N.M. Admin. Code § 8.370.18.28

Current through Register Vol. 35, No. 23, December 10, 2024

Section 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.

N.M. Admin. Code § 8.370.18.28

Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024