Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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28 Pa. Code § 119.41. Short-term procedure units.

§ 119.41. Short-term procedure units.

 (a)  If a hospital maintains a short-term procedure unit for treating patients requiring surgery on an outpatient basis, the unit shall be established and administered according to procedures developed by the medical staff and adopted by the governing body. Provision shall be made for back-up services by other departments in the case of emergencies or complications.

 (b)  Procedures and policies shall specify:

   (1)  The types of emergency and elective operative procedures which may be performed in the short term procedure unit.

   (2)  Types of anesthesia which may be used.

   (3)  Requirements for preoperative evaluations which shall meet the same standards as apply to inpatient surgery.

   (4)  Requirements for a physician conference with patients on operative procedures and anesthetics, including reference to potential risks.

   (5)  Written preoperative instructions for patients covering:

     (i)   Applicable restrictions upon food and drink before surgery.

     (ii)   Any special preparations to be made by the patient.

     (iii)   The required proximity of the patient to hospital for a specific time following surgery if applicable.

     (iv)   An understanding that the patient may require admission to the hospital in the event of medical need.

     (v)   The requirement that, upon discharge of a patient, a medical deci- sion shall be made as to whether the patient must have a responsible person available to escort him to his home.

   (6)  Requirements for postoperative evaluations which shall meet the same standards as apply to inpatient surgery; any outpatient who has received anesthesia shall be examined by a qualified practitioner prior to discharge.

   (7)  What written instructions for follow-up care shall be given to the patient.

   (8)  What advice is to be given to all patients regarding contacting the appropriate physician for help in the event of postoperative complications.

Authority

   The provisions of this §  119.41 issued under 67 P. S. § §  6101—6104; and Reorganization Plan No. 2 of 1973 (71 P. S. §  755-2).

Source

   The provisions of this §  119.41 amended September 19, 1980, effective September 20, 1980, 10 Pa.B. 3761. Immediately preceding text appears at serial page (37856).



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