New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 800 - RESIDENTIAL CARE AND HEALTH FACILITY RULES
Part He-P 802 - RULES FOR HOSPITALS
Section He-P 802.33 - Surgical Services

Universal Citation: NH Admin Rules He-P 802.33

Current through Register No. 40, October 3, 2024

(a) Hospitals which provide surgical services shall determine the scope of surgical services that shall be performed in the surgical suite.

(b) The hospital shall determine the types of anesthesia that shall be utilized for each type of surgical procedure and assure its availability in the surgical suite.

(c) The surgical suite shall be a separate unit, physically set apart from all other departments.

(d) The surgical suite shall contain the following:

(1) At least one operating room equipped for general operating use within the scope of surgical services determined by the hospital in accordance with (a) above;

(2) Facilities for sterilization, scrubbing and clean-up separate from the operating room;

(3) Clean, sterile, and soiled or decontamination rooms which shall be separate and distinct;

(4) Appropriate storage space for sterile supplies, instruments, anesthesia, and medications;

(5) Emergency lighting;

(6) Adequate ventilation, including air exchanges, humidity and temperature which shall meet the requirements of the ANSI/ASHRAE/ASHE Standard 170-2013: Ventilation of Health Care Facilities as referenced in the FGI's "Guidelines for Design and Construction of Hospitals" (2018 edition) and FGI's "Guidelines for Design and Construction of Outpatient Facilities" (2018 edition), available as noted in Appendix A, including but not limited to, operating rooms, sterile supply, clean, and decontamination rooms; and

(7) Space routinely used for administering inhalation anesthesia and inhalation analgesia which shall be served by a scavenging system to vent waste gases with the air supply at or near the ceiling and return or exhaust air inlets near the floor level.

(e) The nursing director of the surgical suite shall be a registered nurse with education, training and experience in surgical nursing techniques.

(f) The anesthesiologist shall be qualified in anesthesiology in accordance with the medical staff bylaws of the hospital.

(g) The chief of surgical service shall be board certified in surgery.

(h) The surgical suite shall not be used for childbirth except for Caesarian section procedures.

(i) Except in emergencies, no operation shall be performed until:

(1) The patient has had a physical examination and medical history completed;

(2) Any indicated laboratory and x-ray examinations have been completed; and

(3) The preoperative diagnosis has been recorded in the patient's record.

#9580, eff 10-24-09

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