North Carolina Administrative Code

10A NCAC 13C .0306 QUALITY ASSURANCE (a) The governing authority shall establish a quality assurance program for the purpose of providing standards of care for the facility. The program shall include the establishment of a committee which shall evaluate: (1) appropriateness and n…

SECTION .0400 - MEDICAL AND SURGICAL SERVICES 10A NCAC 13c .0401 MEDICAL SERVICES (a) All patients admitted to the facility shall be under the direct care of a physician or dentist. (b) The facility shall have available an anesthetist and he or she shall be available to administe…

10A ncac 13C .0402 SURGICAL SERVICES (a) The governing authority shall delineate surgical privileges for each physician and dentist performing surgery in accordance with criteria which it has established provided, however, that no physician or dentist may be given privileges to p…

10A NCAC 13C .0403 EMERGENCY CASES (a) Each facility shall have a written plan for the transfer of emergency cases to a nearby hospital when hospitalization becomes necessary. (b) There shall be procedures, personnel and suitable equipment to handle medical emergencies which may …

SECTION .0500 - ANESTHESIA SERVICES 10A NCAC 13C .0501 PROVIDING ANESTHESIA SERVICES Only a physician, dentist, qualified anesthetist, or qualified anesthesiologist as defined in Rule .0103 of this Subchapter, shall administer anesthetic agents. Podiatrists shall administer only …

10A NCAC 13C .0502 EQUIPMENT All equipment for the administration of anesthetics shall be readily available, kept clean or sterile, and maintained in good working condition. History Note: Authority G.S. 131E-149; Eff. October 14, 1978; Pursuant to G.S. 150B-21.3A, rule is necessa…

10A NCAC 13C .0503 POST ANESTHESIA NOTE Patient's anesthesiologist or anesthetist shall write a post anesthetic follow-up note prior to the patient's discharge. The note shall include the general condition of the patient and any instructions to the patient pertaining to his care …

10A NCAC 13C .0504 REQUIREMENT OF PERSON TRAINED IN CPR A person with training and experience in cardio-pulmonary resuscitation shall be on the premises of the facility until all surgical patients are discharged. History Note: Authority G.S. 131E-149; Eff. October 14, 1978; Pursu…

SECTION .0600 - PATHOLOGY SERVICES 10A NCAC 13C .0601 PROVISION FOR LABORATORY TESTS (a) Each facility shall have the capability of providing or obtaining laboratory tests required in connection with the surgery to be performed. (b) The governing authority shall establish written…

10A NCAC 13C .0602 DISPOSAL OF WASTE Methods for the disposal of pathological waste, contaminated dressings and other similar material shall meet the approval of governing local and state authorities. History Note: Authority G.S. 131E-149; Eff. October 14, 1978; Pursuant to G.S. …

SECTION .0700 - RADIOLOGY SERVICES 10A NCAC 13c .0701 PROVISION FOR RADIOLOGY SERVICES Each facility shall have the capability of providing or obtaining diagnostic radiology services in connection with the surgery to be performed. History Note: Authority G.S. 131E-149; Eff. Octob…

10A NCAC 13c .0702 REGULATIONS FOR PERFORMED SERVICES Radiation protection shall be provided in accordance with the rules adopted by the Radiation Protection Commission found in 10A NCAC 15. Records shall be kept of annual checks and calibration of all ionizing radiation therapy …

SECTION .0800 - PHARMACEUTICAL SERVICES 10A NCAC 13C .0801 DRUG DISPENSING The governing authority, with the advice of a registered pharmacist, shall assure that there are appropriate methods, procedures and controls for obtaining, dispensing, and administering drugs and biologic…

10A NCAC 13C .0802 REGULATIONS FOR DISPENSING When the facility maintains its own pharmaceutical services, it shall comply with applicable regulations adopted by the North Carolina Board of Pharmacy pursuant to General Statute 90-85. History Note: Authority G.S. 131E-149; Eff. Oc…

SECTION .0900 - NURSING SERVICES 10A NCAC 13C .0901 NURSING ADMINISTRATION (a) The facility shall have an organized nursing Department under the supervision of a director of nursing who is currently licensed as a registered nurse and who has responsibility and accountability for …

10A NCAC 13C .0902 NURSING PERSONNEL (a) Licensed and ancillary nursing personnel shall be on duty to assure that staffing levels meet the nursing needs of patients in the facility and their individual nursing care needs. (b) At least one registered nurse shall be in the facility…

SECTION .1000 - MEDICAL RECORDS SERVICES 10A NCAC 13C .1001 MEDICAL RECORD SYSTEM The facility shall maintain a medical record system designed to provide readily available information on each patient. The medical record system shall be under the supervision of a designated qualif…

10A NCAC 13c .1002 INDIVIDUAL PATIENT RECORDS (a) Each patient's medical record shall be maintained in accordance with professional standards and shall include at least the following information: (1) patient's identification, including name, address, date of birth, next of kin an…

SECTION .1100 - SURGICAL FACILITIES AND EQUIPMENT 10A NCAC 13C .1101 OPERATING SUITE (a) Each operating suite shall be adequately equipped for the types of procedures to be performed. (b) Each recovery area shall be adequately equipped for the proper care of post anesthesia recov…

