<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><a name="_GoBack"></a><b>CHAPTER <a href="DisplayRule.aspx?Rule=44:76:10">44:76:10</a></b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>SURGICAL SERVICES</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:01">44:76:10:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Scope of surgical services.</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:02">44:76:10:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Surgical services.</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:03">44:76:10:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Surgical records.</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:04">44:76:10:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Anesthesia services.</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:05">44:76:10:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Emergency equipment.</p> <p><a href="DisplayRule.aspx?Rule=44:76:10:06">44:76:10:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Emergency services.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 44:76:10:01 Scope of surgical services.</title> <META NAME="Keywords" Content="Administrative Rules 44:76:10:01"> <META NAME="Description" Content="Administrative Rules 44:76:10:01 Scope of surgical services."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:76:10:01.&nbsp;&nbsp;Scope of surgical services.</b> The ambulatory surgery center services are limited to those surgical and other medical procedures that may be safely performed in a dedicated operating room or procedure rooms and which may require a postoperative recovery room or short-term, not overnight, convalescent room. An ambulatory surgery center may not retain patients overnight. Surgical procedures which may not be performed in an ambulatory surgery center includes those that:</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Generally result in extensive blood loss;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Require major or prolonged invasion of body cavities;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Directly involve major blood vessels;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;Are generally emergent or life-threatening in nature; or</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;Require admission to a hospital on an inpatient basis in order to have the procedure performed or to recover from the procedure. </span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13.</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13.</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 44:76:10:02 Surgical services.</title> <META NAME="Keywords" Content="Administrative Rules 44:76:10:02"> <META NAME="Description" Content="Administrative Rules 44:76:10:02 Surgical services."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:76:10:02.&nbsp;&nbsp;Surgical services.</b> Each facility in which surgery is performed shall maintain an operating suite with appropriate equipment, including an X-ray view box or film illuminator. The suite shall be supervised by a registered nurse with training and experience in operating room services. A circulating nurse shall be assigned to each operating or procedure room during each procedure and shall be present for the duration of the surgical procedure unless it becomes necessary for the nurse to leave the operating or procedure room as part of the procedure or the nurse is relieved by another circulating nurse. There shall be written policies for surgical services which govern surgical staff privileges, supportive services of other professional and paramedical personnel, and operating suite procedures. Policies and procedures pertaining to safety controls shall be developed and implemented. Safety controls shall be posted. A roster of surgical staff members which delineates the surgical privileges of each member shall be maintained on file in the operating suite.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 44:76:10:03 Surgical records.</title> <META NAME="Keywords" Content="Administrative Rules 44:76:10:03"> <META NAME="Description" Content="Administrative Rules 44:76:10:03 Surgical records."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:76:10:03.&nbsp;&nbsp;Surgical records.</b> When surgery is performed, the following record requirements apply:</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;An operating room register shall be maintained and shall include the patient's name, identification number or medical record number, date of operation, inclusive or total time of the operation or procedure, name of surgeon and all assistants, nursing personnel, type of anesthesia and name of person administering, operation or procedure performed, preoperative and postoperative diagnosis, and age of patient;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;The patient's medical record, including at least a medical history, a copy of the physician's examination, copies of laboratory tests, radiology reports, a signed consent for the surgical procedure to be performed, and a preoperative diagnosis, shall be made available in the surgical suite at the time of surgery; and</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;An accurate and complete description of the operative procedure that includes a preoperative and postoperative diagnosis shall be recorded by the operating surgeon within 48 hours following completion of surgery.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(10)</A> and (12).</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(10)</A> and (12).</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><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.s1c23a111-0976-4308-8beb-94843b60036cP0 { margin-top: 0; 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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="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:76:10:04"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000000">44:76:10:04</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">.  Anesthesia services.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> Each facility shall provide anesthesia services organized, directed, and integrated with other related services commensurate with the scope and needs of patients. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">Each facility shall ensure qualified staff deliver</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> anesthesia care to patients according to written policies relating to anesthesia procedures approved by the medical staff. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">Each facility shall establish s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">afety and sanitation controls. All anesthetizing locations </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> are not protected against potential explosive hazards shall have a legible sign posted prohibiting the use of flammable gas as anesthetics. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">At a minimum,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">a facility shall ensure that</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">:</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">1</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  A physician </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> on the premises during the post-anesthetic recovery period until all patients are alert or discharged;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">2</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  When a general anesthetic is used, at least one registered nurse </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> in the recovery room during the patient's post-anesthetic recovery period;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">3</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Policies and procedures on the administration of anesthetics </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> developed by the medical staff and approved by the governing body;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">4</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Prior to undergoing general anesthesia, a patient </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">has</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> a history and physical examination by a physician, including necessary laboratory examinations;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">5</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Before discharge from the facility, each patient </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> evaluated by a physician for proper anesthesia recovery;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  No flammable anesthetic is allowed</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> at the facility</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">; and</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">7</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  All anesthetics </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> administered by an anesthesiologist or anesthetist, except for local anesthetic agents which may be administered by the attending physician.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">; 48 SDR 59, effective December 5, 2021</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">(</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> and (7)</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">(</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> and (7)</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 44:76:10:05 Emergency equipment.</title> <META NAME="Keywords" Content="Administrative Rules 44:76:10:05"> <META NAME="Description" Content="Administrative Rules 44:76:10:05 Emergency equipment."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:76:10:05.&nbsp;&nbsp;Emergency equipment.</b> The facility governing body and medical staff shall coordinate, develop, and revise policies and procedures to specify the type of emergency equipment required for use in the facilities operating and procedure rooms. The emergency equipment shall meet the following requirements;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Be immediately available for use during emergency situations;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Be appropriate for the facility s patient population; and</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Be maintained by appropriate personnel.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 44:76:10:06 Emergency services.</title> <META NAME="Keywords" Content="Administrative Rules 44:76:10:06"> <META NAME="Description" Content="Administrative Rules 44:76:10:06 Emergency services."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; punctuation-wrap:simple; text-autospace:none; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><a name="_GoBack"></a><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:76:10:06.&nbsp;&nbsp;Emergency services.</b> A facility referring patients for transfer must initiate essential life-saving measures and provide emergency procedures within the capacity of the facility that will minimize aggravation of a patient s condition during transfer. The medical staff shall determine appropriate personnel, equipment, drugs, and supplies for emergency care and shall maintain them readily available.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 42 SDR 51, effective October 13, 2015.</span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(12).</A></span></p> <p class=MsoNormal style='text-align:justify;line-height:12.0pt'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html>