South Dakota Administrative Code

44:76:05:01. Admissions. Each patient may be admitted only on the order of a practitioner, and the patient's health care shall continue under the supervision of a physician who is a member of the medical staff. Before or on admission of a patient, the patient's physician shall pr…

Rule 44:76:05:02 Medical orders. 44:76:05:02. Medical orders. All medical orders, including verbal orders, shall be in writing or electronic format and shall be dated, timed, and authenticated promptly by the practitioner. Verbal orders are for medications, treatments, interventi…

Rule 44:76:05:03 Physician assistant, nurse practitioner, or clinical nurse specialist. 44:76:05:03. Physician assistant, nurse practitioner, or clinical nurse specialist. If the services of a physician assistant, nurse practitioner, or clinical nurse specialist are utilized, the…

Rule 44:76:06:01 Nursing services. 44:76:06:01. Nursing services. Each facility shall have an organized nursing service under the direction of a registered nurse. At least one registered nurse shall be on duty in the ambulatory surgery center at all times when a patient is in the…

Rule 44:76:06:02 Nursing policies and procedures. 44:76:06:02. Nursing policies and procedures. The facility shall establish and maintain policies and procedures that provide the nursing staff with methods of meeting its administrative and technical responsibilities in providing …

Rule 44:76:07:01 Pharmaceutical services. 44:76:07:01. Pharmaceutical services. The requirements for pharmaceutical services in ambulatory surgery centers are as follows: (1) A physician, pharmacist, or registered nurse is responsible for the supervision of drug stocks in the fac…

Rule 44:76:07:02 Policies and procedures. 44:76:07:02. Policies and procedures. Each facility shall establish and practice methods and procedures for medication control that include the following: (1) A requirement that each patient's prescribing physician, physician assistant, o…

Rule 44:76:07:03 Written orders for medication required. 44:76:07:03. Written orders for medication required. All medications or drugs administered to patients shall be ordered electronically or in writing and authenticated by the prescriber. Verbal orders for medications or drug…

Rule 44:76:07:04 Storage and labeling of medications and drugs. 44:76:07:04. Storage and labeling of medications and drugs. All drugs or medications shall be stored in a well illuminated, locked storage area that is well ventilated, maintained at a temperature appropriate for dru…

Rule 44:76:07:05 Control and accountability of medications and drugs. 44:76:07:05. Control and accountability of medications and drugs. A patient may self-administer medications brought from home during their treatment or these medications may be administered by the facility staf…

Rule 44:76:07:06 Documentation of drug disposal. 44:76:07:06. Documentation of drug disposal. Legend drugs not controlled under SDCL chapter 34-20B shall be destroyed or disposed of by a nurse and another witness. Destruction or disposal of medications controlled under SDCL chapt…

Rule 44:76:07:07 Medication administration. 44:76:07:07. Medication administration. Each medication administered shall be recorded in the patient's medical record and signed by the person responsible. Medication errors and drug reactions shall be reported to the patient's physici…

Rule 44:76:07:08 Medication records. 44:76:07:08. Medication records. Medication administration records shall be used and regularly checked against the practitioner's orders. Each medication administered shall be recorded in the patient's medical record and signed by the individu…

Rule 44:76:07:09 Administration of facility pharmacy. 44:76:07:09. Administration of facility pharmacy. The pharmaceutical service of each facility with a licensed full or part-time pharmacy shall be directed by a licensed pharmacist accountable to the administration of the facil…

Rule 44:76:08:01 Medical record department. 44:76:08:01. Medical record department. There shall be an organized medical record system. A medical record shall be maintained for each level of care for each patient admitted to the facility. Source: 42 SDR 51, effective October 13, 2…

Rule 44:76:08:02 Medical record department staff. 44:76:08:02. Medical record department staff. The medical record functions shall be performed by persons trained and equipped to facilitate the accurate processing, checking, indexing, filing, and retrieval of all medical records.…

Rule 44:76:08:03 Written policies and confidentiality of records. 44:76:08:03. Written policies and confidentiality of records. There shall be written policies and procedures to govern the administration and activities of the medical record service. They shall include policies an…

Rule 44:76:08:04 Record content. 44:76:08:04. Record content. Each medical record shall show the condition of the patient from the time of admission until discharge and shall include the following: (1) Identification data; (2) Consent forms, except in procedures determined emerge…

Rule 44:76:08:05 Authentication. 44:76:08:05. Authentication. A facility shall ensure entries to the medical record timed, dated and signed or electronically authenticated. If the facility permits any portion of the medical record to be generated by electronic or optical means, p…

Rule 44:76:08:06 Retention of medical records. 44:76:08:06. Retention of medical records. A facility shall retain medical records for a minimum of ten years from the actual visit date of service or patient care. The retention of the record for ten years is not affected by additio…

Rule 44:76:08:07 Storage of medical records. 44:76:08:07. Storage of medical records. A facility shall provide for filing, safe storage, and easy accessibility of medical records. The medical records shall be preserved as original records or in other readily retrievable and repro…

Rule 44:76:08:08 Destruction of medical records. 44:76:08:08. Destruction of medical records. After the minimum retention period of ten years from the actual visit date of care outlined in § 44:76:09:06, the medical record may be destroyed at the discretion of the health care fac…

