DHS 124.20(5)(k)5.
5. Hospitals that may require special formula preparation shall develop appropriate policies and procedures.
DHS 124.20(5)(k)6.a.a. Hospitals that permit siblings to visit the maternity unit shall have a written policy and procedure detailing this practice. The policy shall be developed jointly by the chief of maternity service, the chief of pediatrics service, the hospital's infection control committee, the nursing service and the chief executive officer.
DHS 124.20(5)(k)6.b.
b. The policy at a minimum shall indicate those patients eligible for the program, the hours the program is offered, the length of visiting time, personnel responsible for monitoring the program, program monitoring requirements for infection control and the physical location of the visit.
DHS 124.20(5)(k)7.
7. When circumcisions are performed according to religious rites, a separate room apart from the newborn nursery shall be provided. A physician, physician's assistant or registered nurse shall be present during the performance of the religious rite. Aseptic techniques shall be used when an infant is circumcised.
DHS 124.20(5)(L)1.1. An infant may be discharged only to a parent who has lawful custody of the infant or to an individual who is legally authorized to receive the infant. If the infant is discharged to a legally authorized individual, that individual shall provide identification and, if applicable, the identification of the agency the individual represents.
DHS 124.20(5)(L)2.
2. The hospital shall record the identity of the legally authorized individual who receives the infant.
DHS 124.20 History
History: Cr.
Register, January, 1988, No. 385, eff. 2-1-88; correction in (5) (i) 6. under s. 13.93 (2m) (b) 7., Stats.,
Register, August, 1995, No. 476; r. (5) (a) 3., renum. (5) (a) 4. and 5. to be (5) (a) 3. and 4., r. and recr. (5) (i) 8.,
Register, August, 1996, No. 488, eff. 9-1-96; correction in (5) (i) 6. made under s. 13.92 (4) (b) 7., Stats.,
Register January 2009 No. 637.
DHS 124.21(1)(a)(a) A hospital may have either a single rehabilitation service or separate services for physical therapy, occupational therapy, speech therapy and audiology.
DHS 124.21(1)(b)
(b) The service or services shall have written policies and procedures relating to organization and functions.
DHS 124.21(1)(c)
(c) The service chief shall have the necessary knowledge, experience, and capabilities to properly supervise and administer the service. A rehabilitation service chief shall be a physiatrist or other physician qualified to head the service. If separate services are maintained for physical, occupational, speech therapy services and audiology services, the service chief shall be a qualified physical or occupational therapist or speech pathologist or audiologist or a qualified physician.
DHS 124.21(2)(a)(a) Physical therapy. If physical therapy services are offered, the services shall be given by or under the supervision of a qualified physical therapist.
DHS 124.21(2)(b)
(b) Occupational therapy. If occupational therapy services are offered, the services shall be given by or under the supervision of a qualified occupational therapist.
DHS 124.21(2)(c)
(c) Speech therapy. If speech therapy services are offered, the services shall be given by or under the supervision of a qualified speech pathologist.
DHS 124.21(2)(d)
(d) Audiology services. If audiology services are offered, the services shall be given by or under the supervision of a qualified audiologist.
DHS 124.21(3)
(3) Facilities. Facilities and equipment for physical, occupational, speech therapy and audiology services shall be adequate to meet the needs of the service or services and shall be in good condition.
DHS 124.21(4)
(4) Orders. Physical therapy, occupational therapy, speech therapy and audiology services shall be given in accordance with orders of a physician, a podiatrist or any allied health staff member who is authorized by the medical staff to order the service. The orders shall be incorporated into the patient's medical record.
DHS 124.21(5)
(5) Rehabilitation record. A record shall be maintained for each patient who receives rehabilitation services. This record shall be part of the patient's medical record.
DHS 124.21 History
History: Cr.
Register, January, 1988, No. 385, eff. 2-1-88.
DHS 124.22(1)
(1)
Direction. If respiratory care services are offered by the hospital, the service shall be under the direction of a qualified physician.
DHS 124.22(2)
(2) Policies and procedures. Respiratory care services shall be provided in accordance with written policies and procedures approved by the medical staff. The policies and procedures shall address at minimum:
DHS 124.22(2)(b)
(b) Management of adverse reactions to respiratory care services;
DHS 124.22(2)(c)
(c) Administration of medications in accordance with physicians' orders;
DHS 124.22(2)(d)
(d) The personnel who may perform specific procedures, under what circumstances and under what degree of supervision;
DHS 124.22(2)(f)
(f) Procurement, handling, storage and dispensing of therapeutic gases.
DHS 124.22(3)
(3) Personnel. Only qualified respiratory therapists, respiratory therapy technicians and other hospital personnel designated by the medical staff in writing may provide respiratory care procedures.
DHS 124.22(4)
(4) Physician's orders. Respiratory care services shall be provided in accordance with the orders of a physician. Oral orders given by a physician shall be transcribed into the medical record by the staff person authorized to take the orders.
DHS 124.22(5)
(5) Respiratory services record. A record shall be maintained for each patient who receives respiratory services. This record shall be part of the patient's medical record.
DHS 124.22 History
History: Cr.
Register, January, 1988, No. 385, eff. 2-1-88.
DHS 124.23(1)
(1)
Direction. If outpatient services are offered by the hospital, the service shall be under the direction of a qualified member of the medical staff.
DHS 124.23(2)
(2) Written policies and procedures. The hospital shall have written policies and procedures relating to staffing and functions of the service and medical records.
