South Dakota Administrative Code

Rule 44:68:02:04 Level VI hospital designation application. 44:68:02:04. Level VI hospital designation application. Level VI is limited to hospitals licensed pursuant to § 44:04:01:02. Any hospital seeking designation as a Level VI hospital shall submit an application to the depa…

Rule 44:68:02:05 Failure to maintain designation as a trauma hospital 44:68:02:05. Failure to maintain designation as a trauma hospital. A hospital that fails to maintain the criteria established pursuant to SDCL 34-12-52 to 34-12-55, inclusive, and this article shall submit a pl…

Rule 44:68:02:06 Recognition of out-of-state trauma hospitals. 44:68:02:06. Recognition of out-of-state trauma hospitals. The department may recognize any out-of-state hospital that has been designated as a trauma hospital pursuant to the applicable laws and regulations of the ho…

Rule 44:68:02:07 Designation criteria for Level IV community trauma hospitals. 44:68:02:07. Designation criteria for Level IV community trauma hospitals. A Level IV community trauma hospital shall meet the following criteria: (1) The hospital organization shall have: (a) A trauma…

Rule 44:68:02:08 Designation criteria for Level V trauma receiving hospitals. 44:68:02:08. Designation criteria for Level V trauma receiving hospitals. A Level V trauma receiving hospital shall meet the following criteria: (1) The hospital organization shall have: (a) A trauma pr…

Rule 44:68:03:01 Local emergency medical services transport plan. 44:68:03:01. Local emergency medical services transport plan. Each emergency medical service shall develop and implement a local emergency medical service transport plan for the transport of trauma team alert patie…

Rule 44:68:03:02 Content of transport plan. 44:68:03:02. Content of transport plan. The LEMSTP shall include: (1) The name of the ambulance service; (2) The city where the ambulance service is located; (3) Name of person completing the transport plan; (4) The date the transport p…

Rule 44:68:03:03 Triage. 44:68:03:03. Triage. Each emergency medical service shall adopt triage guidelines that include processes for identifying patients based on severity of injury and for prioritizing patients for treatment and transport. These guidelines shall be used for any…

Rule 44:68:03:04 Treatment protocols. 44:68:03:04. Treatment protocols. Each emergency medical service shall adopt trauma patient treatment protocols that have been reviewed and approved by the service medical director. These protocols shall meet the most recent edition of the So…

Rule 44:68:04:01 Reporting. 44:68:04:01. Reporting. The department shall establish a trauma registry. Level I, II, III, IV, and V trauma hospitals shall report to the department regarding any patient that meets the local hospital criteria for trauma team activation, or any patien…

Rule 44:68:04:02 Confidentiality of trauma data. 44:68:04:02. Confidentiality of trauma registry data. Any report required to be submitted to the statewide trauma registry is strictly confidential medical information. No report may be released, shared with any agency or instituti…

Rule 44:69:01:01 Definitions. Definitions. 44:69:01:01. Definitions. Terms defined in SDCL 34-12-1.1 have the same meaning in this article. In addition, terms used in this article mean: (1) "Abuse," an intentional act toward an individual indicating that one or more of the follow…

Rule 44:69:01:02 Name of birth center. 44:69:01:02. Name of birth center. Each birth center shall be designated by a pertinent and distinctive name that shall be used in applying for a license. The name may not be changed without first notifying the department in writing. No birt…

Rule 44:69:01:03 Bed capacity. 44:69:01:03. Bed capacity. The department shall establish the bed capacity of each birth center pursuant to the physical plant and space provisions of this article. Where indicated, additional regulations specific to birth centers with three or more…

Rule 44:69:01:04 Restrictions on acceptance of clients. 44:69:01:04. Restrictions on acceptance of clients. A birth center shall accept clients in accordance with the following restrictions: (1) A client admitted to a birth center shall be housed within the birth center covered b…

