Kansas Administrative Code

(Authorized by K.S.A. 1973 Supp. 65-431; effective Jan. 1, 1969; amended Jan. 1, 1974; revoked June 28, 1993.)

Pharmacy services. (a) Gen- eral provisions. Each hospital shall provide phar- maceutical services which are administered in ac- cordance with accepted ethical and professional practices. (b) Organization and staffing. The pharmaceu- tical service shall be directed by a licensed …

Laboratory. (a) Definitions. (1) “CLIA” means Public Law 100-578 imple- mented by 42 CFR 493 issued Feb. 28, 1992, as in effect on Sept. 1, 1992; changes in subparts H, R and preamble to the Feb. 28, 1992 final rule issued Aug. 11, 1992, as in effect on Sept. 1, 1992; technical c…

Radiology department. (a) Fa- cilities for diagnostic radiology shall be available. (b) Emergency radiological services shall be reasonably available at all times. (c) The radiology department and all patient services rendered therein shall be under the su- pervision of a designa…

(Authorized by and implement- ing K.S.A. 65-431; effective May 1, 1987; revoked June 28, 1993.)

Definitions. For the purposes of K.A.R. 28-34-126, 28-34-127, and 28-34-129 through 28-34-144, the following terms shall have the meanings specified in this regulation. (a) “Ad- mitting privileges” means permission extended by a hospital to a physician to allow the physician to a…

Application process. (a) Any person desiring to operate a facility shall apply for a license on forms provided by the department. (b) Each applicant shall submit a fee of $500 for a license. The applicable fee shall be submitted at the time of license application and shall not be…

Terms of a license. (a) Each li- cense shall be effective for one year following the date of issuance. (b) Each license shall be valid for the licensee and the address specified on the license. When an initial, renewed, or amended license becomes 723 Hospitals 28-34-132 effective…

Central sterilizing and supply. (a) Policies and procedures shall be established in writing for storage, maintenance, and distribution of supplies and equipment. (b) Sterile supplies and equipment shall not be mixed with unsterile supplies, and shall be stored in dust-proof and m…

Renewals; amendments. (a) No earlier than 90 days before but no later than the renewal date, each licensee wishing to renew the license shall submit the following: (1) The nonrefundable license fee of $500; and (2) an application to renew the license on the form provided by the d…

Operation of the facility. (a) Each applicant and each licensee shall be respon- sible for the operation of the facility. (b) Each applicant and each licensee shall: (1) Ensure compliance with all applicable fed- eral, state, and local laws; (2) serve as or designate a medical di…

Staff requirements. (a) Each applicant and each licensee shall ensure that each physician performing surgery in a facility is ap- proved by the medical director, licensed to prac- 724 DEPARTMENT OF HEALTH AND ENVIRONMENT 28-34-133 tice medicine and surgery in the state of Kansas,…

Facility environmental stan- dards. (a) Each applicant and each licensee shall ensure that the facility is designed, constructed, equipped, and maintained to protect the health and safety of patients, staff members, volunteers, and visitors. (b) Each facility shall include the fo…

Health and safety require- ments. (a) Each applicant and each licensee shall ensure that the facility meets the following health and safety requirements: (1) The temperature in each procedure room and in each recovery area shall be between 65 and 75 degrees Fahrenheit unless othe…

Equipment; supplies; drugs and medications. (a) Each applicant and each licensee shall ensure that supplies, equipment, drugs, and medications are immediately available for use or in an emergency. (b)Equipmentandsuppliesshallbemaintained in the amount required to assure sufficien…

Ancillary services. (a) Each applicant and each licensee shall document that the facility maintains a certificate of compliance from the centers for medicare and medicaid ser- vices pursuant to section 353 of the public health services act, 42 U.S.C. 263a, as revised by the clini…

Patient screening and evalu- ation. (a) Each applicant and each licensee shall ensure written policies and procedures are devel- oped and implemented for the medical screening and evaluation of patients. A medical screening and evaluation shall be completed on each patient before…

Abortion procedure. (a) Each applicant and each licensee shall ensure that writ- ten policies and procedures are developed and implemented for the following procedures: (1) Safe conduct of abortion procedures that conform to obstetric standards in keeping with es- tablished stand…

Recovery procedures; dis- charge. (a) Each applicant and each licensee shall ensure that written policies and procedures are de- veloped and implemented for the post-procedure careofpatientswhoareadministeredlocalanesthe- sia, analgesia, or sedation, including the following: (1) …

Dietary department. (a) The di- etary department shall be under the supervision of qualified personnel. A consultant dietitian may supervise the dietary department of a small hos- pital which does not employ a full-time qualified dietitian; a properly qualified food service super…

Transfers. (a) Each applicant and each licensee shall ensure that written poli- cies and procedures are developed and imple- mented for the transfer of patients and newborn children to a hospital. (b) Each licensee shall ensure that a physician arranges the transfer of a patient …

Follow-up contact and care. Each applicant and each licensee shall ensure that written policies and procedures are developed and implemented for follow-up and aftercare for each patient receiving an abortion procedure in the facility, including the following: (a) With the consent…

Risk management. (a) Each ap- plicant and each licensee shall develop and imple- ment a written risk management plan. (b) The risk management plan shall be reviewed and approved annually by the licensee. (c) Findings, conclusions, recommendations, actions taken, and results of ac…

