Fla. Admin. Code Ann. R. 59A-3.065 - Definitions
In addition to definitions contained in Chapters 395 and 408, Part II, F.S., the following definitions shall apply specifically to hospitals, as used in Rules 59A-3.065 -.310, F.A.C.:
(1) "Advanced Practice Registered Nurse" or
"APRN" means a person licensed in the State of Florida under the provisions of
Chapter 464, F.S. to practice professional nursing and certified in advanced or
specialized nursing practice.
(2)
"Agency" means the Agency for Health Care Administration (AHCA).
(3) "Ambulatory care" means the delivery of
care pertaining to non-emergency, adult, adolescent, and pediatric outpatient
encounters, whether performed through the clinical departments of the hospital
or an organized ambulatory program which is included as a component of the
licensed hospital, regardless of the physical location of such
services.
(4) "At or near the Time
of Death" means that point in time in the care of the patient at which the
procedures have begun for the determination and certification of brain death as
defined under the provisions of Section
382.009, F.S., or
cardiorespiratory (cardiac) death as defined under the provisions of Rule
59A-3.065, F.A.C.
(5) "Brain Death" means the determination of
death under provisions of Section
382.009, F.S., where there is
irreversible cessation of the functioning of the entire brain, including the
brain stem.
(6) "Cardiorespiratory
Death" means the cessation of life which is manifested by the loss or absence
of spontaneous heart beat and breathing.
(7) "Child abuse or neglect" means harm,
pursuant to Section 39.01(32),
F.S., or threatened harm to a child's physical or mental health or welfare by
the acts or omissions of a parent, adult household member, or other person
responsible for the child's welfare, or, for purposes of reporting
requirements, by any person.
(8)
"Continuous" means available at all times without cessation, breaks or
interruption.
(9) "Dentist" means a
doctor of dentistry legally authorized to practice under Chapter 466,
F.S.
(10) "Designee or Requester"
means a person or organization identified, designated, and delegated by the
hospital administrator to carry out the provisions of this chapter and the
responsibilities mandated by Section
765.522, F.S., and to make the
request to the patient or next of kin for the donation of organs, tissues and
eyes.
(11) "Diagnostic imaging"
means those ionizing and non-ionizing radiological procedures, including but
not limited to x-rays, and computerized tomographic scanning, requiring the
supervision and expertise of a physician with appropriate training or
experience.
(12) "District Medical
Examiner" means a physician who fills a position defined according to the
provisions of Section
406.06, F.S.
(13) "Donation" means the free and voluntary
gift of one or more organs, tissues or eyes for the purpose of medical research
or transplant surgery.
(14) "Donor"
means a person from whom organs, tissues or eyes have been surgically removed
for the purpose of transplantation.
(15) "Emergency Medical Technician (EMT)"
means any person who is certified as an EMT pursuant to Chapter 401,
F.S.
(16) "Eye bank" means a public
or private entity which is involved in the retrieval, processing or
distribution of human eye tissue for transplantation and certified pursuant to
Section 765.541, F.S. Funeral homes or
direct disposers engaged solely in the retrieval of eye tissue are not
considered an eye bank for these purposes.
(17) "Facilities" means those objects,
including physical plant, equipment and supplies, necessary for providing
required services.
(18) "General
hospital" as defined in Section
395.002(10),
F.S., means any facility which meets the provisions of subsection (29) and
which regularly makes its facilities and services available to the general
population.
(19) "Governing board"
means the individual, agency, group or corporation appointed, elected, or
otherwise designated, in which the ultimate responsibility and authority for
the conduct of the hospital is vested.
(20) "Health professional" means a person
specifically licensed to practice a health profession, or a person specifically
trained to practice one or more aspects of a health profession by a school or
program officially recognized by this State or accredited by a national
accrediting organization.
(21)
"Inpatient beds" means accommodations with supporting services for patients who
are admitted by physician order with the expectation that the patient would
stay in excess of 24 hours and occupy a bed.
(22) "Intensive residential treatment
programs for children and adolescents" or "intensive residential treatment
facilities" or "IRTF" means a specialty hospital restricted to providing
intensive residential treatment programs for children and adolescents as
defined in Section 395.002(16),
F.S.
(23) "Licensed practical nurse"
means one who is currently licensed in the state of Florida to practice
practical nursing as defined in Chapter 464, F.S.
(24) "Long term care hospital" means a
general hospital which:
(a) Meets the
provisions of Section
395.002(12),
F.S.;
(b) Has an average length of
inpatient stay greater than 25 days for all hospital beds; and,
(c) Meets the provisions of subsection
59C-1.002(28),
F.A.C.
(25) "Medical
Examiner's Case" means any death occurring in the State and which is defined
according to the provisions of Section
406.11, F.S.
(26) "Nursing services" means those services
pertaining to the curative, restorative, and preventive aspects of nursing care
that are performed or supervised by a registered professional nurse under the
direction of a physician.
(27) "On
duty" means personnel within the hospital, appropriately dressed, continuously
alert and responsive to patient needs.
(28) "Operating room suite" means a room, or
set of physically contiguous rooms located on the same floor, used primarily
for the purpose of performing operations and other physically invasive
procedures on patients, as well as rooms for surgical supply and
disinfecting.
(29) "Organ" means a
body part such as a heart, kidney, pancreas, liver, or lung that requires
vascular reanastomosis.
(30) "Organ
Procurement Organization" means a public or private entity designated as an OPO
by the Secretary of the U.S. Department of Health and Human Services (HHS)
which is engaged in the process of recovering organs for the purposes of
transplantation and certified pursuant to Section
765.541, F.S.