Rule 44:69:01:05 Joint occupancy. 44:69:01:05. Joint occupancy. The use of a portion of a building for purposes other than that covered by the license may be approved by the department only if it can be shown that joint occupancy is not detrimental to the welfare of the clients. …

Rule 44:69:01:06 Reports. 44:69:01:06. Reports. Each licensed birth center shall submit to the department the pertinent data necessary to comply with the requirements of SDCL chapter 34-12 and this article. Each birth center shall report to the department within 48 hours of the e…

Rule 44:69:01:07 Plans of correction. 44:69:01:07. Plans of correction. Within 15 days of the receipt of the statement of deficiencies, each birth center shall submit to the department a written plan of correction for citations of noncompliance with licensure requirements. The pl…

Rule 44:69:01:08 Modifications. 44:69:01:08. Modifications. Modifications to the staffing requirements provided in § 44:69:03:02 may be approved by the department for licensed birth centers which are physically combined and jointly operated. The health and safety of the client in…

Rule 44:69:01:09 Scope of article. 44:69:01:09. Scope of article. Nothing in article 44:69 limits or expands the rights of any healthcare worker to provide services within the scope of the professional's license, certification, or registration, as provided by South Dakota law. So…

Rule 44:69:02:01 Sanitation. 44:69:02:01. Sanitation. The birth center shall be designed, constructed, maintained, and operated to minimize the sources and transmission of infectious diseases to clients, personnel, visitors, and the community at large. Source: 38 SDR 115, effecti…

Rule 44:69:02:02 Pets. 44:69:02:02. Pets. Any pet kept in a birth center may not negatively affect the well-being of clients. Source: 38 SDR 115, effective January 9, 2012. General Authority: SDCL 34-12-62(1). Law Implemented: SDCL 34-12-62(1). Cross-Reference: Physically disable…

Rule 44:69:02:03 Cleaning methods and facilities. 44:69:02:03. Cleaning methods and facilities. The birth center shall have equipment, work areas, and complete written procedures for cleaning, sanitizing, disinfecting, or sterilizing all work areas, equipment, utensils, dressings…

Rule 44:69:02:04 Sterilization. 44:69:02:04. Sterilization. Instruments, supplies, utensils and equipment which are not single service shall be decontaminated before sterilization in a manner that makes them safe for handling by personnel. Supplies and equipment commercially prep…

Rule 44:69:02:05 Food service. 44:69:02:05. Food service. If an in-house food service is provided, the birth center shall meet the safety and sanitation procedures for food service in §§ 44:02:07:01, 44:02:07:02, and 44:02:07:04 to 44:02:07:95, inclusive, in the Food Service Code…

Rule 44:69:02:06 Linen. 44:69:02:06. Linen. The supply of bed linen and towels shall equal two times the licensed capacity. Each birth center shall contract with commercial laundry services or the laundry service of another licensed health care facility for all common use linens …

Rule 44:69:02:07 Infection control. 44:69:02:07. Infection control. The infection control program shall utilize the concept of standard precautions as the basis for infection control pursuant to chapter 44:20:04. The birth center shall have written procedures that govern the use …

Rule 44:69:02:08 Occupant protection. 44:69:02:08. Occupant protection. Each birth center shall be constructed, arranged, equipped, maintained, and operated to avoid injury or danger to any occupant. The extent and complexity of occupant protection precautions is determined by th…

Rule 44:69:02:09 Physical plant changes. 44:06:02:09. Physical plant changes. A birth center shall submit any proposed change by new construction, remodeling, or change of use of an area to the department. Any change shall have the approval of the department before it is made. So…

Rule 44:69:02:10 Location. 44:69:02:10. Location. The location of a birth center shall promote the health, treatment, comfort, safety, and well-being of persons accepted and retained for care. A birth center shall be served by good, passable roads. Easy accessibility for employee…

Rule 44:69:02:11 Other hazardous conditions. 44:69:02:11. Other hazardous conditions. A birth center may be directed to remove or correct other hazardous conditions not covered in this chapter if the department considers the conditions to have the potential to cause injury or ill…

