Florida Administrative Code

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.002, Transferred to 69L-29.002.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.002, Transferred to 69L-29.003.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.004, Transferred to 69L-29.004.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.005, Transferred to 69L-29.005.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (8), (13) FS. History-New 3-14-95, Formerly 38F-53.006, Transferred to 69L-29.006.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.007, Transferred to 69L-29.007.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.008, Transferred to 69L-29.008.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.009, Transferred to 69L-29.009.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.010, Transferred to 69L-29.010.

Rulemaking Authority 440.13(3)(a), 440.591 FS. Law Implemented 440.13(3), (13) FS. History-New 3-14-95, Formerly 38F-53.011, Transferred to 69L-29.011.

In addition to definitions contained in Chapters 395 and 408, Part II, F.S., the following definitions shall apply specifically to hospitals, as used in Rules 59A-3.065-.310, F.A.C.: (1) "Advanced Practice Registered Nurse" or "APRN" means a person licensed in the State of Florid…

(1) No person or entity shall establish, conduct, or maintain a hospital in this state without first obtaining a license. (2) All applicants or licensees requesting licensure for the operation of a hospital under the provisions of Chapter 395, F.S., must make application to the A…

(1) Each hospital shall provide fire protection through the elimination of fire hazards. All portions of the existing facility shall comply with the requirements of the Existing Health Care Occupancies chapter of the NFPA 101 Life Safety Code. The edition shall be as described in…

(1) Each hospital shall develop and adopt a written comprehensive emergency management plan for emergency care during an internal or external disaster or an emergency, which is reviewed and updated annually. (2) The emergency management plan shall be developed in conjunction with…

(1) The Agency provides technical assistance to the Florida Building Commission and the State Fire Marshal in developing and maintaining standards for the design and construction of hospitals. These standards are included in the following: (a) The building codes in Rule 61G20-1.0…

(1) No construction work, including demolition, shall be started until prior written approval has been given by the Agency's Office of Plans and Construction. This includes all construction of new facilities and any and all additions, modifications, renovations, or refurbishment …

Rulemaking Authority 395.0163, 395.1055 FS. Law Implemented 395.0163, 395.1055 FS. History-New 1-1-77, Formerly 10D-28.81, Amended 1-16-87, 11-23-88, Formerly 10D-28.081, Amended 9-3-92, 6-29-97, 3-18-98, 11-29-99, 12-20-99, 5-25-00, 5-12-16, Repealed 7-1-18.

Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS. History-New 1-1-77, Formerly 10D-28.92, 10D-28.110, Amended 9-4-95, 10-16-14, Tranferred to 59A-3.310.

Rulemaking Authority 395.1055, 395.3038, 395.401, 408.036, 408.0361(2) FS. Law Implemented 395.001, 395.1055, 395.1065, 395.3038, 395.401, 408.036, 408.0361, 957.05 FS. History-New 4-17-97, Amended 3-29-98, 8-23-99, 3-23-06, 1-8-09, 11-3-09, 1-11-11, Repealed 11-21-18.

All licensed hospitals shall have a dietetic department, service or other similarly titled unit which shall be organized, directed and staffed, and integrated with other units and departments of the hospitals in a manner designed to assure the provision of appropriate nutritional…

Each Class I and Class II hospital shall have on the premises, and each Class III hospital shall have on the premises or by contract, a pharmacy, pharmaceutical department or service, or similarly titled unit, and, when applicable, shall present evidence that it holds a current i…

(1) Clinical and Pathology Laboratory Services. Each hospital must provide on the premises, or by contract, clinical and pathology laboratory services commensurate with the hospital's needs. The hospital laboratory, and any contracted laboratory providing services for hospital pa…

Each hospital shall have a nursing department organized and staffed to provide quality nursing care to each patient. The relationship of the nursing department to other units of the hospital shall be documented by an organizational chart. (1) The nursing department shall have a w…

(1) Ambulatory Care Services. Each hospital offering ambulatory care services under its hospital license shall establish policies and procedures to ensure that quality care based on the needs of the patient will be delivered at all times. (a) Ambulatory care services shall be und…

(1) Surgical Department. Each Class I and Class II hospital, and each Class III hospital providing operative and other invasive procedures, shall have a functionally and physically distinct surgical department within the hospital, organized under written policies and procedures r…

(1) Adult Diagnostic Cardiac Catheterization Program. All licensed hospitals that establish adult diagnostic cardiac catheterization laboratory services under Section 395.1055, F.S., shall operate in compliance with the most recent guidelines of the American College of Cardiology…

Each hospital shall have an organized housekeeping department with a qualified person designated as responsible for all housekeeping functions. The designated supervisor of housekeeping shall be responsible for developing written policies and procedures for coordinating housekeep…

(1) Licensure. No hospital may provide pediatric cardiac services without first obtaining a license pursuant to this rule, and Chapters 395, Part I, and 408, Part II, F.S. (a) A hospital authorized to provide pediatric cardiac catheterization and angioplasty, and pediatric open h…

