South Dakota Administrative Code

44:75:13:28. Water supply systems. A facility shall ensure its water supply system supplies water to the fixtures and equipment on the facility's upper floors at a minimum pressure of fifteen pounds per square inch or 1055.9 kilograms per square meter during maximum demand period…

Rule 44:75:13:29 Vacuum breakers. 44:75:13:29. Vacuum breakers. An antisiphon device or backflow preventer shall be installed on hose bibs and on any fixtures to which hoses or tubing can be attached such as laboratory, janitor sink, bedpan flushing attachment, handheld shower, a…

Rule 44:75:13:30 Hot water systems. 44:75:13:30. Hot water systems. Hot water distribution systems over 50 feet (15.24 meters) long shall recirculate to provide hot water at each fixture at all times. The hot water heating equipment shall have sufficient capacity to supply water …

44:75:13:31. Drainage systems. A facility shall ensure each drain line from sinks in which acid wastes may be poured is fabricated from an acid resistant material. Any piping over each operating and delivery room, nursery, food preparation center, food serving facility, food stor…

Rule 44:75:13:32 Electrical distribution system. 44:75:13:32. Electrical distribution system. All material including equipment, conductors, controls, and signaling devices shall be installed to provide a complete electrical system with the necessary characteristics and capacity t…

Rule 44:75:13:33 Lighting. 44:75:13:33. Lighting. Any space occupied by people, machinery, or equipment within buildings, the approaches to the buildings, and parking lots shall have artificial lighting approved by the department. Each patient bedroom shall have general lighting …

Rule 44:75:13:34 Receptacles or convenience outlets. 44:75:13:34. Receptacles or convenience outlets. Each operating, delivery, and emergency room shall have at least three receptacles. In locations where mobile X ray is used, an additional receptacle, distinctively marked for X …

Rule 44:75:13:35 Staff call system. 44:75:13:35. Staff call system. A staff call system shall be provided for patient use to summon assistance from staff. Staff call systems which provide two-way voice communication shall be equipped with an indicating light at each calling stati…

Rule 44:75:13:36 Submittal of plans and specifications. 44:75:13:36. Submittal of plans and specifications. Plans and specifications for new construction shall be submitted to the department for evaluation of function and fire protection including concealed spaces. The department…

44:75:13:37. Pipe requirements. A facility shall ensure all piping systems for potable water are installed to eliminate any dead-end runs of piping. Before placing any potable water system in service, the piping system must be disinfected in accordance with article 20:54 and cert…

Rule 44:75:13:38 Detached structures. 44:75:13:38. Detached structures. A detached structure or auxiliary building used for combustible storage or vehicle parking built adjacent to, but not directly attached to, a health care facility shall either be separated from the facility b…

44:75:13:39. Water therapy facilities. A facility shall ensure each water therapy facility operated by a facility and used by any patient or the public, must be designed, constructed, and maintained using the Recommended Standards for Swimming Pool Design and Operation, 1996 edit…

Rule 44:75:14:01 Application of standards. 44:75:14:01. Application of standards. The construction standards in this chapter apply to all new hospital facilities and to any alteration, addition, and change in space use to currently approved existing hospital facilities. In a hosp…

Rule 44:75:14:02 Newborn nursery unit. 44:75:14:02. Newborn nursery unit. Each nursery shall provide a lavatory, emergency nurses call, oxygen, and facilities for viewing the babies. Each full-term nursery room may contain not more than 12 bassinets with a minimum area of 24 squa…

Rule 44:75:14:03 Psychiatric unit. 44:75:14:03. Psychiatric unit. If a psychiatric unit is included as a separate nursing unit, it shall be designed as other nursing units with extra care taken to provide close supervision for patients. Service areas shall be provided. Source: SL…

Rule 44:75:14:04 Surgical suites. 44:75:14:04. Surgical suites. Hospitals with 50 beds or less that accept surgical patients shall provide one operating room. The number of operating rooms for hospitals over 50 beds shall be based on the expected surgical workload. The surgical s…

Rule 44:75:14:05 Service areas in surgical suite. 44:75:14:05. Service areas in surgical suite. The size of the service areas in each surgical suite depends on the surgical workload. Each surgical suite shall include the following service areas: (1) A surgical supervisor station;…

