6 Colo. Code Regs. § 1011-1 Chapter 09 Part 19

Current through Register Vol. 47, No. 11, June 10, 2024

Part 19 - INPATIENT BEDS (Required Only for Community Clinics Operating Inpatient Beds)

19.1 For the purpose of this Chapter 9, the term inpatient bed in community clinics means the use of beds for the monitoring or observation of patients who present for services and would benefit from monitoring by health care providers for a period of no more than 72 hours, except that the 72-hour limit shall not apply to Department of Corrections clinics. Such beds are not meant to be used for routine preparation or recovery prior to or following diagnostic or surgical services or to accommodate hospital overflow. If the patient needs care beyond 72 hours, the patient must be transferred.

19.2 Each community clinic offering inpatient services shall have policies regarding the use of appropriate licensed provider staff, patient care services offered, and the equipment, supplies, and physical plant necessary to meet the scope of services provided.

19.3 An appropriately qualified provider shall be available to cover inpatient services on-site or by telephone. Where coverage is provided by phone, the provider must be able to arrive within thirty (30) minutes of the need for provider services having been determined, or the patient must be immediately transferred to a hospital

19.4 Every patient shall be under the care of a provider with appropriate specialization.

19.5 At all times while providing inpatient care, there shall be a registered nurse available on-site, dedicated to the inpatient unit.

19.6 Admissions

(A) The community clinic operating inpatient beds shall develop admissions policies and procedures, including, but not be limited to, appropriateness of admissions based on patient acuity.

(B) Each patient shall have a visible means of identification placed securely on their person until discharge.

19.7 An individualized care plan shall be prepared for each patient, reviewed, and revised as needed.

19.8 The CC operating inpatient beds shall develop a discharge plan for each patient that is admitted to an inpatient bed.

19.9 Facilities

(A) A CC operating inpatient beds shall establish and maintain a patient care unit.

(B) Patient Rooms

(1) Each patient room shall have adequate space to meet the needs of the patient. The standard shall be 100 square feet for each single patient room or 80 square feet per bed for multiple-bed rooms.

(2) Each patient room shall include sufficient illumination to meet patient needs for treatment.

(3) Each patient shall have direct access to a call system which signals the provider staff on duty.

(C) The facility shall provide patient bathing facilities for patients staying overnight.

6 CCR 1011-1 Chapter 09 Part 19