Each hospital with an obstetrical department as described in subsection 59A-3.244(2), F.A.C. must have a neonatal nursery to provide Level I neonatal services. Level I neonatal services means well-baby care services including sub-ventilation care, intravenous feedings, intravenou…

(1) Each hospital shall establish an infection control program involving members of the organized medical staff, the nursing staff, other professional staff as appropriate, and administration. The program shall comply with the requirements in Sections 381.0098 and 395.1011, F.S. …

The licensed facility shall establish a written policy and procedure for notifying EMTs, paramedics or their emergency medical transportation service employer, or other persons known to have been exposed to a patient with a selected infectious disease while transporting or treati…

(1) The Agency will license five classes of facilities. (a) Class I or general hospitals which includes: 1. General acute care hospitals with an average length of stay of 25 days or less for all beds; 2. Long term care hospitals, which meet the provisions of subsection 59A-3.065(…

(1) Inspections. The Agency shall conduct periodic inspections of hospitals in order to ensure compliance with all licensure requirements in accordance with Section 395.0161, F.S. (2) Non-accredited hospitals. Hospitals which are not accredited by an accrediting organization shal…

(1) Patient Assessment. Each hospital shall develop and adopt policies and procedures to ensure an initial assessment of the patient's physical, psychological and social status, appropriate to the patient's developmental age, is completed to determine the need and type of care or…

(1) Signage Requirements. (a) Each hospital offering emergency services and care shall post, in a conspicuous place in the emergency service area, a sign clearly stating a patient's right to emergency services and care as set forth in Section 395.1041, F.S. The sign shall be post…

(1) Website. Each hospital shall make available to patients and prospective patients price transparency and patient billing information on its website regarding the availability of estimates of costs that may be incurred by the patient, financial assistance, billing practices, an…

(1) Each hospital must establish processes to obtain, manage, and utilize information to enhance and improve individual and organizational performance in patient care, governance, management, and support processes. Such processes must: (a) Be planned and designed to meet the hosp…

(1) General Provisions. Each hospital shall have a planned, systematic, hospital wide approach to the assessment, and improvement of its performance to enhance and improve the quality of health care provided to the public. (a) Such a system shall be based on the mission and plans…

(1) The licensee shall have a governing board responsible for the conduct of the hospital as a functioning institution. (2) The governing board shall be organized under written bylaws, rules and regulations which it reviews at least every two years, dates to indicate time of last…

(1) Each hospital shall be under the direction of a chief executive officer appointed by the governing board, who is responsible for the operation of the hospital in a manner commensurate with the authority conferred by the governing board. (2) The chief executive officer shall t…

(1) Each Class I and Class II hospital shall establish a mechanism whereby the next of kin of all patients who are deemed medically acceptable and who die in Florida hospitals are given the opportunity to consider the donation of organs, tissues and eyes for transplantation and r…

(1) Each hospital shall have an organized medical staff organized under written by-laws approved by the governing board and responsible to the governing board of the hospital for the quality of all health care provided to patients in the facility and for the ethical and professio…

(1) Each hospital shall develop, implement, and maintain a written preventive maintenance plan, in conjunction with the policies and procedures developed by the infection control committee, to ensure that the facility is maintained in accordance with the following: (a) The interi…

(1) Each hospital shall have a hospital safety committee to adopt, implement and monitor a comprehensive, hospital wide safety program. The committee's functions and responsibilities may be assumed by another hospital committee. The committee shall adopt written policies and proc…

(1) All rehabilitation, psychiatric, and substance abuse programs provided by hospitals shall provide to the patient: (a) An evaluation upon referral; (b) Establishment of goals; (c) Development of a plan of treatment, including discharge planning, in coordination with the referr…

Rulemaking Authority 395.1055 FS. Law Implemented 395.1055, 395.301 FS. History-New 9-4-95, Formerly 59A-3.232, Repealed 7-15-14.

(1) Every licensed hospital admitting or treating shall adopt and incorporate a policy that requires every staff member to report any case of actual or suspected child abuse or neglect pursuant to Chapter 39, F.S. (a) Each report of actual or suspected child abuse or neglect shal…

When a spontaneous fetal demise occurs after a gestation of less than 20 completed weeks, the health care facility identified in Section 383.33625(4), F.S., shall follow the provisions of that section and shall provide AHCA Form 3100-0006, January 2005, Notification of Dispositio…

Each hospital shall maintain written policies and procedures governing the maintenance of medical records for the treatment of preterm premature rupture of membranes, premature rupture of membranes, ectopic pregnancies, trophoblastic tumors, and other life-threatening conditions.…

Facilities desiring licensure under this rule shall follow the procedure as described in Rule 59A-3.066, F.A.C., and shall comply with the provisions of Rules 59A-3.300 through 59A-3.310, F.A.C., which establishes the minimum standards for licensure as a Class IV specialty hospit…