Haw. Code R. § 11-93-35

Current through April, 2024
Section 11-93-35 - Surgical department
(a) If surgical services are provided, the surgical department shall:
(1) Be directed by an appropriately qualified physician.
(2) Have effective policies and procedures regarding surgical privileges, maintenance of the operating rooms and evaluation of the surgical patient.
(3) Have a registered professional nurse in charge of the operating room suite.
(4) Have a roster of physicians specifying the surgical privileges of each.
(5) Have an operating room register which is complete and current.
(b) For each patient, prior to surgery, there shall be:
(1) Except in case of emergency, a complete history and physical work-up in the chart with all pertinent laboratory and other data supporting the diagnosis.
(2) In an emergency, a fully informative admitting note on the chart, by the operating surgeon, and there shall be a sufficient replacement for a complete history and physical examination report.
(3) A properly executed consent form for the proposed operation in the chart.
(4) Evidence of execution of an effective procedure for accurate identification of the patient.
(5) A pre-operative note, on the chart, specifically identifying the surgical procedure to be done and the anatomical location of the procedure and this note must be initialed or signed by both the operating surgeon and the person administering the anesthesia.
(c) Each operating room shall be supervised by an experienced registered professional nurse.
(d) The following minimum equipment shall be readily available, and in a fully operating condition, in the operating suite:
(1) Emergency call-in system.
(2) Cardiac monitor.
(3) Cardiac defibrillator.
(4) Aspirator.
(5) Intubation equipment.
(6) Resuscitator.
(7) Thoracotomy set
(8) Tracheotomy set.
(e) The operating room suite and accessory services shall be so located that traffic in and out can be, and is, controlled and there is no through traffic.
(f) There shall be adequate scrub-up facilities and work areas for the preparation, sterilization, and storage of instruments and supplies.
(g) Surgical technicians and licensed practical nurses are not permitted to serve as circulating nurses in the operating rooms.
(h) An operative report describing techniques and findings shall be written or dictated immediately following surgery and shall be signed by the surgeon.

Haw. Code R. § 11-93-35

[Eff. 3/3/86; ren AUG 3, 1992] (Auth: HRS §§ 321-9, 321-11) (Imp: HRS §§ 321-9, 321-11)