Rule 44:75:14:06 Obstetrical suite. 44:75:14:06. Obstetrical suite. The obstetrical suite shall be located to prevent through traffic. The number of delivery rooms and labor rooms required shall be based on the estimated annual birthrate. A patients' toilet room shall be provided…

Rule 44:75:14:07 Service areas in obstetrical suite. 44:75:14:07. Service areas in obstetrical suite. The size of the service areas in each obstetrical suite depends on the obstetrical workload. Each obstetrical suite shall include the following service areas: (1) A supervisor's …

Rule 44:75:14:08 Emergency and outpatient care areas of the facility. 44:75:14:08. Emergency and outpatient care areas of the facility. The size of emergency and outpatient care areas shall be based on admissions and shall be located to prevent outpatients from traversing inpatie…

Rule 44:75:14:09 Diagnostic imaging suite. 44:75:14:09. Diagnostic imaging suite. The diagnostic imaging suite shall contain: (1) One or more radiographic rooms with necessary radiation protection; (2) A film processing room; (3) Toilet room adjoining each fluoroscopy and ultraso…

Rule 44:75:14:10 Laboratory suite. 44:75:14:10. Laboratory suite. Clinical laboratory facilities and equipment consistent with the needs of the patients shall be provided. Handwashing fixtures shall be provided and equipped with valves which can be operated without the use of han…

Rule 44:75:14:11 Pharmacy or drug room. 44:75:14:11. Pharmacy or drug room. The pharmacy or drug room shall be well ventilated and have a locking door. The pharmacy or drug room shall be sized for the distribution system used and shall have a work counter with sink, a separate lo…

44:75:14:12. Administration department. The facility's administration department shall include a business office, information center, administrator's office, admitting office, personnel lounge, medical library, lobby, and public and personnel toilet rooms. There must be an office…

Rule 44:75:14:13 Medical records unit. 44:75:14:13. Medical records unit. The medical records unit shall include an active record storage area; record review and dictating area; work area for sorting, recording, or microfilming; and an inactive record storage area which may be om…

Rule 44:75:14:14 Central medical and surgical supply department. 44:75:14:14. Central medical and surgical supply department. The clean and soiled areas of the central medical and surgical supply department shall be separated from each other. Space for cleaning equipment and disp…

Rule 44:75:14:15 Central stores. 44:75:14:15. Central stores. General central storage rooms shall have a total area of not less than 20 square feet (1.86 square meters) for each bed. General storage should be concentrated in one area on-site, but up to 50 percent of the general s…

Rule 44:75:14:16 Details and finishes. 44:75:14:16. Details and finishes. Ceiling heights of operating rooms, delivery rooms, cystoscopic rooms, radiographic rooms, and rooms with ceiling-mounted surgical light fixtures shall be at least nine feet (2.74 meters). The ceilings in i…

Rule 44:75:14:17 Ventilation. 44:75:14:17. Ventilation. All air supply and air exhaust systems shall be mechanically operated. All fans serving exhaust systems shall be located at the discharge end of the system. All air supplied to an operating room, delivery room, nursery or an…

44:75:14:18. Air filters. The facility shall ensure that each ventilation system serving an operating room, delivery room, nursery, isolation room, and laboratory sterile room is equipped with a minimum of two filter beds. Filter bed number one must be located upstream of the con…

Rule 44:75:14:19 Ducts. 44:75:14:19. Ducts. Ducts which penetrate construction intended for X ray or other ray protection shall not impair the effectiveness of the protection. Porous duct lining materials may not be used in the interior of duct systems serving sensitive areas suc…

Rule 44:75:14:20 Plumbing fixture devices. 44:75:14:20. Plumbing fixture devices. Flush valves installed on plumbing fixtures shall be of a quiet operating type equipped with silencers. Bedpan flushing devices shall be provided in each patient toilet room and in the soiled workro…

Rule 44:75:14:21 Operating and delivery room lighting. 44:75:14:21. Operating and delivery room lighting. Operating and delivery rooms shall have general lighting for the room in addition to special lighting units at the surgical and obstetrical tables. Each special lighting unit…