(31) "Organized medical staff" means a formal
organization of physicians and other health professionals approved by the
governing board with the delegated responsibility to provide for the quality of
all medical care, and other health care as appropriate, provided to patients,
for planning for the improvement of that care, and for the ethical conduct and
professional practices of its members. Nothing herein shall be construed to
preclude a governing board from restricting membership on the organized medical
staff to only those disciplines required to be included by Florida
law.
(32) "Paramedic" means any
person who is certified as a paramedic pursuant to Chapter 401, F.S.
(33) "Pharmacist" means one who is licensed
under Chapter 465, F.S., and engages in the practice of the profession of
pharmacy.
(34) "Physician" means a
doctor of medicine or osteopathy legally authorized to practice under the
provisions of Chapter 458 or 459, F.S.
(35) "Physician Assistant" or "PA" means a
person who is licensed to perform medical services delegated by the supervising
physician pursuant to Chapter 458 or 459, F.S.
(36) "Podiatrist" means a person legally
authorized to practice podiatry under Chapter 461, F.S.
(37) "Potential Donor" means any person
approaching death or who has died in a Florida hospital and is deemed medically
acceptable according to the medical standards of the affiliated OPO, tissue
bank or eye bank for organ, tissue, or eye donation.
(38) "Premises" means those buildings, beds,
and facilities located at the main address of the licensee and all other
buildings, beds, and facilities for the provision of hospital care located in
such reasonable proximity to the main address of the licensee as to appear to
the public to be under the dominion and control of the licensee.
(39) "Provisional accreditation" means a
determination by a hospital accrediting organization that substantial standards
compliance deficiencies exist in a hospital.
(40) "Provisional license" means a restricted
license issued to a hospital which does not meet requirements for a standard
license, but is in compliance with the pertinent statutes and rules.
(41) "Psychiatric hospital" means a Class III
specialty hospital primarily restricted to treating persons whose sole
diagnosis, or in the event of more than one diagnosis, the principal diagnosis,
as defined in the Diagnostic and Statistical Manual of Mental Disorders is a
psychiatric disorder, as defined in Rule
59C-1.040, F.A.C.
(42) "Qualified medical person" means for the
purposes of Section 395.1041, F.S., the licensed
individual responsible for the operation of the emergency services area during
the time of a transfer.
(43)
"Quality improvement program" means a program of ongoing activities designed to
objectively and systematically evaluate the quality of patient care and
services, pursue opportunities to improve patient care and services, and
resolve identified problems which applies standards of patient care to evaluate
the quality of the hospital's performance.
(44) "Registered dietitian" means one who
meets the standards and qualifications established by the Commission on
Dietetic Registration of the Academy of Nutrition and Dietetics and is
currently registered with the Academy of Nutrition and Dietetics.
(45) "Registered professional nurse" means
one who is currently licensed in the State of Florida to practice professional
nursing as defined in Chapter 464, F.S.
(46) "Rehabilitation hospital" means a Class
III specialty hospital in which an organized program of integrated intensive
care services is provided by a coordinated multidisciplinary team to patients
with severe physical disabilities, as defined under paragraph
59C-1.039(2)(c),
F.A.C.
(47) "Routine Inquiry Form"
means a reporting document developed by the hospital that is used to indicate
that a request for donation of organs, tissues, or eyes was made.
(48) "Rural hospital" means a general
hospital which meets the definition of Section
395.602(2)(e),
F.S.
(49) "Selected Infectious
Diseases" means Acquired Immunodeficiency Syndrome; anthrax; syphilis in an
infectious stage; diphtheria; disseminated vaccinia; Hansen's disease;
hepatitis A; hepatitis B; hepatitis non-A, non-B; Legionnaire's disease;
malaria; measles; meningococcal meningitis; plague; poliomyelitis; psittacosis;
pulmonary tuberculosis; Q fever; rabies; rubella; typhoid fever.
(50) "Special care unit" means a unit
designated to provide acute care services, with a concentration of qualified
professional staffing and supportive resources, to patients requiring
extraordinary care on a concentrated and continuous 24-hour basis. Special care
units include, but are not limited to burn, cardiac, cardiovascular surgery,
neonatal, respiratory, renal care provided in the hospital, but not including
ambulatory units, spinal injury units, trauma and multipurpose special care
units, operating room suite, including medical-surgical intensive care or any
combination of the above.
(51)
"Substance abuse hospital" means a Class III specialty hospital primarily
restricted to treating persons whose sole diagnosis, or in the event of more
than one diagnosis, the principal diagnosis, as defined in the Diagnostic and
Statistical Manual of Mental Disorders is a substance abuse disorder defined
under paragraph 59C-1.041(2)(u),
F.A.C.
(52) "Tissue" means any
non-visceral or non-vascularized collection of similar cells and their
associated intercellular substances. There are four generally accepted basic
body tissues:
(a) Epithelium (including
corneal tissue);
(b) Connective
tissues including blood, bone and cartilage;
(c) Muscle; and,
(d) Nerve tissue.
(53) "Tissue Bank" means a public or private
entity certified pursuant to section
765.541, F.S., which is involved
in at least one of the following activities:
(a) Procuring, processing, storing or
distributing viable or nonviable human tissues to clinicians who are not
involved in the procurement process;
(b) Procuring, processing, and storing human
tissues in one institution and making these tissues available to clinicians in
other institutions; or
(c)
Procuring, processing, and storing human tissues for individual depositors and
releasing these tissues to clinicians at the depositor's
request.
(54)
"Transplantation" means the surgical grafting or implanting in its entirety or
in part one or more tissues or organs taken from another
person.
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