CALIFORNIA CODE OF REGULATIONS - State of California

§ 79833 CALIFORNIA CODE OF REGULATIONS
Page 692
rooms shall also comply with applicable provisions of the California
Building Standards Code regarding isolation rooms.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79833. Provision for Emptying Bedpans.
(a) Bedpans shall be emptied and cleaned in soiled utility rooms or
in toilets adjoining or within patients’ rooms. Such toilets shall be
equipped with flushing attachments for bedpan washing and vacuum
breakers.
(b) Utility rooms shall be maintained in each correctional treatment
center and shall be designed for separation of clean and dirty work
areas. Separate clean and dirty utility rooms may be provided
alternatively. Each utility room shall include a work counter, a hand
washing fixture, and a rim flush clinic sink.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79835. Central Sterile Supply.
(a) The correctional treatment center shall have a sufficient supply
of properly sterilized equipment and materials for the patient care
needs.
(b) The correctional treatment center shall provide for the storage
of a sufficient supply of sterile materials and shall have a system to
dispense them throughout the correctional treatment center. The area
in which the sterile materials are stored and dispensed shall be
designated, equipped and staffed for this purpose.
(c) A specific person shall be designated to be in charge of the
central sterile supply.
(d) There shall be written procedures developed and implemented
pertaining to the preparation, handling and distribution of sterile
supplies and equipment.
(e) There shall be effective separation of soiled or contaminated
supplies and equipment from the clean or sterile supplies and
equipment to prevent cross–contamination of the clean or sterile
supplies and equipment.
(f) Sterile supplies and equipment shall be stored in clean cabinets,
cupboards or on clean shelves. An orderly system of rotation and
utilization of sterile supplies shall be used based on the shelf life of the
wrap.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79837. Preparation of Sterile Supplies and Equipment.
(a) The processing and sterilizing of equipment and supplies shall
be under the supervision of a person who has knowledge of principles
of cleaning, sterilizing and infection control as evidenced by training
and experience.
(b) Policies and procedures shall be developed, maintained and
implemented on the proper decontamination, disinfection and
sterilization of equipment and supplies. Procedures shall include, but
not be limited to, the following:
(1) Proper techniques for utilization of the sterilization equipment,
including the loading and unloading of equipment and supplies.
(2) Establishing the proper parameters for sterilization, e.g.,
temperature, pressure and period of exposure for steam sterilization.
(3) Length of aeration period of gas sterilized items.
(4) Packaging, labeling and dating of sterilized items, including
date of sterilization and expiration of safe shelf life.
(5) A recall system including quarantine periods and procedures to
be implemented in the event of a recall.
(c) The efficacy of the sterilization process shall be verified at least
weekly by the use of appropriate biological indicators. All sterilized
items shall be provided with appropriate physical indicators to verify
that they have been exposed to the sterilization process. For gas
sterilizers, a biological test shall be incorporated into each sterilizing
cycle.
(d) Each sterilizer shall be identifiable to facilitate any necessary
recall actions.
(e) Where appropriate, records shall be made of relevant
sterilization parameters to confirm the adequacy of each sterilization
cycle, and the records shall be retained for at least three years.
(f) Sterilizers shall be maintained in proper operating condition. A
sterilizer no longer in use shall be conspicuously labeled as
nonoperational and disconnected from steam or gas lines.
(g) If sterilized equipment and/or supplies are obtained from an
outside source, the correctional treatment center shall assure that the
provider meets the same or comparable standards as set forth in this
regulation.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79839. Call Systems.
(a) A call system shall be maintained in operating order in all
nursing units. Call systems shall be maintained to provide visible and
audible signal communication between nursing personnel and
patients. The minimum requirements shall be:
(1) A call station or stations providing readily accessible patient
controls to each patient bed.
(2) A visible signal in the corridor above or adjacent to the door of
each patient room.
(3) An audible signal and light, on a continuous or intermittent
basis indicating the room from which the call originates shall be
located at the nurses’ stations. Alternate systems must be approved in
writing by the Department.
(b) The call system shall be extended to each patient’s toilet room,
bathroom and shower room in locations easily accessible to the
patients.
(c) The call systems shall be designed to require resetting at the
place of origin unless a two–way voice communication component is
included in the system.
(d) The requirements for call systems in psychiatric units serving
ambulatory patients may be waived by the Department.
NOTE: Authority cited: Sections 208(a) and 1267.10(a), Health and
Safety Code. Reference: Sections 1250(j) and 1254, Health and Safety
Code.
§ 79841. General Maintenance.
(a) The correctional treatment center shall be in good repair and
working order.
(b) The correctional treatment center shall have an organized
program to ensure that the buildings and grounds are reasonably free
of environmental hazards and nuisances which may adversely affect
the health or well–being of patients, personnel and visitors.
(c) The fixed equipment of the correctional treatment center shall
be in proper working order. The correctional treatment center shall
have an organized program for the routine inspection, testing and
maintenance of the hospital’s fixed equipment including the heating,
air conditioning and
ventilation systems, all fire warning and fire safety systems, and other
building support systems which are identified by hospital policy as
capable of creating a significant physical or environmental hazard if
not properly maintained.
(d) The patient care equipment of the correctional treatment center
shall be in proper working order. The correctional treatment center
shall have an organized program for the routine inspection,
maintenance and calibration of the correctional treatment center’s
diagnostic, therapeutic and other patient care equipment identified by
correctional treatment center policies as posing a significant risk to
patients if not properly maintained.
(e) The correctional treatment center’s maintenance program for
fixed and patient care equipment shall include the following: