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 6 - Supplemental Services
Section 70607 - Renal Transplant Center General Requirements

Universal Citation: 22 CA Code of Regs 70607

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and the administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate.

(b) The responsibility and the accountability of the renal transplant center to the medical staff and administration shall be defined.

(1) Perform a sufficient number of transplants per annum to demonstrate a capability to perform with high quality. Fifteen (15) transplants should be performed per annum.

(2) Offer both living related donor and cadaver donor transplant services.

(3) Contribute to a coordinated system of care by arrangements with other facilities providing care for patients with end-stage renal disease.

(4) Make renal transplant services available to patients with end-stage renal disease referred from facilities that do not provide renal transplant services.

(5) Participate in the development and use of a registry of prospective recipient patients.

(6) Participate in kidney procurement, preservation and transport program.

(7) Cooperate with other facilities for the timely transfer of medical data on patients with end-stage renal disease.

(d) There shall be a written hepatitis control program incorporating the recommendations of Report 33, January 1971, of the Hepatitis Surveillance Program of the Center for Disease Control, Public Health Services, Atlanta, GA 30333.

(e) There shall be in-service training and continuing education for all medical, nursing and other personnel.

(f) The particular requirements for renal transplant and acute dialysis patients shall be accommodated in the disaster and fire plans of the hospital.

(g) The hospital shall provide directly:

(1) Inpatient acute dialysis.

(2) Respiratory therapy.

(3) Angiography.

(4) Nuclear medicine.

(5) Twenty-four hour laboratory capability of performing, as a minimum, the following determinations: C.B.C., B.U.N., creatinine, platelet count, blood typing and cross matching, blood gas analysis, blood pH, electrolytes, serum glucose, coagulation tests, spinal fluid examination, and urinalysis.

(6) Immunofluorescence studies.

(h) The hospital shall provide directly or by arrangement:

(1) Microbiological studies for rickettsiae, fungi, bacteria and viruses.

(2) Electron microscopy.

(3) Outpatient follow-up care of patients with renal transplants.

(4) Tissue culture.

(5) Tissue typing and immunologic testing.

(6) Cadaver kidney preservation.

(7) Chronic dialysis.

(i) Periodically, a committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.

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