California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 1 - General Acute Care Hospitals
Article 3 - Basic Services
Section 70223 - Surgical Service General Requirements
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Hospitals shall maintain at least the number of operating rooms in ratio to licensed bed capacity as follows:
Licensed Bed Capacity | Number of Operating Rooms |
Less than 25.......................... | ..........................One |
25 to 99.......................... | ..........................Two |
100 or more.......................... | ..........................Three |
For each additional 100 beds or major fractions thereof, at least one additional operating room shall be maintained, unless approved to the contrary by the Department.
(b) A committee of the medical staff shall be assigned responsibility for:
(c) The responsibility and the accountability of the surgical service to the medical staff and administration shall be defined.
(d) Prior to commencing surgery the person responsible for administering anesthesia, or the surgeon if a general anesthetic is not to 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:
(e) The requirements of (d), above, do not preclude rendering emergency medical or surgical care to a patient in dire circumstances.
(f) A register of operations shall be maintained including the following information for each surgical procedure performed:
(g) All anatomical parts, tissues and foreign objects removed by operation shall be delivered to a pathologist designated by the hospital and a report of his findings shall be filed in the patient's medical record.
(h) Periodically, an appropriate committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.
(i) The requirements in this section do not apply to special hospitals unless the special hospital provides this service.
1. New subsection (i) filed 7-28-78; effective thirtieth day thereafter (Register 78, No. 30).