South Dakota Administrative Code

Rule 44:76:11:14 Insulation. 44:76:11:14. Insulation. Boiler rooms, food preparation centers, and laundries shall be insulated and ventilated to prevent any floor surface above them from exceeding a temperature of 85 degrees Fahrenheit (29.4 degrees centigrade). All combustible i…

Rule 44:76:11:15 Floor surface finish. 44:76:11:15. 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 44:76:11:16 Wall and ceiling finish. 44:76:11:16. 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 44:76:11:17 Elevators. 44:76:11:17. Elevators. All facilities where either patients' beds or a critical service, such as operating, diagnostic, dietary, laundry, central storage, or therapy rooms, is located, other than the first floor, shall have an electrical or electrohyd…

Rule 44:76:11:18 Steam and hot water systems. 44:76:11:18. Steam and hot water systems. Boilers shall have the capacity to supply the normal requirements of all systems and equipment. Supply and return mains and risers of space heating and process steam systems shall be valved to…

Rule 44:76:11:19 Ventilating systems. 44:76:11:19. Ventilating systems. The ventilating systems shall maintain temperatures, minimum air changes of outdoor air an hour, minimum total air changes, and relative humidity as follows: (1) Operating rooms - 68 to 73 degrees Fahrenheit …

Rule 44:76:11:20 Filters. 44:76:11:20. Filters. A ventilation system using a recirculated central air system shall be equipped with a minimum of two filter beds. Filter bed number one shall be located upstream of the conditioning equipment and shall have a minimum efficiency of 3…

Rule 44:76:11:21 Ducts. 44:76:11:21. Ducts. Ducts shall be constructed of iron, steel, aluminum, or other approved metal or materials as defined in NFPA 101 Life Safety Code 2012 edition. Duct linings, coverings, vapor barriers, and the adhesives used for applying them shall have…

Rule 44:76:11:22 Food service ventilation. 44:76:11:22. 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. Exhaust hoods in food preparation centers sha…

Rule 44:76:11:23 Plumbing fixtures. 44:76:11:23. 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 …

Rule 44:76:11:24 Water supply systems. 44:76:11:24. Water supply systems. Water supply systems shall supply water to the fixtures and equipment on the upper floors at a minimum pressure of 15 pounds a square inch (1,055.9 kilograms a square meter) during maximum demand periods. E…

Rule 44:76:11:25 Vacuum breakers. 44:76:11:25. Vacuum breakers. An antisiphon device or backflow preventer shall be installed on hose bibs and on all fixtures to which hoses or tubing can be attached such as laboratory and janitors' sinks, bedpan flushing attachments, and handhel…

Rule 44:76:11:26 Hot water systems. 44:76:11:26. 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 …

Rule 44:76:11:27 Drainage systems. 44:76:11:27. Drainage systems. Each drain line from sinks in which acid wastes may be poured shall be fabricated from an acid resistant material. Any piping over each operating and delivery room, nursery, food preparation center, food serving fa…

Rule 44:76:11:28 Electrical distribution system. 44:76:11:28. 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 44:76:11:29 Lighting. 44:76:11:29. 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 treatment room shall have general li…

Rule 44:76:11:30 Receptacles or convenience outlets. 44:76:11:30. Receptacles or convenience outlets. Each operating room shall have at least three receptacles. In locations where mobile X ray is used, an additional receptacle, distinctively marked for X ray use, shall be provide…

Rule 44:76:11:31 Staff call system. 44:76:11:31. Staff call system. A staff call system shall be provided for patient use at each recovery station that will register a call from the patient both visually and audibly at the staff call station and actuate a visual signal at the pat…

Rule 44:76:11:32 Submittal of plans and specifications. 44:76:11:32. 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…

Rule 44:76:11:33 Pipe requirements. 44:76:11:33. Pipe requirements. All piping systems for potable water shall be installed to eliminate any dead-end runs of piping. Before placing potable water systems in service, the piping system shall be disinfected in accordance with the Sou…

Rule 44:76:11:34 Detached structures. 44:76:11:34. 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…

Rule 44:76:12:01 Application of standards. 44:76:12:01. Application of standards. The construction standards in this chapter apply to all new facilities and to alterations, additions, and changes in space use to existing facilities. Source: 42 SDR 51, effective October 13, 2015. …

Rule 44:76:12:02 Surgical suites. 44:76:12:02. Surgical suites. The number of operating rooms shall be based on the expected surgical workload. The surgical suite shall be located to prevent through traffic. A recovery room with charting space, medication storage and preparation …