DHS 124.23(3)(a)(a) The outpatient service shall be organized into sections or clinics, the number of which shall depend on the size and the degree of departmentalization of the medical staff, the available facilities and the needs of the patients for whom the service accepts responsibility.
DHS 124.23(3)(b)
(b) The outpatient service shall have cooperative arrangements with appropriate community agencies in regard to services provided by the outpatient service and the needs of the patients.
DHS 124.23(3)(c)
(c) Outpatient clinics shall be integrated with corresponding inpatient services.
DHS 124.23(3)(d)
(d) On their initial visit to the service, patients shall receive an appropriate health assessment with follow-up as indicated.
DHS 124.23(4)(a)(a) The outpatient service shall have the professional and nonprofessional personnel needed to adequately meet the needs of the outpatient population.
DHS 124.23(4)(b)
(b) A registered nurse shall be responsible for the nursing care of the service.
DHS 124.23(5)(a)(a) Facilities shall be provided to ensure that the outpatient service is operated efficiently and to protect the health and safety of the patients.
DHS 124.23(5)(b)
(b) The number of examination and treatment rooms shall be adequate in relation to the volume and nature of work performed.
DHS 124.23(6)
(6) Outpatient record. A record shall be maintained for each patient who receives outpatient services. The record shall be maintained and correlated with inpatient and emergency medical records.
DHS 124.23 History
History: Cr.
Register, January, 1988, No. 385, eff. 2-1-88.
DHS 124.24(1)(1)
Emergency care. The hospital shall have written policies for caring for emergency cases, including policies for transferring a patient to an appropriate facility when the patient's medical status indicates the need for emergency care which the hospital cannot provide.
DHS 124.24(2)(a)1.
1. The emergency service shall be directed by personnel who are qualified by training and experience to direct the emergency service and shall be integrated with other services of the hospital.
DHS 124.24(2)(a)2.
2. The policies and procedures governing medical care provided in the emergency service shall be established by and are a continuing responsibility of the medical staff.
DHS 124.24(2)(a)3.
3. Emergency services shall be supervised by a member of the medical staff, and nursing functions shall be the responsibility of a registered nurse.
DHS 124.24(2)(a)4.
4. The hospital's emergency services shall be coordinated with the community's disaster plan, if there is one.
DHS 124.24(2)(b)1.1. The emergency service shall be provided with the facilities, equipment, drugs, supplies and space needed for prompt diagnosis and emergency treatment.
DHS 124.24(2)(b)2.
2. Facilities for the emergency service shall be separate and independent of the operating room.
DHS 124.24(2)(b)3.
3. The location of the emergency service shall be in close proximity to an exterior entrance of the hospital.
DHS 124.24(2)(c)1.1. There shall be sufficient medical and nursing personnel available for the emergency service at all times. All medical and nursing personnel assigned to emergency services shall be trained in cardiopulmonary resuscitation before beginning work.
DHS 124.24(2)(c)2.
2. The medical staff shall ensure that qualified members of the medical staff are regularly available at all times for the emergency service, either on duty or on call, and that a physician is responsible for all patients who arrive for treatment in the emergency service.
DHS 124.24(2)(c)3.
3. If unable to reach the patient within 15 minutes, the physician shall provide specific instructions to the emergency staff on duty if emergency measures are necessary. These instructions may take the form of protocols approved by the medical staff or standing orders.
DHS 124.24(2)(c)4.
4. A sufficient number of nurses qualified by training and experience to work in emergency services shall be available to deal with the number and severity of emergency service cases.
DHS 124.24(2)(d)1.1. Adequate medical records to permit continuity of care after provision of emergency services shall be maintained on all patients. The emergency room patient record shall contain:
DHS 124.24(2)(d)1.i.
i. Appropriate time notations, including time of the patient's arrival, time of physician notification, time of treatments, including administration of medications, and time of patient discharge or transfer from the service.
DHS 124.24(2)(d)2.
2. Where appropriate, medical records of the emergency service shall be integrated with those of the inpatient and outpatient services.
DHS 124.24(2)(e)
(e) Emergency services committee. An emergency services committee composed of physicians, registered nurses and other appropriate hospital staff shall review emergency services and medical records for appropriateness of patient care on at least a quarterly basis. The committee shall make appropriate recommendations to the medical staff and hospital administrative staff based on its findings.
DHS 124.24(3)(a)(a) In this subsection, "victim" means a female who alleges or for whom it is alleged that she suffered sexual assault and who, as a result of the sexual assault, presents as a patient at a hospital that provides emergency services.
DHS 124.24(3)(b)
(b) The department may directly assess a forfeiture for each violation of a requirement under s.
50.375 (2) or
(3), Stats., for care of a victim by a hospital that provides emergency services. The department may assess the forfeitures as follows:
DHS 124.24 Note
Note: Section
50.375 (2), Stats., requires a hospital that provides emergency services to a victim to 1) provide to the victim medically and factually accurate and unbiased written and oral information about emergency contraception and its use and efficacy; 2) orally inform the victim of
her option to receive emergency contraception at the hospital,
her option to report the sexual assault to a law enforcement agency,
and any available options for her to receive an examination to gather evidence regarding the sexual assault; and 3) except as specified in s.
50.375 (4), Stats., immediately provide to the victim upon her request emergency contraception, in accordance with instructions approved by the federal food and drug administration. If the medication is taken in more than one dosage, the hospital shall provide all subsequent dosages to the victim for later self administration.
