South Dakota Administrative Code

Rule 44:75:10:03 Technical laboratory operations. 44:75:10:03. Technical laboratory operations. Each hospital laboratory shall have a policy and procedural manual for each phase of operation. There shall be a quality control program to insure the reliability of laboratory test da…

Rule 44:75:10:04 Blood transfusion services. 44:75:10:04. Blood transfusion services. Each facility providing transfusion services shall provide facilities and equipment for the procurement, storage, and administration of blood products. The transfusion service shall be under the…

Rule 44:75:10:05 Diagnostic x-ray services. 44:75:10:05. Diagnostic x-ray services. Each hospital shall provide for emergency diagnostic x-ray services which are available 24-hours a day, 7 days a week, including holidays, except for specialized hospitals which can document to th…

Rule 44:75:10:06 Radiological service policies and manuals required. 44:75:10:06. Radiological service policies and manuals required. There shall be a policy and procedural manual for all phases of the radiological services. If radioactive isotopes are to be used within the facil…

Rule 44:75:10:07 Radiological department personnel. 44:75:10:07. Radiological department personnel. There shall be trained personnel to provide the scope of services offered by the facility. If therapeutic radiological services are provided, the services shall be under the direct…

Rule 44:75:10:08 Radiological reports. 44:75:10:08. Radiological reports. Complete signed reports of the interpretations of all radiological examinations made by practitioners shall be made a part of the patient's clinical record. The radiological department shall have a policy t…

44:75:11:01. Surgical services. Each hospital in which surgery is performed must maintain an operating suite with appropriate equipment, including X-ray viewing devices. The suite must be supervised by a registered nurse with training and experience in operating room services. A …

44:75:11:02. Surgical records. When surgery is performed, the following record requirements apply: (1) An operating room register must be complete and up to date. It must at a minimum include; patient name, hospital identification number, date of operation, inclusive or total tim…

Rule 44:75:11:03 Obstetric and newborn services. 44:75:11:03. Obstetric and newborn services. Each hospital offering obstetric and newborn services shall maintain facilities, equipment, and supplies appropriate to the service. The hospital shall establish, implement, and maintain…

44:75:11:04. Emergency services. Each hospital offering emergency services must have a written plan and procedural manual for the provision of twenty-four hour a day emergency care that provides for assessment and either treatment or referral to an appropriate facility. A referri…

Rule 44:75:11:05 Anesthesia services. 44:75:11:05. Anesthesia services. Each hospital shall provide anesthesia services organized, directed, and integrated with other related services of the hospital commensurate with the scope and needs of patients. The delivery of anesthesia ca…

Rule 44:75:11:06 Rehabilitation services. 44:75:11:06. Rehabilitation services. A hospital offering physical therapy, occupational therapy, or speech pathology shall maintain facilities, equipment, and supplies appropriate for services provided. There shall be written policies an…

Rule 44:75:11:07 Outpatient rehabilitation services. 44:75:11:07. Outpatient rehabilitation services. A hospital offering outpatient rehabilitation services shall maintain written policies and procedures relating to staff, functions of services, and outpatient medical records. Th…

Rule 44:75:11:08 Social services. 44:75:11:08. Social services. A hospital offering social services shall maintain written policies and procedures relating to staffing requirements and functions of services and shall provide social services facilities as required by § 44:75:02:21…

Rule 44:75:11:09 Repealed. 44:75:11:09. Swing-bed services. Repealed. Source: 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 30 SDR 84, effective December 4, 2003; transferred from § 44:04:11:10, 42 SDR 51, effective October 13, 2015.

Rule 44:75:11:10 Eligibility to offer swing-bed services. 44:75:11:10. Eligibility to offer swing-bed services. A hospital with less than 100 staffed beds may offer swing-bed services after obtaining approval from the department pursuant to § 44:75:11:11. A hospital with less tha…

Rule 44:75:11:11 Application for approval to offer swing-bed services. 44:75:11:11. Application for approval to offer swing-bed services. A hospital may not offer swing-bed services without first applying in writing to the department for approval. The application shall contain th…

Rule 44:75:11:12 Suspension of approval to offer swing-bed services. 44:75:11:12. Suspension of approval to offer swing-bed services. Pursuant to the contested case provisions of SDCL 1-26, the department may prohibit a hospital from admitting new swing bed patients for not more …