Rule 44:76:08:09 Disposition of medical records on closure of facility or transfer of ownership. 44:76:08:09. Disposition of medical records on closure of facility or transfer of ownership. If a facility ceases operation, the facility shall provide for safe storage and prompt ret…

Rule 44:76:09:01 Laboratory services. 44:76:09:01. Laboratory services. Laboratory services performed in an ambulatory surgery center shall be under the supervision of a qualified director or shall be done by a laboratory that has a valid Clinical Laboratory Improvement Amendment…

Rule 44:76:09:02 Pathology services. 44:76:09:02. Pathology services. Each laboratory shall have the services of a pathologist available within the facility or by arrangement. Any tissue removed from a patient shall be handled as outlined in facility policy. Pathology services by…

Rule 44:76:09:03 Technical laboratory operations. 44:76:09:03. Technical laboratory operations. Each 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 data. Each …

Rule 44:76:09:04 Blood transfusion services. 44:76:09:04. Blood transfusion services. Each facility providing transfusion services shall provide facilities and equipment for the procurement, storage, and administration of blood products. Blood, blood products, and equipment requi…

Rule 44:76:09:05 Diagnostic x-ray services. 44:76:09:05. Diagnostic x-ray services. Each facility shall be able to provide or arrange with an outside service for the provision of diagnostic radiology services in connection with surgery to be performed. Safety and sanitation proce…

Rule 44:76:09:06 Radiological service policies and manuals required. 44:76:09:06. 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 44:76:09:07 Radiological department personnel. 44:76:09:07. 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 44:76:09:08 Radiological reports. 44:76:09:08. 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…

Rule 44:76:10:01 Scope of surgical services. 44:76:10:01. Scope of surgical services. The ambulatory surgery center services are limited to those surgical and other medical procedures that may be safely performed in a dedicated operating room or procedure rooms and which may requ…

Rule 44:76:10:02 Surgical services. 44:76:10:02. Surgical services. Each facility in which surgery is performed shall maintain an operating suite with appropriate equipment, including an X-ray view box or film illuminator. The suite shall be supervised by a registered nurse with …

Rule 44:76:10:03 Surgical records. 44:76:10:03. Surgical records. When surgery is performed, the following record requirements apply: (1) An operating room register shall be maintained and shall include the patient's name, identification number or medical record number, date of o…

44:76:10:04. Anesthesia services. Each facility shall provide anesthesia services organized, directed, and integrated with other related services commensurate with the scope and needs of patients. Each facility shall ensure qualified staff deliver anesthesia care to patients acco…

Rule 44:76:10:05 Emergency equipment. 44:76:10:05. Emergency equipment. The facility governing body and medical staff shall coordinate, develop, and revise policies and procedures to specify the type of emergency equipment required for use in the facilities operating and procedur…

Rule 44:76:10:06 Emergency services. 44:76:10:06. Emergency services. A facility referring patients for transfer must initiate essential life-saving measures and provide emergency procedures within the capacity of the facility that will minimize aggravation of a patient’s conditi…

Rule 44:76:11:01 Application of chapter. 44:76:11:01. 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 approved existing facility. Accessible and usable accommodations shall b…

Rule 44:76:11:02 Administration department. 44:76:11:02. Administration department. The administration department shall include a business office, information center, administrator's office, admitting office, staff lounge, medical library, lobby, and public and staff toilet rooms…

Rule 44:76:11:03 Medical records unit. 44:76:11:03. 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 44:76:11:04 Storage rooms. 44:76:11:04. Storage rooms. There shall be at least 20 square feet (1.858 square meters) of central storage provided for each operating or procedure room. General storage shall be concentrated in one area in the facility, but up to 50 percent of th…

Rule 44:76:11:05 Service area in care units. 44:76:11:05. Service area in care units. Each care unit shall contain a service area which includes the following: (1) Staff station with convenient access to handwashing facilities; (2) Staff charting; (3) Communications; (4) Storage …

Rule 44:76:11:06 Dietary department. 44:76:11:06. Dietary department. Construction, equipment, and installation of the dietary department if provided shall comply with or exceed the minimum standards in §§ 44:02:07:01, 44:02:07:02, and 44:02:07:04 to 44:02:07:95, inclusive, the F…

Rule 44:76:11:07 Food preparation services and equipment. 44:76:11:07. Food preparation services and equipment. Any dietary area shall be completely cleanable by conventional methods. The location and design of the dietary area if provided shall enable convenient handling of inco…

Rule 44:76:11:08 Lanudry. 44:76:11:08. Laundry. The laundry shall include the following: (1) Linen cart storage; (2) Storage for laundry supplies; (3) A lavatory conveniently accessible to soiled, clean, and processing rooms; and (4) Laundry processing room with separate soiled a…

Rule 44:76:11:09 Employee facilities. 44:76:11:09. Employee facilities. The male and female locker rooms for employees shall have lockers and a separate toilet room with handwashing facility. Source: 42 SDR 51, effective October 13, 2015. General Authority: SDCL 34-12-13(3). Law …

Rule 44:76:11:10 Corridor restrictions. 44:76:11:10. 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 44:76:11:11 Doors. 44:76:11:11. Doors. Any door to a patient toilet 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 a restroom pocket…

Rule 44:76:11:12 X ray protection. 44:76:11:12. X ray protection. Protection of X ray and gamma ray installations shall 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, 19…

Rule 44:76:11:13 Ceiling heights. 44:76:11:13. 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 …