28 Pa. Code § 136.15. Other support services.

§ 136.15. Other support services.

(a)  Supportive services within the hospital shall include the following, which shall be provided 24 hours per day and shall be either available or onsite, as noted:
   (1)  Medicine (cardiology onsite; availability of nuclear cardiology; hematology; pulmonary; nephrology; neurology; and infectious disease).
   (2)  Anesthesiology—available.
   (3)  Clinical laboratory services, onsite for blood banking, hematology, blood chemistry and urinalysis. These services shall be under the same direct management and quality assurance programs as the main hospital laboratories.
   (4)  Diagnostic radiology, including bedside X-rays—onsite.
   (5)  Cardiac catheterization and interventional angiography laboratory—onsite.
   (6)  Respiratory care services—available.
   (7)  Cardiac intensive care service—onsite.
   (8)  Inpatient service for continuing care after transfer from the intensive care unit.
   (9)  An advanced cardiac life support certified physician—onsite.
   (10)  Cardiographic laboratory, including continuous electrocardiogram monitoring—available.
   (11)  Echocardiography service (this may or may not be a part of the cardiographic laboratory)—available.
   (12)  Installation of pacemakers—available.
   (13)  Organized and designated cardiopulmonary resuscitation team—onsite.
   (14)  Bioengineering service—available.
   (15)  Peripheral vascular surgery and a noninvasive vascular laboratory—available.
   (16)  Acute inpatient dialysis—available.
(b)  An operating room shall be specifically equipped for cardiac surgery, and the room and support facilities shall be of adequate size, as per Inter-society Commission on Heart Disease requirements or American College of Cardiology/American Hospital Association Guidelines.

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