Rule 44:76:12:03 Service areas in surgical suite. 44:76:12:03. 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 44:76:12:04 Diagnostic imaging suite. 44:76:12:04. Diagnostic imaging suite. The diagnostic imaging suite shall contain: (1) One or more radiographic rooms with necessary radiation protection; (2) A film processing room, if required; (3) A film filing room; (4) Toilet room a…

Rule 44:76:12:05 Laboratory suite. 44:76:12:05. 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 faucets which can be operated without the use of ha…

Rule 44:76:12:06 Pharmacy or drug room. 44:76:12:06. 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…

Rule 44:76:12:07 Central medical and surgical supply department. 44:76:12:07. 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 44:76:12:08 Central stores. 44:76:12:08. Central stores. General central storage rooms shall have a total area of not less than 20 square feet (1.86 square meters) for each operating or procedure room. General storage should be concentrated in one area on-site, but up to 50 …

Rule 44:76:12:09 Details and finishes. 44:76:12:09. Details and finishes. Ceiling heights of operating 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 isolation rooms, …

Rule 44:76:12:10 Ventilation. 44:76:12:10. 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 or sensitive area shall be de…

Rule 44:76:12:11 Air filters. 44:76:12:11. Air filters. A ventilation system shall be equipped with a minimum of two filter beds. Filter bed number one shall be located upstream of the conditioning equipment and shall have a minimum efficiency of 30 percent. Filter bed number two…

Rule 44:76:12:12 Ducts. 44:76:12:12. Ducts. Ducts which penetrate construction intended for X ray or other ray protection may not impair the effectiveness of the protection. Porous duct lining materials may not be used in the interior of duct systems serving sensitive areas such …

Rule 44:76:12:13 Plumbing fixture devices. 44:76:12:13. Plumbing fixture devices. Bedpan flushing devices shall be provided in each soiled workroom. Source: 42 SDR 51, effective October 13, 2015. General Authority: SDCL 34-12-13(1) and (3). Law Implemented: SDCL 34-12-13(1) and (…

Rule 44:76:12:14 Operating room lighting. 44:76:12:14. Operating room lighting. Operating rooms shall have general lighting for the room in addition to special lighting units at the surgical tables. Each special lighting unit for local lighting at tables shall be connected to an …

Rule 44:76:12:15 Equipment installation in special areas. 44:76:12:15. Equipment installation in special areas. X ray stationary installations and mobile equipment shall conform to rules of the state electrical commission. Source: 42 SDR 51, effective October 13, 2015. General Au…

Rule 44:76:12:16 Emergency electric supply. 44:76:12:16. 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 44:76:12:17 Emergency electrical circuit connections. 44:76:12:17. 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 44:76:12:18 Emergency electrical system details. 44:76:12:18. 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 44:76:13:01 Application of chapter - Patients' rights policies. 44:76:13:01. Application of chapter - Patients' rights policies. Each facility shall establish policies consistent with this chapter to protect and promote the rights of the patient. Source: 42 SDR 51, effective…

Rule 44:76:13:02 Facility to inform patient of rights. 44:76:13:02. Facility to inform patient of rights. Prior to or at the time of admission, a facility shall inform the patient, both orally and in writing, of the patient's rights and of the rules governing the patient's conduc…

Rule 44:76:13:03 Facility to provide information on available services. 44:76:13:03. 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 44:76:13:04 Notification when patient's condition changes. 44:76:13:04. 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 44:76:13:05 Choice in planning care. 44:76:13:05. 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 44:76:13:06 Privacy and confidentiality. 44:76:13:06. 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 44:76:13:07 Grievances. 44:76:13:07. 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 44:76:13:08 Availability of survey results. 44:76:13:08. 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 44:76:13:09 Self-administration of drugs. 44:76:13:09. Self-administration of drugs. A patient may self-administer drugs if approved by the physician and determined the practice to be safe. The determination shall state whether the patient or the nursing staff is responsible…

Rule 44:76:13:10 Advance directive. 44:76:13:10. Advance Directive. The facility shall provide the patient or the patients' representative, as appropriate, the following: (1) Information on the facility's policies on advance directives; (2) A description of the applicable state h…

Rule 44:76:13:11 Admission, transfer, and discharge policies. 44:76:13:11. Admission, transfer, and discharge policies. A facility shall establish and maintain policies and practices for admission, discharge, and transfer of patients which prohibit discrimination based upon payme…