Rule 44:75:14:22 Equipment installation in special areas. 44:75:14:22. Equipment installation in special areas. X ray stationary installations and mobile equipment shall conform to rules of the state electrical commission. Source: SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, …

Rule 44:75:14:23 Emergency electric supply. 44:75:14:23. Emergency electric supply. Each facility shall have an emergency source of electric supply to provide electricity during an interruption of the normal electric supply. The source of emergency electric supply shall be an aut…

Rule 44:75:14:24 Emergency electrical circuit connections. 44:75:14:24. Emergency electrical circuit connections. Emergency electrical service shall be furnished to circuits as follows: (1) Lighting of exit ways and all necessary ways of approach to them, including exit signs and…

Rule 44:75:14:25 Emergency power for electrical heating. 44:75:14:25. Emergency power for electrical heating. If electricity is the only source of power normally used for space heating, the emergency service shall provide for heating of operating, delivery, labor, recovery, inten…

Rule 44:75:14:26 Emergency electrical system details. 44:75:14:26. Emergency electrical system details. The emergency electrical system shall be so controlled that after interruption of the normal electric power supply the generator is brought to full voltage and frequency and co…

Rule 44:75:15:01 Application of chapter - Swing bed patients' rights policies. 44:75:15:01. Application of chapter - Swing bed patients' rights policies. Each facility offering swing bed services shall comply with this chapter. Each facility offering swing bed services shall esta…

44:75:15:02. Facility to inform swing bed patient of rights. Prior to or at the time of admission, a facility must inform the swing bed patient or patient representative, both orally and in writing, of the patient's rights and of the rules governing the patient's conduct and resp…

Rule 44:75:15:03 Facility to provide information on available services. 44:75:15:03. Facility to provide information on available services. A facility shall provide the following information in writing to each patient: (1) A list of services available in the facility and the char…

Rule 44:75:15:04 Notification when patient's condition changes. 44:75:15:04. Notification when patient's condition changes. A facility shall immediately inform the patient, consult with the patient's physician, and, if known, notify the patient's legal representative or intereste…

Rule 44:75:15:05 Notification of patient's room assignment or rights change. 44:75:15:05. Notification of patient's room assignment or rights change. A facility shall promptly notify the patient and, if known, the patient's legal representative, as specified in SDCL 34-12C-3, or …

Rule 44:75:15:06 Right to manage financial affairs. 44:75:15:06. Right to manage financial affairs. A patient may manage personal financial affairs. A facility may not require patients to deposit their personal funds with the facility. If the patient chooses to deposit funds with…

Rule 44:75:15:07 Choice in planning care. 44:75:15:07. Choice in planning care. A patient may choose a personal attending physician, be fully informed in advance about care and treatment and of any changes in that care or treatment that may affect the patient's well-being, and, u…

Rule 44:75:15:08 Privacy and confidentiality. 44:75:15:08. Privacy and confidentiality. A facility shall provide for privacy and confidentiality for the patient, including the patient's accommodations, medical treatment, written and telephone communications, personal care, visits…

Rule 44:75:15:09 Quality of life. 44:75:15:09. Quality of life. A facility shall provide care and an environment that contributes to the patient's quality of life, including: (1) A safe, clean, comfortable, and homelike environment; (2) Maintenance or enhancement of the patient's…

Rule 44:75:15:10 Grievances. 44:75:15:10. Grievances. A patient may voice grievances without discrimination or reprisal. A patient's grievance may be in writing or oral and may relate to treatment furnished, treatment that has not been furnished, the behavior of other patients, a…

Rule 44:75:15:11 Availability of survey results. 44:75:15:11. Availability of survey results. Survey results, along with the corresponding Plan of Correction shall be provided to patients and individuals upon request. Source: 42 SDR 51, effective October 13, 2015. General Authori…

Rule 44:75:15:12 Right to refuse to perform services. 44:75:15:12. Right to refuse to perform services. A patient may refuse to perform services on behalf of the facility, unless otherwise agreed to in the patient's plan of care. The patient may perform services for the facility …