Rule 44:69:03:01 Fire standards and general fire safety. 44:69:03:01. Fire standards and general fire safety. Each birth center shall meet applicable fire safety standards in NFPA 101 Life Safety Code, 2009 edition. Source: 38 SDR 115, effective January 9, 2012. General Authority…

Rule 44:69:03:02 General fire safety. 44:69:03:02. General fire safety. Each birth center shall be constructed, arranged, equipped, maintained, and operated to avoid undue danger to the lives and safety of its occupants from fire, smoke, fumes, or resulting panic during the perio…

Rule 44:69:04:01 Governing body. 44:69:04:01. Governing body. Each birth center operated by limited liability partnership, a corporation, or political subdivision shall have an organized governing body legally responsible for the overall conduct of the birth center. If the birth …

Rule 44:69:04:02 Administrator. 44:69:04:02. Administrator. The governing body shall designate a qualified administrator to represent the owner or governing body and to be responsible for the daily overall management of the birth center. The governing body shall notify the depart…

Rule 44:69:04:03 Personnel. 44:69:04:03. Personnel. The birth center shall have a sufficient number of qualified personnel to provide effective and safe care. Staff members on duty shall be awake at all times. Any supervisor shall be 18 years of age or older. Written job descript…

Rule 44:69:04:04 Personnel training. 44:69:04:04. Personnel training. A birth center with three or more beds shall have a formal orientation program and an ongoing education program for all personnel. Ongoing education programs shall cover the required subjects annually. These pr…

Rule 44:69:04:05 Personnel policies and procedures. 44:69:04:05. Personnel policies and procedures. A birth center with three or more beds shall have written policies and procedures that include the following: (1) Operational practices that define the services of the birth center…

Rule 44:69:04:06 Employee health program. 44:69:04:06. Employee health program. The birth center shall have an employee health program for the protection of the clients. All personnel shall be evaluated by an appropriate licensed health professional for freedom from reportable co…

Rule 44:69:04:07 Admissions to birth center. 44:69:04:07. Admissions to birth center. The governing body or owner of the birth center shall establish and maintain admission, transfer, and discharge policies, with written evidence to assure the clients admitted to and retained in …

Rule 44:69:04:08 Discharge planning. 44:69:04:08. Discharge planning. Each birth center shall have policies and procedures for discharge planning. Source: 38 SDR 115, effective January 9, 2012. General Authority: SDCL 34-12-62(10). Law Implemented: SDCL 34-12-62(10).

Rule 44:69:04:09 Quality assessment. 44:69:04:09. Quality assessment. Each birth center shall provide for on-going evaluation of the quality of services provided to clients. Source: 38 SDR 115, effective January 9, 2012. General Authority: SDCL 34-12-62(9). Law Implemented: SDCL …

Rule 44:69:05:01 Practitioner services. 44:69:05:01. Practitioner services. Each birth center shall have an organized practitioner service. At least one physician, certified nurse midwife, or registered nurse shall be on duty in the birth center at all times if a client is in act…

Rule 44:69:05:02 Emergency care. 44:69:05:02. Emergency care. Each birth center shall establish and implement policies and procedures for emergency care and arrange for transport to a licensed hospital sufficiently close to provide prompt care to the birth center's clients if nee…

Rule 44:69:05:03 Emergency equipment and procedures to provide emergency care. 44:69:05:03. Emergency equipment and procedures to provide emergency care. Each birth center shall have in effect a transfer protocol with one or more hospitals sufficiently close to provide prompt inp…

Rule 44:69:05:04 Clinical policies and procedures. 44:69:05:04. Clinical policies and procedures. Each birth center shall establish and maintain policies and procedures, and practices to govern care, and related medical or other services necessary to meet the client's needs. The …

Rule 44:69:05:05 Client plans and programs. 44:69:05:05. Client plans and programs. The practitioner service of a birth center shall provide safe and effective care from the day of admission through the ongoing development and implementation of written plans for each client and n…