Skip to Main Content
<< Back | Return to Main COMAR Search Page

15 records match your request.

FileAbstract
10.05.05.00.htm 10.05.05.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 05 FREESTANDING AMBULATORY CARE FACILITIES Chapter 05 Freestanding Ambulatory Surgical Facilities Authority: Health-General Article, §19-3B-01 et seq. Annotated Code of Maryland
10.05.05.01.htm 10.05.05.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Allied health professional" means an individual who is licensed, certified, or otherwise authorized under Health Occupations Article, Annotated Code of Maryland, to provide health care services, except those individuals who are licensed to practice medicine, dentistry, or podiatry under the Health Occupations Article, Annotated Code of Maryland.
10.05.05.02.htm 10.05.05.02. 02 License Requirements.. A. A freestanding ambulatory surgical facility shall meet all general licensing requirements for a facility as provided in COMAR 10.05.01 and all requirements of this chapter.B. An applicant shall obtain Medicare certification as a condition of licensure for a freestanding ambulatory surgical facility.
10.05.05.03.htm 10.05.05.03. 03 Licensing Procedure.. In addition to meeting all of the requirements of COMAR 10.05.01.03A―C, the applicant shall submit a nonrefundable fee of $1,000 for a 3 year period, with an application for initial licensure, or submit a nonrefundable fee of $1,000 with an application for license renewal for a 3 year period.
10.05.05.04.htm 10.05.05.04. 04 Administration.. The medical director shall develop protocols for the management of surgical patients and emergency situations. These protocols shall be available on site at all times for reference. The medical director shall review these protocols annually and make revisions as necessary.
10.05.05.05.htm 10.05.05.05. 05 Personnel.. A. Credentialing of Physicians, Dentists, Podiatrists.. 1) As part of the formal written appointment process, the administrator, in consultation with the medical director, shall collect, review, and document the following information concerning a physician, dentist, or podiatrist licensed under the Health Occupations Article, Annotated Code of Maryland:a) The physician's, dentist's, or podiatrist's education;.
10.05.05.06.htm 10.05.05.06. 06 Surgical Services.. A. Surgical procedures shall be performed in a safe manner by qualified physicians, dentists, or podiatrists who have been granted clinical privileges by the administrator.B. The administrator, in consultation with the medical director, shall develop and implement policies, procedures, and protocols for the provision of surgical services including but not limited to:1) Personnel;. 2) Pre-operative testing and examinations;. 3) Surgical procedures;.
10.05.05.07.htm 10.05.05.07. 07 Anesthesia Services.. A. Anesthetics shall be administered by health practitioners who are licensed, certified, or otherwise authorized to do so under the Health Occupations Article, Annotated Code of Maryland.B. Anesthetics shall be administered only by a:. 1) Qualified anesthesiologist;. 2) Physician or dentist qualified to administer anesthesia;. 3) Certified registered nurse anesthetist in accordance with Health Occupations Article, §8-205, Annotated Code of Maryland,
10.05.05.08.htm 10.05.05.08. 08 Emergency Services.. A. Basic Life Support. Licensed personnel employed by the freestanding ambulatory surgical facility shall have certification in basic life support. A licensed staff individual trained in basic life support shall be on duty whenever there is a patient in the facility.B. The licensee shall have:. 1) A registered nurse available on site for emergency treatment whenever there is a patient in the freestanding ambulatory surgical facility;
10.05.05.09.htm 10.05.05.09. 09 Hospitalization.. A. The freestanding ambulatory surgical facility shall have an effective procedure for the transfer of patients to a hospital when care beyond the capabilities of the facility is required.B. Procedures for emergency transfer to a hospital shall include, at a minimum:. 1) Having a written transfer agreement with a local Medicare participating hospital or requiring all physicians, dentists, or podiatrists performing surgery in the freestandin
10.05.05.10.htm 10.05.05.10. 10 Pharmaceutical Services.. A. The freestanding ambulatory surgical facility shall:. 1) Provide drugs and biologicals under the direction of an authorized prescriber; and. 2) Develop and implement policies and procedures for pharmacy services in accordance with accepted professional practice.B. Administration of Drugs.. 1) Staff shall prepare and administer drugs according to established policies and acceptable standards of practice.2) Staff shall report adv
10.05.05.11.htm 10.05.05.11. 11 Laboratory and Radiologic Services.. A. The administrator shall develop and implement policies and procedures for obtaining routine and emergency laboratory and radiologic services to meet the needs of patients. Policies and procedures shall include:1) Turn-around time;. 2) Review of laboratory reports; and. 3) Documentation of laboratory results.. B. Laboratory facilities shall be approved under the Clinical Laboratory Improvement Act (CLIA) and be licensed by this State.
10.05.05.12.htm 10.05.05.12. 12 Medical Records.. A. The facility shall comply with COMAR 10.05.01.09 and the requirements of this regulation.. B. Each medical record shall include, at a minimum:. 1) Preoperative diagnostic studies, entered before surgery, if performed;. 2) Findings and techniques of the operation, including a pathologist's report on all tissues removed during surgery, except those tissues exempted by the medical director;3) Any allergies and abnormal drug reactions; and.
10.05.05.13.htm 10.05.05.13. 13 Physical Environment.. A. The administrator shall ensure that the facility has a safe, functional, and sanitary environment for the provision of surgical services.B. Each operating room shall be designed and equipped to ensure that surgical procedures conducted can be performed in a manner that ensures the safety of all individuals in the area.C. The facility shall have a separate recovery room and waiting area..
10.05.05.9999.htm 10.05.05.9999. Administrative History Effective date: August 23, 1999 (26:17 Md.R. 1322). Regulation .01B amended effective March 14, 2016 (43:5 Md. R. 385). Regulation .03 amended effective August 19, 2013 (40:16 Md. R. 1343) December 21, 2015 (42:25 Md. R. 1542)
<< Back | Return to Main COMAR Search Page