South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries
Sec2 61-16.1200 - PATIENT CARE AND SERVICES
Section 61-16.1215 - Inpatient Dialysis Services

Universal Citation: SC Code Regs 61-16.1215

Current through Register Vol. 48, No. 9, September 27, 2024

A. Written policies and procedures shall be developed and maintained by the service provider responsible for the service in consultation with other appropriate health professionals and the administration. Procedures shall be approved by the administration and medical staff where such is appropriate.

B. Renal Dialysis Service Equipment and Supplies

1. Equipment and supplies shall include at least:
a. A dialysis machine or equivalent (with appropriate monitoring equipment) for each bed or station.

b. Dialysis equipment appropriate for pediatric patients, if treated.

2. Water used for dialysis purposes shall be analyzed for bacteriological quality at least monthly and chemical quality at least quarterly and treated as necessary to maintain a continuous water supply that is biologically and chemically compatible with acceptable dialysis techniques. Water used to prepare a dialysate shall not contain concentrations of elements or organisms in excess of those specified below:

ELEMENTS

LIMIT IN MILLIGRAMS PER LITER

Aluminum

.01

Arsenic

.005

Barium

.100

Cadmium

.001

Calcium

2.0

Chloramines (Tested Daily)

.001

Chlorine (Tested Daily)

.500

Chromium

.014

Copper

.100

Fluorides

.200

Lead

.005

Magnesium

4.0

Mercury

.0002

Nitrates (Nitrogen)

2.0

Potassium

8.0

Selenium

.090

Silver

.005

Sodium

70.0

Sulfates

100.0

Zinc

.100

Bacteria

200 colonies per milliliter

3. A written preventive maintenance program for all equipment used in dialysis and related procedures including, but not limited to, all patient monitoring equipment, isolated electrical systems, conductive flooring, patient ground systems, and medical gas systems shall be developed and implemented. This equipment shall be checked and/or tested at such intervals to ensure proper operation and a state of good repair. After repairs and/or alterations are made to any equipment or system, the equipment or system shall be thoroughly tested for proper operation before returning it to service. Records shall be maintained on each piece of equipment to indicate its history of testing and maintenance.

Disclaimer: These regulations may not be the most recent version. South Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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