<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sc3dac548-80e1-43c9-ad54-eb5bd674480eP0 { margin-top: 0; line-height: 12.0pt; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480e000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003 { margin-top: 0; line-height: 12.0pt; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004 { color: black; background: white; font-family: Times; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000005 { margin-top: 0; line-height: 12.0pt; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 10pt; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480e000006 { color: black; background: white; font-size: 10pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000007 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:76:05:01"><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000000">44:76:05:01</span></a><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000001">.  Admissions.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> Each patient may be admitted only on the order of a practitioner</span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> and the patient's health care shall continue under the supervision of a physician who is a member of the medical staff. Before or on admission of a patient, the patient's physician shall provide the staff of the facility with documented information regarding current medical findings, admitting diagnoses, and written orders for the immediate care of the individual.</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480e000002"> </span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">The facility shall develop and </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">maintain a policy that identifies patients who require a medical history and physical examination prior to surgery. The policy must:</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480e000002"> </span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">    (1)  Include the timeframe for a medical history and physical examination to be completed prior to surgery;</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">    (2)  Address:</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">            (A)  Patient age;</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">            (B)  Diagnosis;</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">            (C)  Type and number of procedures scheduled to be performed on the same surgery date;</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">            (D)  Known comorbidities; and</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">            (E)  Planned anesthesia level; and</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">    (3)  Be based on </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000004">any applicable nationally recognized standards of practice and guidance, and any applicable state and local health and safety laws.</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0-000005"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480e000006"> </span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">The history and physical examination shall be completed and placed in the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">patient's </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">medical record prior to surgery except in emergency situations. In emergency situations when a history and physical examination cannot be completed prior to surgery, a brief admission note on the patient record is necessary. The note </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> include pulmonary status, cardiovascular status, blood pressure, and vital signs. The history and physical examination shall state the patient and anesthesia choice is appropriate for the </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">facility</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> setting.</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480e000002"> </span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">; 48 SDR 59, effective December 5, 2021</span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">.</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000007">34-12-13</span></a><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">(6).</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">    </span><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0-000007">34-12-13</span></a><span style="white-space: pre-wrap;" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eC0">.</span></p><p dir="ltr" class="sc3dac548-80e1-43c9-ad54-eb5bd674480eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc3dac548-80e1-43c9-ad54-eb5bd674480e000002"> </span></p></div></body></html>