6 Colo. Code Regs. § 1011-1 Chapter 18 Part 13

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

Part 13 - GENERAL PATIENT CARE SERVICES

13.1 The hospital shall comply with the requirements of 6 CCR 1011-1, Chapter 4, Part 13, General Patient Care Services. In addition, the hospital shall comply with the following:

(A) Medical/Surgical Services

(1) The hospital shall identify in writing the scope of medical/surgical care provided, including whether services are provided onsite or through contractual arrangements with offsite health care providers.

(a) The hospital's admission criteria shall reflect its ability to meet the medical/surgical needs of the patient.

(b) Transfer protocols shall be developed and implemented for patients whose needs cannot be met by the hospital.

(2) A qualified licensed independent practitioner shall provide a diagnostic medical examination for a patient upon admission and as needed for an inpatient who experiences a medical illness.

(3) Policies and procedures shall be developed and implemented regarding when pre-admission assessments will be conducted to exclude medical etiology for mental illness symptoms.

(B) The hospital shall develop and implement a smoking policy in accordance with state and federal law.

(C) The hospital shall have a system for summoning help from the immediate service area and other areas of the hospital in the event of an emergency.

(D) Patient bedrooms shall be equipped with a noncombustible waste receptacle, either seamless or with a removable paper liner, unless contraindicated and noted in the patient's care plan.

6 CCR 1011-1 Chapter 18 Part 13