Rule 44:75:11:13 Patient care requirements for swing-bed services. 44:75:11:13. Patient care requirements for swing-bed services. Hospital and critical access hospital swing-bed services shall provide nursing and related care services to meet patients' care needs at all times. Pa…

Rule 44:75:12:01 Supportive services. 44:75:12:01. Supportive services. Each hospital accepting long-term care patients, and hospital and critical access hospital with swing beds shall provide supportive services that comply with §§ 44:75:12:02 to 44:75:12:04, inclusive. Source: …

44:75:12:02. Activities program. Each hospital shall develop an individualized activities program that holistically meets the needs and interests of patients and maintains optimal levels of physical and psychosocial functining of patients. Source: 42 SDR 51, effective October 13,…

Rule 44:75:12:03 Spiritual needs. 44:75:12:03. Spiritual needs. The facility shall provide for the spiritual needs of the patients. Patient requests to see a clergyman shall be honored. No specific religious beliefs or practices may be imposed on any patient contrary to the patie…

44:75:12:04. Provision of social services. A facility shall provide or make arrangements to provide social services for each patient as needed. A staff social worker or social services designee is responsible to facilitate the provision of social services. The staff social worker…

44:75:13:01. Application of chapter. The provisions of this chapter apply to any new facility and to any renovation, addition, or change in space use of any currently licensed, existing facility. Each facility shall comply with NFPA 101 Life Safety Code, 2012 edition. Each facili…

Rule 44:75:13:02 Medical records unit. 44:75:13:02. Medical records unit. The medical records unit shall include active and closed record storage and a work area. Source: 42 SDR 51, effective October 13, 2015. General Authority: SDCL 34-12-13(3). Law Implemented: SDCL 34-12-13(3)…

Rule 44:75:13:03 Storage rooms. 44:75:13:03. Storage rooms. There shall be at least 20 square feet (1.858 square meters) of central storage provided for each bed. General storage shall be concentrated in one area in the facility, but up to 50 percent of the general storage space …

Rule 44:75:13:04 Swing bed patient dining and recreation area. 44:75:13:04. Swing bed patient dining and recreation area. The total areas set aside for patient dining, recreation, and other central use areas may not be less than 45 square feet (4.18 square meters) for each bed. T…

Rule 44:75:13:05 Outside area. 44:75:13:05. Outside area. Each secure unit shall have for the patient access to an outdoor area that is enclosed by a fence. The fence shall extend to a minimum of six feet above grade level and be designed to be safe for patient contact. Hard surf…

44:75:13:06. Patient rooms. A facility shall ensure a patient room has: (1) A maximum room capacity not exceeding two patients; (2) A minimum area, exclusive of toilet rooms, closets, lockers, wardrobes, or vestibules, of one hundred twenty square feet or 10.8 square meters in ea…

44:75:13:07. Service area in care units. The facility shall ensure each care unit contains a service area which includes: (1) A nurses' station with convenient access to handwashing facilities; (2) Nurses' charting; (3) Doctors' charting; (4) Communications; (5) Storage for suppl…

Rule 44:75:13:08 Social services office. 44:75:13:08. Social services office. In hospitals, a social services office which is in accordance with § 44:75:02:18 shall be provided. Source: 42 SDR 51, effective October 13, 2015. General Authority: SDCL 34-12-13(3). Law Implemented: S…

44:75:13:09. Dietary department. The facility shall construct, equip, and install the dietary department in compliance with §§ 44:02:07:01, 44:02:07:02, and 44:02:07:04 to 44:02:07:95, inclusive. The installation of food service equipment must comply with § 44:75:14:10 unless the…

44:75:13:10. Food preparation services and equipment. The facility shall ensure the dietary area is completely cleanable by conventional methods. The location and design of the dietary area must enable convenient handling of incoming supplies, preparation of meals, including tray…

Rule 44:75:13:11 Laundry. 44:75:13:11. Laundry. The laundry shall include the following: (1) Soiled linen holding room with a storage capacity of one and three quarters square feet (0.1626 square meters) of floor area for each bed, to be used for storage, sorting, and weighing of…

