N.M. Admin. Code § 8.370.18.28 - POLICIES AND PROCEDURES
A. All
facilities licensed pursuant to these regulations must have written policies
and procedures for the following:
(1) quality
assurance program;
(2) maintenance
of building and equipment;
(3) fire
and evacuation;
(4) staff
development and evaluation;
(5)
administration and preparation of drugs;
(6) referral of patients.
B. Ambulatory surgical center: In
addition to those policies and procedures listed in Subsection A of
8.370.18.28 NMAC of these
regulations, ambulatory surgical centers must have the following policies and
procedures:
(1) transfer of patients to
hospital for patients requiring emergency care;
(2) for ambulance services if
applicable;
(3) transfer of medical
information;
(4) resuscitative
techniques;
(5) aseptic techniques
and scrub procedures;
(6) care of
surgical specimens;
(7) protocols
of surgical procedures;
(8)
cleaning of operating room after each use;
(9) sterilization and disinfection;
(10) operating room attire;
(11) care of anesthesia equipment;
(12) special provision for infected or
contaminated patients; and
(13)
inspection and maintenance of emergency equipment in operating room.
C. Infirmaries: In addition to
those policies and procedures listed in Subsection A of
8.370.18.28 NMAC of these
regulations, infirmaries must have the following policies and procedures:
(1) inpatient care;
(2) transfer of patients to hospital.
D. New or innovative
outpatient services: In addition to those policies and procedures listed in
Subsection A of
8.370.18.28 NMAC of these
regulations, may have others required by the licensing authority after review
of program and approval of the new or innovative service.
Notes
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