CALIFORNIA CODE OF REGULATIONS - State of California

§ 79729 CALIFORNIA CODE OF REGULATIONS
Page 680
(1) Oxygen and suction outlets.
(2) A labor bed with adjustable side rails.
(3) Footstool.
(4) One or more comfortable chairs.
(5) Hand washing facilities for staff.
(6) Toilet and hand washing facilities shall be in or immediately
adjacent to labor room and shall be shared by no more than two
patients.
(7) Adjustable examination light.
(8) Sphygmomanometer/cuff.
(9) Regular and fetal stethoscope.
(d) Delivery rooms shall have at least the following equipment:
(1) Adjustable delivery table.
(2) Surgical overhead light.
(3) Equipment for inhalation anesthesia and regional analgesia.
(4) Clock with sweep second hand.
(5) An elapsed time clock.
(6) Emergency supplies such as packings, syringes, needles and
drugs.
(7) Emergency call system.
(8) Provision for oxygen and suction for mother and infant.
(9) Thermostatically controlled incubator or radiant heating
device.
(10) Erythromycin ophthalmic ointment and solutions for
prophylactic Crede’ treatment of eyes.
(11) Sterile clamps or ties for umbilical cord.
(12) Resuscitation equipment and supplies to include at least:
(A) Glass trap suction device with catheter.
(B) Pharyngeal airways, assorted sizes.
(C) Laryngoscope, including a blade suitable for premature
infants.
(D) Endotracheal catheters, assorted size with malleable stylets.
(E) Arterial catheters, assorted sizes.
(F) Ventilatory assistance bag and infant mask.
(G) Bulb syringe.
(H) Stethoscope.
(I) Syringes, needles and appropriate drugs.
(e) Nursery equipment shall include at least the following:
(1) A separate bassinet made of easily cleanable material such as
metal or clear plastic for each infant.
(2) Enclosed storage unit for clean supplies for each infant.
(3) Diaper receptacles with a cover, foot control and disposable
liner.
(4) A hamper with a disposable liner for soiled linen.
(5) A wall thermometer and hygrometer.
(6) Accurate beam scales or the equivalent.
(7) Thermostatically controlled incubators or radiant heating
devices to maintain proper ambient temperature.
(8) Oxygen and compressed air supply regulating devices and
administration equipment.
(9) Resuscitation equipment as required in delivery rooms.
(10) Suction equipment.
(11) At least one duplex electrical outlet for every two bassinets.
(12) One hand washing sink with controls not requiring direct
contact of the hands for operation for each six bassinets. Wrist or
elbow blade handles are not acceptable.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79729. Optional Services—Outpatient Surgical Care.
Outpatient surgical care means the provision of surgical services
to patients not requiring hospitalization, with appropriate staff, space,
equipment, and supplies.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79731. Outpatient Surgical Care—General Requirements.
(a) If outpatient surgery is performed, the written policies and
procedures, approved by the governing body of the correctional
treatment center, shall make provision for at least the following:
(1) The types of operative procedures that may be performed shall
be specified.
(2) The types of anesthesia that may be used shall be specified.
(3) Preoperative evaluation of the patient, meeting the same
standards as apply to inpatient surgery.
(4) Informed consent.
(5) The delivery of all anatomical parts, tissues and foreign objects
removed to a pathologist designated by the hospital with a report of
findings to be filed in the patient’s medical record.
(6) Written preoperative instructions to patients covering:
(A) Applicable restrictions upon food and drugs before surgery.
(B) Any special preparations to be made by the patient.
(C) Any postoperative requirements.
(D) An understanding that admission to a hospital may be required
in the event of an unforeseen circumstance.
(7) Examination of each patient by a physician prior to discharge.
(b) Where general anesthesia is to be administered, written policies
and procedures shall be developed and maintained by the physician
responsible for the service in consultation with other appropriate
health professionals and administration. Policies and procedures
shall be approved by the administration and medical director. The
policies and procedures shall include provision for at least:
(1) Preanesthesia evaluation of the patient by a physician or a
certified registered nurse anesthetist with appropriate documentation
of pertinent information relative to the choice of anesthesia and the
surgical or obstetrical procedure anticipated.
(2) Review of the patient’s condition immediately prior to
induction of anesthesia.
(3) Safety of the patient during the anesthetic period.
(4) Recording of all events taking place during the induction of,
maintenance of and emergence from anesthesia, including the amount
and duration of all anesthetic agents, other drugs, intravenous fluids
and blood or blood fractions.
(c) Prior to commencing surgery, the person responsible for
administering anesthesia, or the surgeon if a general anesthetic is not
be administered, shall verify the patient’s identity, the site and side of
the body to be operated on, and ascertain that a record of the following
appears in the patient’s medical record:
(1) An interval medical history and physical examination
performed and recorded within the previous 24 hours.
(2) Appropriate screening tests, based on the needs of the patient,
accomplished and recorded within 72 hours prior to surgery.
(3) An informed consent, in writing, for the contemplated surgical
procedure.
(d) The requirements of subsection (c), above, do not preclude
rendering emergency medical or surgical care to a patient.
(e) A register of operations shall be maintained including the
following information for each surgical procedure performed.
(1) Name, age, sex and identity number of the patient.
(2) Date and time of the operation and the operating room number.
(3) Preoperative and postoperative diagnosis.
(4) Name of surgeon, assistants, anesthetists and scrub and
circulating assistants.
(5) Surgical procedure performed and anesthetic agent used.
(6) Complications, if any, during the operation.
(f) An affiliation agreement or contract for the referral and transfer
of patients with emergency medical problems shall be established and
available for inspection by the Department.