Current through Register Vol. 50, No. 9, September 20, 2024
A.
General Provisions
1. The outpatient abortion
facility shall be designed, constructed, equipped, and maintained to protect
the health and safety of patients, personnel, and the public at all
times.
2. The outpatient abortion
facility shall meet the provisions for physical environment under this Section,
unless otherwise noted herein.
3.
For the purposes of this Section, major renovations are defined as such
renovations that affect the alteration to the functionality or original design
of the facility's construction. Painting walls, re-tiling floors, installation
of carpet, repairing roof damage or reroofing are not considered to be major
renovations for purposes of this Section.
4. A separate waiting area shall be provided
that is sufficient in size to provide seating space for patients, staff, and
visitors of the patient.
5. Toilet
facility's for patients, staff, and visitors shall be installed and maintained
in accordance with the requirements of
LAC Title 51, Public
Health-Sanitary Code.
a. Every
toilet room shall contain at least one water closet and one lavatory. Such
toilet facility's shall be provided with ventilation in accordance with the
requirements of LAC Title 51, Public Health-Sanitary
Code.
b. Hot and cold
water delivered through a mixing faucet, soap, and mechanical hand drying
devices and/or disposable paper towels shall be provided at all hand washing
lavatories/stations.
c. Showers or
shower/tub combinations, if provided, shall meet the requirements of
LAC Title 51, Public Health-Sanitary Code.
6. Additional General Provisions. For
outpatient abortion facility's that receive their initial outpatient abortion
license after the effective date of the promulgation of this Rule, receive plan
review approval for major renovations after the effective date of the
promulgation of this Rule or change their geographical address after the
effective date of the promulgation of this Rule, the following additional
general provisions shall apply:
a. flooring in
all patient areas shall be readily cleanable, monolithic and joint free, and
slip-resistant;
b. wall finishes in
all patient areas shall be smooth, moisture resistant, washable, and free of
fissures, open joints, or crevices that may retain or permit passage of dirt
particles; and
c. wall bases in all
patient areas shall be monolithic and coved with the floor, tightly sealed to
the wall, and constructed without voids.
B. Signage. The outpatient abortion facility
shall provide:
1. an exterior sign that can be
viewed by the public. The sign shall contain, at a minimum, the doing business
as name of the facility as it appears on the outpatient abortion facility
license issued by the department;
2. clearly identifiable and distinguishable
signs for outpatient abortion facility's operating within another facility
which shall comply with the provisions of applicable state laws, rules, and
regulations.
C.
Procedure Room
1. Abortion procedures shall
be performed in a segregated procedure room, removed from general traffic lines
with a minimum clear floor area of 120 square feet, exclusive of vestibule,
toilets or closets.
2. There shall
be a hand-washing station within each procedure room and within each
post-anesthesia recovery area. Fixtures shall not encroach upon any required
egress path or other required clear dimension.
D. Post-Anesthesia Recovery Area
1. The outpatient abortion facility shall
have a separate post-anesthesia recovery area with a minimum clear recovery
area with a minimum clear area of 2 feet, 6 inches around the three sides of
each stretcher or lounge chair for work and circulation.
2. The outpatient abortion facility shall
have a nurses station equipped with a countertop, space for supplies,
provisions for charting, and a communication system. The nursing station shall
be arranged to provide for direct visual observation of all traffic into the
recovery area.
E.
Equipment and Supply Storage Area. For outpatient abortion facility's that
receive their initial outpatient abortion license after the effective date of
the promulgation of this Rule, receive plan review approval for major
renovations after the effective date of the promulgation of this Rule, or
change their geographical address after the effective date of the promulgation
of this Rule, the outpatient abortion facility shall have:
1. a soiled utility room which contains a
utility sink, a work counter, a hand washing station, waste receptacle(s), and
a space for soiled linen or equipment;
a. a
designated separate space shall be provided for soiled materials
storage;
b. soiled materials shall
not be stored or transported through the clean laundry area;
2. a clean utility room which is
used for clean or sterile supplies;
3. an equipment and supply storage room with
sufficient floor space for equipment and supplies used in the procedure room
which shall not encroach upon any required egress path or other required clear
dimension;
4. at least one
stretcher and one wheelchair for patient use; and
5. sufficient pathway to accommodate the
usage of a stretcher and a wheelchair
F. If the outpatient abortion facility
maintains an in-house laundry, the areas shall be designed in accordance with
infection control standards and LAC Title 51, Public Health-Sanitary
Code, as applicable.
G.
Forced Abortion Prevention Signage. Each outpatient abortion facility shall
ensure a sign is obtained from the department in accordance with the Forced
Abortion Prevention Sign Act.
1. Display. The
sign shall be posted on the licensed premises and shall be clearly visible to
patients. The sign provided shall be conspicuously posted in each patient
admission area, waiting room, and patient consultation room used by patients on
whom abortions are performed, induced, prescribed for, or who are provided with
the means for an abortion.
H. National Human Trafficking Resource Center
Hotline. Each outpatient abortion facility shall post information regarding the
National Human Trafficking Resource Center Hotline.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2175.1 et
seq.
