Guam Administrative Code

§ 6218. Examinations. (a) Examinations shall be constructed by the Course Instructor and approved by the Office of EMS. All copies of written examinations shall remain on file with the Office of EMS. An overall average grade of 70 percent is required for certification. The Course…

§ 6219. Certification . (a) It is the responsibility of the Office of EMS to certify students who have successfully completed the course and passed both the written and practical examination. (b) The data of certification is the same date as the date the course was completed. (c)…

§ 6220. Failures. Upon recommendation by the Course Instructor, any student receiving a grade below 70 percent on the written examination or failing the practical examination may be retested within two months after completion of the course. If the student fails the retest, he mus…

§ 6221. Reciprocity . (a) Certification may be awarded to individuals who successfully complete an EMT Course in another state or territory provided that the training meets or exceeds the requirements of the Guam Office of EMS. The procedures shall be: (1) Submit a written applic…

§ 6222. Certification Requirements. In any event, after January 1, 1985, no person shall be allowed to be an ambulance attendant whether voluntary or full- time unless he meets the minimum certification requirements established above.

§ 6223. Recertification. (a) A Guam Emergency Medical Technician- Ambulance (EMT-A) certificate shall be valid for two years, and may be renewed upon proof that the holder has attended a refresher course recognize by DOT/NHTSA or upon passing an examination such as given to new a…

§ 6224. Failure of Recertification . (a) Written - If an EMT-A receives a grade below 70 percent on the written examination, he may be retested within two months. If the student fails the retest, he must complete an additional 20 hours of refresher. If the EMT fails after taking …

§ 6225. Extensions. 26 G AR – P UBLIC H EALTH & S OCIAL S ERVICES D IV . 1 – D IRECTOR OF P UBLIC H EALTH & S OCIAL S ERVICES C H . 6 H OSPITAL AND M EDICAL F ACILITIES Any EMT-A whose certification expires either prior to or during the recertification process shall have his Guam…

§ 6226. Revocation of Certification. An EMT’s certificate may be revoked or suspended by the Office of EMS upon proof that such EMT-A: (a) has been guilty of misrepresentation in obtaining the certification; (b) has engaged or attempted to engage in or represented himself as enti…

§ 6227. Procedures for Revocation. The Administrator of the Office of Emergency Services is authorized to institute legal proceedings in accordance with Chapter Two of the Administrative Adjudication Law to revoke, suspend or deny any certificate issued pursuant to this chapter. …

§ 6301. Purpose. The purpose of these rules and regulations is to protect the public health of nursing home clients through the enforcement of minimum requirements contained herein. For the care of patients and residents in convalescent or long-term care facilities, these regulat…

§ 6302. Authority. Title 10 Guam Code Annotated, Guam Environmental Health Act, Chapter 20, § 20105 and Chapter 21, § 21102, authorizes the Department to establish rules and regulations governing “Nursing Homes” and to insure that all provisions of 10 GCA regarding permit issuanc…

§ 6303. Definitions. (a) Administrator (See definition for “Nursing Home Administrator” below). (b) Construction Permit means an official document issued by the Department giving permission to construct a new facility or alter, modify or convert an existing structure to be used a…

§ 6304. Construction Permit. (a) Any person, association, or corporation, before construction a new nursing home, or making major alteration, or converting an existing structure to be used as a nursing home shall first submit plans and specifications of such a facility to the Dep…

§ 6305. Sanitary Permit. (a) No person, association, or corporation shall directly or indirectly in any manner, conduct, control, manage, maintain, or operate a nursing home facility unless a valid sanitary permit issued by the Department to operate such a facility has been 26 G …

§ 6306. Inspections. (a) As often as may be deemed necessary for the enforcement of these regulations, but not less than once every three months, an inspection of the nursing home’s facility shall be made by the Director. (b) A representative of the Department shall, after proper…

§ 6307. [Reserved.]

§ 6308. General Staff Requirements. (a) Employees and all other personnel providing care shall have a medical examination by a physician, (including chest x- ray or tuberculin skin test, and a stool examination) which indicates the person is free of any communicable disease befor…

§ 6309. General Operational Policy. General policies shall be formulated in writing (typed or ink), and shall be least include the following admission requirements: (a) types of services provided for the patient. 26 G AR – P UBLIC H EALTH & S OCIAL S ERVICES D IV . 1 – D IRECTOR …

§ 6310. Admission Policies. (a) Admission to a nursing home shall be based on the nature and extent of the patient’s needs for long term care, interim care, or supervised residential care. (b) No nursing homes shall deny admission to any individual on account of race, color, reli…

§ 6311. Transfer and Discharge of Residents. (a) Except in emergencies, the patient, next of kin, attending physician, and the responsible agency shall be consulted before transferring or discharging the patient and adequate, available arrangements shall be made to meet the patie…

§ 6312. Patient’s Rights And Responsibilities. (a) Patients shall be fully informed of the rights and responsibilities by signed acknowledgement, prior to or at the 26 G AR – P UBLIC H EALTH & S OCIAL S ERVICES D IV . 1 – D IRECTOR OF P UBLIC H EALTH & S OCIAL S ERVICES C H . 6 H…

§ 6313. Responsibility of Patient to Care Facility. (a) The care home has the right to discharge any patient with two (2) weeks notice to patient and family, guardian or responsible agency if the patient should fail to comply with the home policies (or if the facility cannot prop…

§ 6314. Patient Care Standards. (a) The operator shall provide care within the facility’s capabilities to the patient as prescribed by a physician. (b) The operator should be able to recognize and record certain changes in a patient’s health status, such as convulsions, fever, sh…