Reporting requirements. In addition to the reporting requirements for risk management required in K.A.R. 28-34-142, each licensee shall ensure that the following incidents are reported to the department, on a form provid- ed by the department: (a) Each incident resulting in serio…

Records. (a) Each applicant and each licensee shall maintain an organized record- keeping system that provides for identification, security, confidentiality, control, retrieval, and preservation of all staff member and volunteer records, patient medical records, and facility in- …

Laundry. (a) The hospital shall make provisions for the proper laundering of lin- en and washable goods. (b) When linen is laundered outside of the hos- pital, the hospital shall be responsible to assure that the requirements of these standards are cov- ered in the terms of the c…

(Authorized by K.S.A. 65-431; ef- fective Jan. 1, 1969; revoked June 28, 1993.)

Emergency services. (a) Emergency services plans. Each hospital shall maintain a comprehensive, written emergency services plan based on community need and on 704 DEPARTMENT OF HEALTH AND ENVIRONMENT 28-34-17 the capability of the hospital. This plan shall in- clude procedures wh…

(Authorized by K.S.A. 65-431; ef- fective Jan. 1, 1969; revoked June 28, 1993.)

Anesthesia services. (a) Gen- eral provisions. Anesthesia care shall be regularly available when the hospital provides surgical or obstetrical services. (b) Personnel. (1) The department of anesthesia shall be re- sponsible for all anesthetics administered. (2) In hospitals where…

Surgical services. (a) General provisions. Surgical services shall be provided in a manner sufficient to meet the medical needs of the patients. (b) Personnel. (1) The director of surgical services shall be a qualified member of the medical staff with appro- priate surgical and a…

(Authorized by and implementing K.S.A. 65-431; effective Jan. 1, 1974; revoked May 1, 1986.)

Obstetrical and newborn ser- vices. (a) General provisions. If the hospital pro- vides obstetrical and newborn services, they shall be provided in a manner sufficient to meet the medical needs of the patients. (b) Personnel. (1) The director of the obstetrical services shall be a…

Pediatric department. Hospi- tals with an organized pediatric department shall provide facilities for the care of children, apart 708 DEPARTMENT OF HEALTH AND ENVIRONMENT 28-34-20 from the services for adult patients and from the newborn nursery, and there shall be proper facil- …

Definitions. (a) “Authenticate” means to verify authorship by written signature, identifiable initials, or computer key. The use of rubber stamp signatures shall be acceptable if the following conditions are met. (1) The practitioner whose signature the rubber stamp represents is…

Licensing procedure. (a) Each applicant for an initial license to operate a hospital shall file an application on forms provided by the licensing agency at least 90 days prior to admis- sion of patients. A license previously issued shall be renewed after the licensee has filed an…

(Authorized by K.S.A. 65-431; ef- fective Jan. 1, 1969; revoked June 28, 1993.)

Outpatient and short-term procedure services. (a) General provisions. If the hospital provides outpatient services, those services shall be rendered in an effective and timely manner and shall be given only on the or- der of a physician or practitioner. (b) Outpatient services. (…

(Authorized by K.S.A. 65-431; ef- fective Jan. 1, 1969; revoked March 23, 2001.)

Physical therapy department. In hospitals where organized departments of physical therapy are established the following shall apply: 709 Hospitals 28-34-29a (a) Physical therapy services shall be under the direction of a physician. (b) At least one registered physical therapist s…

Inhalation or respiratory ther- apy department. In hospitals with an organized inhalation department, the following shall apply: (a) Inhalation or respiratory therapy services shall be under the guidance of a designated staff physician. (b) Equipment shall be appropriate for the …

Social services department. In hospitals with an organized department of social services, the following shall apply: (a) The department shall be under the guidance of a qualified social worker. (b) Appropriate facilities and personnel shall be provided in accordance with the hosp…

Occupational therapy depart- ment. In hospitals with an organized occupational therapy department, the following shall apply: (a) The department shall be under the guidance of a qualified occupational therapist. (b) Facilities and personnel shall be provided commensurate with the…

(Authorized by and implementing K.S.A. 65-421; effective Jan. 1, 1974; revoked May 1, 1986.)

Long-term care unit. (a) Gen- eral provisions. If the hospital provides a long- term care service, such service shall be provided in a manner that meets the medical, rehabilitative, and social needs of the patient. (b) Scope of services. (1) The long-term service shall have a wri…

(Authorized by and implementing K.S.A. 65-431; effective Jan. 1, 1969; revoked May 1, 1986.)

(Authorized by K.S.A. 1973 Supp. 65-431; effective Jan. 1, 1974; revoked March 23, 2001.)

General sanitation and house- keeping. (a) Hospitals shall comply with applica- ble codes. (b)Suitableequipmentshallbeprovidedforthe regular cleaning of all interior surfaces. Operating and delivery rooms shall be thoroughly cleaned after each operation or delivery. Patient rooms…

(Authorized by and implementing K.S.A. 65-421; effective Jan. 1, 1974; revoked May 1, 1986.)

(d) If the facility is found to be in violation of any of these regulations, the licensing agency shall notify the applicant in writing of each vi- olation and require that a plan of correction be submitted before a license is issued or renewed. The plan shall state specifically …