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CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 5. LICENSING AND CERTIFICATION OF HEALTH FACILITIES, HOME HEALTH AGENCIES, CLINICS, AND REFERRAL AGENCIES
CHAPTER 1. GENERAL ACUTE CARE HOSPITALS
ARTICLE 6. SUPPLEMENTAL SERVI
Date:
08/31/2009
Document:
22 CCR 70443 (2011)
ยง 70443. Chronic Dialysis Service General Requirements
(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and the administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate.
(b) The responsibility and the accountability of the chronic dialysis service to the medical staff and administration shall be defined.
(c) The hospital shall:
(1) Have two or more dialysis stations. A minimum of five dialysis sessions per week should be performed at each station.
(2) Work in cooperation with other facilities providing care for patients with end-stage renal disease.
(3) Make chronic dialysis services available to patients with end-stage renal disease referred from other facilities which do not provide chronic dialysis serviced.
(4) Participate in the development and use of a registry of prospective recipient patients.
(5) Participate in kidney procurement, preservation and transport program.
(6) Review all patients with end-state renal disease to determine the appropriateness of their treatment modality, including self-dialysis, home dialysis and renal transplantation and cooperate with other facilities for the timely transfer of medical data.
(d) The hospital shall provide directly:
(1) Respiratory therapy.
(2) Twenty-four hour laboratory capability of performing, as a minimum, the following determinations: C.B.C., B.U.N., creatinine, platelet count, blood typing and cross matching, blood gas analysis, blood pH, serum glucose, electrolytes, coagulation tests, spinal fluid examination and urinalysis.
(3) Chronic dialysis on an outpatient basis.
(4) Angiography.
(e) The hospital shall provide directly or by arrangement:
(1) Immunofluorescence studies.
(2) Electron microscopy
(3) Microbiological studies for rickettsiae, fungi, bacteria and viruses.
(4) Tissue culture.
(5) Outpatient services.
(6) Self-dialysis training program.
(7) Home-dialysis training program.
(8) Transplantation evaluation of patients with end-stage renal disease.
(9) Renal transplantation.
(10) Nuclear medicine service.
(f) There shall be a separate designated area as needed for patients undergoing chronic dialysis who are known to be hepatitis B surface antigen positive.
(g) The particular requirements for patients on chronic dialysis shall be accommodated in the disaster and fire plans of the hospital,
(h) There shall be inservice training and continuing education for all medi-cal, nursing and other personnel.
(i) There shall be a written hepatitis control program.
(j) Periodically, a committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.
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