§ 6315. Medication Storage And Administration. (a) All medicine shall be properly and clearly labeled and stored in clean, well- lighted, designated to locked medicine cabinets, closets or store rooms, and shall be made accessible to authorized personnel only. (b) Compartments sh…

§ 6316. Personal Care And Cleanliness. (a) Each patient shall be given proper daily personal attention and care including but not limited to skin, hair, nails, teeth and oral hygiene, in addition to special care ordered by physician. (b) Patients shall be encouraged to perform he…

§ 6317. Recreational Program. (a) Planned recreational programs suited to the patient’s needs and interests shall be offered, unless contraindicated by a physician’s order. (b) Patients shall be encouraged but not required to 26 G AR – P UBLIC H EALTH & S OCIAL S ERVICES D IV . 1…

§ 6318. Social Services. (a) The medically related social and emotional needs of the patient shall be identified and services shall be provided to meet them, either by the qualified social services staff of the facility or through written procedures for referral to appropriate so…

§ 6319. Dental Services. (a) The facility shall have provisions to assist the patient in obtaining regular and emergency dental care. (b) Daily oral hygiene shall be a part of patient’s care.

§ 6320. Physical Environment. (a) The building site shall be free from excessive noise, dust, odors or traffic disturbance and shall have good drainage. (b) The building shall e provided with adequate sewage, garbage and refuse disposal; an approved water supply, and adequate ele…

§ 6321. Construction Finishes of Floors, Walls And Ceilings. (a) Floors of all rooms shall be of such materials as to be easily cleanable, light in color. (b) The floors shall be made from nonskid regular tile materials approved by the Department. (c) Floors without carpeting sha…

§ 6322. Fire Prevention Protection. (a) Safety/fire drills shall be held every month. Each shift shall hold a fire drill at least once every quarter. Nursing homes staff shall be trained in how to proceed in the event of a fire, i.e., who to call, how to alert residents, how to o…

§ 6323. Communication. (a) There shall be an adequate system of communication to summon help in case of fire or other emergency. This shall at least include a telephone system and communication between floors within the care home. (b) There shall be a patient call system which em…

§ 6324. Ventilation. (a) The facility shall have adequate ventilation by means of windows, air conditioning or other mechanical means which shall provide adequate ventilation horizontally and vertically. (b) Kitchens, bathrooms and service rooms shall be located and so ventilated…

§ 6325. Lighting. (a) Appropriate lighting fixtures, adequate in number, shall be provided for comfort and safety of patients and personnel. (b) All furnished rooms, work centers such as medicine storage and dispensing or nurses’ stations, and reading areas for patients shall hav…

§ 6326. Emergency Power. A standby electrical power generating system shall be 26 G AR – P UBLIC H EALTH & S OCIAL S ERVICES D IV . 1 – D IRECTOR OF P UBLIC H EALTH & S OCIAL S ERVICES C H . 6 H OSPITAL AND M EDICAL F ACILITIES provided and shall be in such condition as to be aut…

§ 6327. Accommodations. (a) Each patient shall be provided with a habitable sleeping room. (b) Occupancy of sleeping rooms shall be arranged such that patients from other areas shall not be required to pass through another sleeping room to reach other areas of the home. (c) All o…

§ 6328. Bedroom Furnishings. (a) Each patient shall be provided for their individual use a clean bed including springs with mattress or other comfortable sleeping surface which shall be at least 36” wide, of proper length and height for the patient and which will permit an indivi…

§ 6329. Linen. (a) The facility shall have available at all times a quantity of linen, essential for the proper care and comfort of patients. (b) Linen shall be handled, stored and processed so as to control the spread of infections and odors. (c) Clean linen and clothing shall b…

§ 6330. Toilets and Bathing Facilities. (a) Each nursing home shall provide at least one toilet, one lavatory, and bathtub or shower for each floor occupied by patients. The minimum facilities shall be as follows: (1) One toilet for every seven patients. (2) One shower for every …

§ 6331. Sewage. (a) All sewage, including liquid waste, shall be disposed of by a public sewage system or by a sewage disposal system constructed and operated according to law. (b) Proper disposal is required to prevent contamination of ground surfaces and water supplies or creat…

§ 6332. Plumbing. (a) Plumbing shall be sized, installed, and maintained according to law. (b) There shall be no cross connection between the potable water supply and any non-potable or questionable water source nor any source of pollution through which the potable water supply m…

§ 6333. Insect And Rodent Control. (a) Outside openings shall be protected against the entrance of insects and rodents by tight-fitting, self-closing doors, closed windows, screening, controlled air currents, or other approved means. (b) Screen doors shall be self-closing and scr…

§ 6334. Garbage And Refuse. (a) Garbage and refuse shall be kept in durable, easily cleanable, insect proof and rodent proof containers that do not leak and do not absorb liquid. Plastic bags and wet-strength paper bags may be used to line these containers stored inside the home.…

§ 6335. Premises. (a) Nursing homes and all parts of property used in connection with their operations shall be kept free of litter. (b) The walking and driving surfaces of all exterior areas of nursing homes shall be surfaced with concrete or asphalt or similar material that sha…

§ 6336. Animals. (a) Live animals, including birds and turtles, shall be excluded from within nursing homes and from adjacent areas under their control except as specifically authorized by the Department. This does not apply to fish, or shell fish in aquariums. (b) Patrol dogs ac…

§ 6337. Laundry Facilities. If a laundry is operated by the facility, it shall comply with the Rules and Regulations Governing Laundry and Dry Cleaning Establishments.