Nutritional Services 310:667-17-1 19. Medical Records Department 310:667-19-1 21. Drug Distribution 310:667-21-1 23. Diagnostic And Treatment Services 310:667-23-1 25. Surgical Services 310:667-25-1 27. Outpatient Department 310:667-27-1 29. Emergency Services 310:667-29-1 31. Social Work Services 310:667-31-1 33. Specialized Requirements - Psychiatric 310:667-33-1 35. Specialized Requirements Rehabilitation 310:667-35-1 37. Skilled Nursing Units 310:667-37-1 39. Critical Access Hospital 310:667-39-1 40. Emergency Hospital 310:667-40-1 41. General Construction Provisions 310:667-41-1 43. Site 310:667-43-1 45. Equipment 310:667-45-1 47. Submittal Requirements 310:667-47-1 49. General Medical Surgical Hospital Construction Requirements 310:667-49-1 51. Rehabilitation Hospital And Rehabilitation Unit Construction Requirements 310:667-51-1 53. Psychiatric Hospital Construction Requirements 310:667-53-1 55. Construction Requirements For Critical Access Hospitals 310:667-55-1 56. Construction Requirements for Emergency Hospitals 310:667-56-1 57. Day Treatment Program Standards 310:667-57-1 59. Classification of Hospital Emergency Services 310:667-59-1 1 September 11, 2015 OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH Appendix A Ventilation Requirements For Areas Affecting Patient Care In Hospitals And Outpatient Facilities Appendix B Station Outlets For Oxygen, Vacuum (Suction), And Medical Air Systems in Hospitals Appendix C Sound Transmission Limitations In General Hospitals Appendix D Filter Efficiencies For Central Ventilation And Air Conditioning Systems In General Hospitals Appendix E Hot Water Use - General Hospital [Authority: Oklahoma State Board of Health; 63 O.S. Sections 1-104, 1- 705, and 1-707] [Source: Codified June 26, 1995] 2 September 11, 2015 OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH SUBCHAPTER 1. GENERAL PROVISIONS Section 310:667-1-1. Purpose 310:667-1-2. Definitions 310:667-1-3. Licensure 310:667-1-4. Enforcement 310:667-1-5. Purpose, authority and indoor tobacco smoke 310:667-1-1. Purpose The purpose of this Chapter is to provide rules for hospitals as required by 63 O.S. 1991, §§ 1-705. [Source: Added at 12 Ok Reg 1560, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 17 Ok Reg 2992, eff 7-13-00] 310:667-1-2. Definitions The following words and terms, when used in this Chapter, shall have the following meaning, unless the context clearly indicates otherwise. "Addition" means an extension or increase in floor area or height of a building structure. "Administrator" means the chief executive officer for the hospital. "Advanced practice nurse" means a licensed registered nurse recognized by the Oklahoma Board of Nursing as an advanced practice nurse. Advanced practice nurses shall include advanced registered nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists. "Automatic" means providing a function without the necessity of human intervention. "Building" means a structure used or intended for supporting or sheltering any use or occupancy. The term "building" shall be construed as if followed by the words "or portions thereof." "Chemical restraint" means the use of a medication for the purpose of discipline, convenience, or in an emergency situation to control mood or behavior and not required to treat a patient's condition. "Combustible" means capable of undergoing combustion. "Critical Access Hospital" means a hospital determined by the State Department of Health to be a necessary provider of health care services to residents of a rural community [63 O.S. Supp. 1999, § 1-701(a)(4)]. "Department" means the Oklahoma State Department of Health. "Emergency hospital" means a hospital that provides emergency treatment and stabilization services on a 24-hour basis that has the ability to admit and treat patients for short periods of time [63 O.S., § 1-701(a)(5)]. "Existing facility" means licensed hospitals that are in existence or have had final drawings for construction approved by the Department at the date this Chapter become effective. A general medical surgical hospital that converts to a critical access hospital shall be considered an existing facility. "General hospital" means a hospital maintained for the purpose of 3 September 11, 2015 OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH providing hospital care in a broad category of illness and injury {63 O.S. 1991, § 1-701(a)(1)}. "General medical surgical hospital" means a general hospital that provides medical and surgical procedures. "Governing body" means the person(s) having ultimate responsibility, including fiscal and legal authority for the hospital. "Hospital" means any institution, place, building, or agency, public or private, whether organized for profit or not, devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment, or care of patients admitted for overnight stay or longer in order to obtain medical care, surgical care, obstetrical care, or nursing care for illness, disease, injury, infirmity, or deformity. All places where pregnant females are admitted and receive care incident to pregnancy or delivery shall be considered to be a "hospital" within the meaning of this publication regardless of the number of patients received or the duration of their stay. The term "hospital" includes general medical surgical hospitals, specialized hospitals, critical access and emergency hospitals, and birthing centers [63 O.S. Supp. 1999, § 1-701(a)]. "Hospital campus" means inpatient and/or outpatient facilities located at different addresses operated under a common hospital license issued by the Department. "Licensed independent practitioner" means any individual permitted by law and by the licensed hospital to provide care and services, without direct supervision, within the scope of the individual's license and consistent with clinical privileges individually granted by the licensed hospital. Licensed independent practitioners may include advanced practice nurses with prescriptive authority, physician assistants, dentists, podiatrists, optometrists, chiropractors, and psychologists. "Licensed practical nurse" means a person currently licensed to practice practical nursing in Oklahoma. "Licensed/registered dietitian" means a person who is registered as a dietitian by the American Dietetic Association and is currently licensed as a dietitian in Oklahoma. "Licensure" means the process by which the Department grants to persons or entities the right to establish, operate, or maintain any facility. "Occupancy" means the purpose for which a building or portion thereof is used or intended to be used. "Pharmacist" means a person who is currently registered by the Oklahoma State Board of Pharmacy to engage in the practice of pharmacy. "Physical restraint" means any manual method or physical or mechanical device, material or equipment attached or adjacent to a patient's body that the patient cannot remove easily, that is not used for the purpose of therapeutic intervention or body alignment as determined by the patient's physician or licensed independent practitioner, and which restricts the patient's desired freedom of movement and access to his or her body. "Physician" means a doctor of medicine (M.D.) or osteopathy (D.O.) currently licensed to practice medicine and surgery in Oklahoma. "Physician assistant" means an individual licensed as a physician assistant in Oklahoma. 4 September 11, 2015 OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH "Practitioner"
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