La. Admin. Code tit. 48 § I-9303
Accredited - the approval by the Joint Commission on Accreditation of Healthcare Organizations, American Osteopathic Association, or Det Norske Veritas.
Administrator-(see Chief Executive Officer).
Anesthesiologist-a physician, dentist, or osteopath physician, who has successfully completed an approved residency program in anesthesiology, or who is a diplomat of either the American Board of Anesthesiology or the American Osteopathic Board of Anesthesiology, or who was made a Fellow of the American College of Anesthesiology before 1972.
Approved-acceptable to the authority having jurisdiction.
Authority Having Jurisdiction-an organization, office, or individual responsible for approving equipment, an installation, or a procedure.
Average Daily Census (ADC)-calculated by adding the midnight daily census of the main hospital or its off-site campus(es), independent of one another, for each day of the 12-month period and dividing the total number by the number of days in the year. In calculating the ADC for purposes of determining whether an entity meets the requirements of primarily engaged, LDH may utilize a period of between three months and 12 months.
Average Length of Stay (ALOS)-the average of the number of inpatient days a person is in the main hospital or its off-site campus(es). ALOS is calculated by dividing the total inpatient days by the total discharges during a specified period of time, which results in an average number of days in the main hospital or its off-site campus(es) for each person admitted. In calculating ALOS, LDH may utilize a period of between three months and 12 months. For purposes of calculating the ALOS of the main hospital or its off-site campus(es), each facility shall be considered an independent entity.
Certified Nurse Midwife-an advanced practice registered nurse as defined by R.S. 37:913.
Certified Registered Nurse Anesthetist-an advanced practice registered nurse as defined by R.S. 37:913.
Cessation of Business-when a hospital stops providing services to the community.
Chief Executive Officer (CEO)/Administrator-the person responsible for the operation of the hospital commensurate with the authority conferred by the governing body.
Clinical Nurse Specialist-an advanced practice registered nurse as defined by R.S. 37:913.
Crisis Receiving Center-a specialty unit of a hospital that shall receive, examine, triage, refer or treat an individual who is experiencing a behavioral health crisis.
Department-Louisiana Department of Health.
Food Delivery Services-the transportation of the nutritional and therapeutic dietetic services by a food management company that is delivered to the hospital and served to the patients of the hospital.
Food Management Company-an off-site vendor who provides nutritional and therapeutic dietetic services to the hospital through a contractual agreement and that is required to meet the same standards for food and dietetic services as provided by the hospital directly.
Governing Body-the board of trustees, owner or person(s) designated by the owner with ultimate authority and responsibility (both moral and legal) for the management, control, conduct and functioning of the hospital.
Hospital-any institution, place, building, or agency, public or private, whether for profit or not, maintaining and operating facilities, 24 hours a day, seven days a week, having a minimum of 10 licensed beds, having staff and equipment sufficient to meet patient needs, and providing hospital services, care and treatment for injured, disabled or sick persons who are admitted with the expectation that he or she will require hospital care that is expected to span at least two midnights. Except as otherwise noted in these licensing regulations, a hospital shall be primarily engaged in providing inpatient services to inpatients, by or under the supervision of licensed physicians. The term hospital does not include the following:
NOTE: Free standing emergency departments (or an entity that holds itself out to the public mainly as a free standing emergency department) shall not be licensed as a hospital.
Hospital Record-a compilation of the reports of the various clinical departments within a hospital, as well as reports from health care providers, as are customarily catalogued and maintained by the hospital medical records department. Hospital records include reports of procedures such as X-rays and electrocardiograms, but they do not include the image or graphic matter produced by such procedures, according to state law.
Immediate and Serious Threat-a crisis situation in which the health and safety of patients is at risk. It is a deficient practice which indicates the operator's inability to furnish safe care and services, although it may not have resulted in actual harm. The threat of probable harm is real and important and could be perceived as something which will result in potentially severe temporary or permanent injury, disability or death.
Inpatient-a person who admitted to a hospital with the status of inpatient for purposes of receiving hospital services with the expectation that he/she will require hospital care expected to span at least two nights and occupy a bed even though it is later determined that the patient can be discharged or transferred to another hospital and not actually use a hospital bed overnight. Persons in hospital observation status are not inpatients.