44:75:13:12. Personnel facilities. The facility shall provide a locker room for personnel containing lockers and a separate toilet room with handwashing facility. Source: 42 SDR 51, effective October 13, 2015; 50 SDR 62, effective November 27, 2023. General Authority: SDCL 34-12-…

Rule 44:75:13:13 Engineering service and equipment areas. 44:75:13:13. Engineering service and equipment areas. The requirements for engineering service and equipment areas for each facility are as follows: (1) A boiler room with two remote doors to the exit or exit access; (2) A…

Rule 44:75:13:14 Corridor restrictions. 44:75:13:14. Corridor restrictions. Drinking fountains, telephone booths, fire extinguisher cabinets, and vending machines shall be located so that they do not project into the required width of exit corridors. Handrails installed in corrid…

Rule 44:75:13:15 Doors. 44:75:13:15. Doors. Any door to a patient room toilet or bathroom shall be equipped with hardware that permits access in any emergency. A pocket or sliding door may not be installed except on a clothes closet or restroom in a patient room. Any hardware on …

44:75:13:16. X ray protection. Protection of X ray and gamma ray installations must conform to requirements in Medical X ray, Electron Beam, and Gamma ray Protection for Energies up to 50 MeV--Equipment Design and Use, NCRP Report No. 102, 1989, and in Structural Shielding Design…

Rule 44:75:13:17 Ceiling heights. 44:75:13:17. Ceiling heights. The ceilings of corridors, storage rooms, patient toilet rooms, and other minor rooms may not be less than seven feet, eight inches (2.34 meters). The ceilings of all other rooms may not be less than seven feet, ten …

44:75:13:18. Insulation. The facility shall ensure boiler rooms, food preparation centers, and laundries are insulated and ventilated to prevent any floor surface above them from exceeding a temperature of eighty-five degrees Fahrenheit or 29.4 degrees centigrade. All combustible…

Rule 44:75:13:19 Floor surface finish. 44:75:13:19. Floor surface finish. Floors shall be easily cleanable and shall have the wear resistance appropriate for the location involved. Floors in kitchens and related spaces shall be water-resistant. In all areas where floors are subje…

Rule 44:75:13:20 Wall and ceiling finish. 44:75:13:20. Wall and ceiling finish. Walls shall be washable, and in the immediate area of plumbing fixtures the finish shall be protected from water damage. Wall bases in dietary areas shall be free of spaces that can harbor insects. Wa…

Rule 44:75:13:21 Elevators. 44:75:13:21. Elevators. All facilities where either patients' beds or a critical service, such as operating, delivery, diagnostic, recreation, patient dining, dietary, laundry, central storage, or therapy rooms, is located, other than the first floor, …

44:75:13:22. Steam and hot water systems. A facility shall have the capacity to supply steam and hot water to meet the normal requirements of all the facility's systems and equipment. Supply and return mains and risers of space heating and process steam systems must be valved to …

44:75:13:23. Ventilating systems. A facility shall ensure its ventilating systems maintain temperatures, minimum air changes of outdoor air per hour, minimum total air changes, and relative humidities as follows: (1) For operating rooms, sixty-eight to seventy-three degrees Fahre…

44:75:13:24. Filtration. A facility shall have a ventilation system using a recirculated central air system equipped with a minimum of two filter beds. Filter bed number one must be located upstream of the conditioning equipment and must have a minimum efficiency of thirty percen…

44:75:13:25. Ducts. A facility shall ensure its ducts are constructed of iron, steel, aluminum, or other approved metal or materials as defined in NFPA 101 Life Safety Code 2012 edition, section 32.3.6.2.1. Duct linings, coverings, vapor barriers, and the adhesives used for apply…

Rule 44:75:13:26 Food service ventilation. 44:75:13:26. Food service ventilation. The air from dining areas may be used to ventilate the food preparation areas only after it has been passed through a filter with 80 percent efficiency. Each exhaust hood in food preparation centers…

Rule 44:75:13:27 Plumbing fixtures. 44:75:13:27. Plumbing fixtures. The material used for plumbing fixtures shall be of nonabsorptive acid-resistant material. Each lavatory and sink required in patient care areas shall have the water supply spout mounted so that the discharge is …