Section He-P 812.18 - Required Services(a) The licensee shall determine the scope of surgical services that shall be performed in the surgical suite.(b) The licensee shall determine the types of anesthesia to be utilized and shall meet NFPA 99, Health Care Facilities Code for supply and storage. Once determined, the ASC shall assure its availability in the surgical suite. Flammable anesthetics shall not be used in an ASC.(c) Each licensee shall ensure the availability of sufficient personnel, with the required skills and experience, to provide the services in (a) above.(d) The licensee shall have a policy governing basic life support training and use.(e) The licensee shall have a surgical suite, which shall be a separate unit, physically set apart from all other departments.(f) The surgical suite shall contain the following:(1) At least one operating room equipped for general operating use within the scope of surgical services determined by the ASC in accordance with (a) above; (2) Facilities for sterilization, scrubbing, and clean-up, separate from the operating room; (3) Clean, sterile, soiled, or decontamination rooms which shall be separate and distinct from each other;(4) Appropriate storage space for sterile supplies, instruments, anesthesia and medications; (6) Heating ventilation and air conditioning (HVAC) systems shall comply with the FGI "Guidelines for Design and Construction of Outpatient Facilities" (2018 Edition), available as noted in Appendix A, including the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE/ANSI/ASHE) Standard 170-2017 and the State of NH 2009 International Mechanical Code; and(7) Space routinely used for administering inhalation anesthesia and inhalation analgesia, which shall be served by a scavenging system to vent waste gases.(h) The ASC shall have appropriately certified or licensed supervisory personnel present during the procedures being performed.(i) No operation shall be performed until: (1) The patient has had a physical examination and medical history completed, within the past 30 days;(2) Any indicated laboratory and x-ray examinations have been completed; (3) The preoperative diagnosis has been recorded in the patient's record; and(4) The patient has signed a consent for anesthesia.(j) The ASC shall complete discharge planning on all patients admitted to the ASC including the provision of verbal and written instructions to the patient, and/or personal representative, agent, surrogate decision-maker, or guardian as applicable. (k) Discharge planning shall include, as applicable: (1) The patient's medication needs upon discharge;(2) The need for medical equipment, special diets, or potential food-drug interactions; and(3) The need for home health services upon discharge.(l) The ASC shall have a procedure for the immediate transfer to a hospital, of patients requiring emergency medical care beyond the capabilities of the ASC.N.H. Admin. Code § He-P 812.18
Amended by Volume XXXVIII Number 28, Filed July 12, 2018, Proposed by #12557, Effective 6/26/2018, Expires 12/24/2018.Amended by Volume XXXIX Number 50, Filed December 12, 2019, Proposed by #12926, Effective 11/26/2019, Expires 11/26/2029.