Inpatient Hospital Services or Inpatient Service-includes, but is not limited to, the following services provided to inpatients of the hospital as either: diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons; or rehabilitation services for the rehabilitation of injured, disabled, or sick persons.
License Under Suspensive Appeal - a full or provisional license against which the department has taken a licensing action and the hospital has filed an administrative appeal.
Licensed Bed-an adult and/or pediatric bed set up or capable of being set up within 24 hours in a hospital for the use of patients, based upon bedroom criteria expressed in these standards. Labor, delivery, newborn bassinets, emergency and recovery room beds are excluded.
Licensed Independent Practitioner- a person who is approved by his board for independent practice and who is approved by the medical staff and credentialed and approved by the Governing Board.
Licensed Nuclear Medicine Technologist-any person licensed to practice nuclear medicine technology by the Louisiana State Radiologic Technology Board of Examiners.
Licensed Practical Nurse (LPN)-a person licensed to practice practical nursing by the Louisiana State Board of Practical Nurse Examiners and is practicing within his/her scope of practice, training, experience, and competency.
Licensed Radiation Therapy Technologist-any person licensed to practice radiation therapy technology by the Louisiana State Radiologic Technology Board of Examiners.
Licensed Radiographer-any person licensed to practice general radiography by the Louisiana State Radiologic Technology Board of Examiners.
Minor Alteration-repair or replacement of building materials and equipment with materials and equipment of a similar type that does not diminish the level of construction beyond that which existed prior to the alteration. This does not include any alteration to the "functionality" or original design of the construction. (For example, normal maintenance, re-roofing, painting, wallpapering, asbestos removal, and changes to the electrical and mechanical systems.)
Monolithic Ceiling Construction-a continuous membrane ceiling composed of plaster or gypsum wallboard, but not moveable or "lay-in" ceiling tiles.
Neonatal-newborn immediately succeeding birth and continuing through the first 28 days of life.
New Construction-any of the following started after March 1, 1995:
Nurse Practitioner-an advanced practice registered nurse as defined by R.S. 37:913.
Nurses Call System-a system that audibly transmits calls electronically from its place of origin (the patient's bed) to the place of receipt (the nurses' station).
Nutritional and Therapeutic Dietetic Services-the provision of a nourishing, palatable, well-balanced diet that meets the patients daily nutritional and special dietary needs in accordance with the licensed practitioners prescribed plan of care, and taking into consideration the preferences of each patient.
Observation Bed/Unit- outpatient service in which patients are admitted for a period of no longer than 24 hours for observation. After 24 hours, the patient must be admitted, transferred or discharged. This outpatient unit must not provide acute care nursing. A registered nurse must be on site while there are patients in this unit.
Office of the Secretary-office of the person serving as the Secretary of the Department of Health.
Off-Site Campus - all premises on which hospital services (inpatient and/or outpatient) are provided and that are not adjoining to the main hospital buildings or grounds. Each off-site campus of a hospital shall be licensed as a part of the main hospital. An off-site campus shall be located within 50 miles of the main hospital campus.
Organ-a human kidney, liver, heart, lung or pancreas.
Primarily Engaged-a hospital is directly providing inpatient hospital services to inpatients, by or under the supervision of licensed physicians. Inpatient hospital services are services defined in this licensing rule and are provided to inpatients of the hospital as one of the following:
Note: Having the capacity or potential to provide inpatient hospital services is not the equivalent of actually providing such care.
Radiologist-a doctor of medicine or osteopathy who is qualified by education and experience in radiology.
Registered Dietitian-a dietitian who is qualified based on registration by the Commission on Dietetic Registration of the American Dietetic Association and licensing by the Louisiana Board of Examiners in Dietetics and Nutrition.
Registered Nurse-any person licensed to practice nursing by the Louisiana State Board of Nursing.
Surgical Smoke Plume-the byproduct of using heat-producing equipment on tissue during surgery.
Unit Definition- a licensed patient room.
La. Admin. Code tit. 48, § I-9303