10A NCAC 13C .1102 CARE OF OPERATING SUITE (a) Dry sweeping and dusting shall be prohibited in treatment areas. (b) Adequate and conveniently located spaces shall be provided for the storage of janitorial supplies and equipment. History Note: Authority G.S. 131E-149; Eff. October…

SECTION .1200 - FUNCTIONAL SAFETY 10A NCAC 13c .1201 GENERAL (a) The governing authority shall develop written policies and procedures designed to enhance safety within the facility and on its grounds and minimize hazards to patients, staff and visitors. (b) The policies and proc…

10A ncac 13C .1202 PREVENTIVE MAINTENANCE A schedule of preventive maintenance shall be developed for all of the medical and surgical equipment in the facility to assure satisfactory operation when needed. History Note: Authority G.S. 131E-149; Eff. October 14, 1978; Amended Eff.…

SECTION .1300 - CONTROL AND SANITATION 10A NCAC 13c .1301 GENERAL The governing authority shall employ procedures to minimize sources and transmission of infections. Professionally recognized surveillance methods shall be used. The governing authority shall provide space, equipme…

10A NCAC 13C .1302 STERILIZATION PROCEDURES (a) Policies and procedures shall be established in writing for storage, maintenance and distribution of sterile supplies and equipment. (b) Sterile supplies and equipment shall not be mixed with unsterile supplies, and shall be stored …

10A NCAC 13C .1303 HOUSEKEEPING Operating rooms shall be appropriately cleaned in accordance with established written procedures after each operation. Recovery rooms shall be maintained in a clean condition. History Note: Authority G.S. 131E-149; Eff. October 14, 1978; Pursuant t…

10A NCAC 13C .1304 LINEN AND LAUNDRY (a) An adequate supply of clean linen or disposable materials shall be maintained. (b) Provisions for proper laundering of linen and washable goods shall be made. Soiled and clean linen shall be handled and stored separately. (c) A sufficient …

10A NCAC 13C .1305 SANITATION (a) All parts of the facility, the premises and equipment shall be kept clean and free of insects, rodents, litter and rubbish. (b) All garbage and waste shall be collected, stored and disposed of in a manner designed to prevent the transmission of d…

SECTION .1400 - PHYSICAL PLANT CONSTRUCTION 10A NCAC 13c .1401 DEFINITIONS In addition to the definitions set forth in G.S. 131E-146, the following definitions shall apply in Section .1400 of this Subchapter: (1) "Addition" means an extension or increase in floor area or height o…

10A NCAC 13C .1402 LIST OF REFERENCED GUIDELINES, CODES, STANDARDS, AND REGULATION (a) The FGI Guidelines are incorporated herein by reference, including all subsequent amendments and editions; however, the following chapters of the FGI Guidelines shall not be incorporated herein…

10A ncac 13C .1403 general and Emergency Preparedness (a) A new facility or any addition or alterations to an existing facility whose construction documents were approved by the Construction Section on or after July 1, 2020 shall meet the requirements set forth in: (1) the rules …

10A NCAC 13C .1404 EQUIVALENCY AND CONFLICTS WITH REQUIREMENTS (a) The Division may grant an equivalency to allow an alternate design or functional variation from the requirements in the rules contained in this Section. The equivalency may be granted by the Division if a governin…

10A ncac 13C .1410 APPLICATION OF PHYSICAL PLANT REQUIREMENTS History Note: Authority G.S. 131E-149; Eff. April 1, 2003; Repealed Eff. January 1, 2020.

10A ncac 13C .1411 ACCESS AND SAFETY Projects involving replacement of, alterations of, and additions to existing licensed facilities shall be planned and phased so that construction will minimize disruptions of facility operations. Facility access, exit ways, safety provisions, …

subchapter 13D – rules for the licensing of nursing homes section .0100 – reserved for future codification 10A NCAC 13D .0100 Reserved for future codification

section .0200 – reserved for future codification 10A NCAC 13D .0200 Reserved for future codification

section .0300 – reserved for future codification 10A NCAC 13D .0300 Reserved for future codification

section .0400 – reserved for future codification 10A NCAC 13D .0400 Reserved for future codification

section .0500 – reserved for future codification 10A NCAC 13D .0500 Reserved for future codification

section .0600 – reserved for future codification 10A NCAC 13D .0600 Reserved for future codification

section .0700 – reserved for future codification 10A NCAC 13D .0700 Reserved for future codification

section .0800 – reserved for future codification 10A NCAC 13D .0800 Reserved for future codification

section .0900 – reserved for future codification 10A NCAC 13D .0900 Reserved for future codification

section .1000 – reserved for future codification 10A NCAC 13D .1000 Reserved for future codification

section .1100 – reserved for future codification 10A NCAC 13D .1100 Reserved for future codification

section .1200 – reserved for future codification 10A NCAC 13D .1200 Reserved for future codification

section .1300 – reserved for future codification 10A NCAC 13D .1300 Reserved for future codification

section .1400 – reserved for future codification 10A NCAC 13D .1400 Reserved for future codification

section .1500 – reserved for future codification 10A NCAC 13D .1500 Reserved for future codification

section .1600 – reserved for future codification 10A NCAC 13D .1600 Reserved for future codification

section .1700 – reserved for future codification 10A NCAC 13D .1700 Reserved for future codification