Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-100 - General Hospital Standards
Section R432-100-16 - Surgical Services
Universal Citation: UT Admin Code R 432-100-16
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall integrate surgical services provided by the hospital with other departments or services of the hospital and specify in writing the relationship, objective, and scope of each surgical service.
(a) A person appointed and authorized by the
administrator shall provide administrative direction of surgical
services.
(b) A member of the
medical staff shall provide medical direction of surgical services.
(c) A qualified registered nurse shall
supervise the provision of surgical nursing care.
(d) A qualified registered nurse shall direct
and supervise the operating room suites. The supervisor shall have authority
and responsibility for:
(i) assuring that the
planned procedure is within the scope of privileges granted to the
physician;
(ii) maintaining the
operating room register; and
(iii)
other administrative functions, including serving on patient care
committees.
(e) The
licensee shall establish a policy governing the use of obstetrical delivery and
operating rooms to ensure that any patient with parturition imminent, or with
an obstetrical emergency requiring immediate medical intervention to preserve
the health and life of the mother or her infant, is given priority over other
obstetrical and non-emergent surgical procedures.
(f) A qualified surgical assistant shall
assist as needed in operations in accordance with hospital bylaws.
(g) A surgical technician or licensed
practical nurse may serve as a scrub nurse under the direct supervision of a
registered nurse, but may not function as a circulation nurse in the operating
rooms, unless the scrub nurse is a registered nurse.
(h) An outpatient surgical patient may not be
routinely admitted to the hospital as an inpatient. The licensee shall complete
a systematic review process to evaluate patients who require hospitalization
after outpatient surgery.
(2) The licensee shall establish, control and consistently monitor a safe operating room environment that complies with:
(a) surgical equipment including suction
facilities and instruments is provided and maintained in good condition to
assure safe and aseptic treatment of any surgical cases;
(b) traffic in and out of the operating room
is controlled and there is no through traffic;
(c) there is a scavenging system for
evacuation of anesthetic waste gasses; and
(d) the following equipment shall be
available to the operating suite:
(i) a
call-in system;
(ii) a cardiac
monitor;
(iii) a ventilation
support system;
(iv) a
defibrillator;
(v) an aspirator;
and
(vi) equipment for
cardiopulmonary resuscitation.
(3) The administration of anesthetics shall conform to the requirements of the Anesthesia Services of Rule R432-100.
(4) Removal of surgical specimens shall conform with the requirements of Laboratory and Pathology Services, Section R432-100-24.
Disclaimer: These regulations may not be the most recent version. Utah 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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