S.D. Admin. R. 44:75:11:02

Current through Register Vol. 51, page 67, December 16, 2024

Section 44:75:11:02 - Surgical records

When surgery is performed, the following record requirements apply:

(1) An operating room register shall be complete and up to date. It shall at a minimum include; patient name, hospital identification number, date of operation, inclusive or total time of operation, name of surgeon and any assistants, name of nursing personnel, type of anesthesia and name of person administering, operation performed, pre and post-operative diagnosis, and patient age;

(2) The patient's medical record, including at least a medical history, a copy of the physician's examination, copies of laboratory tests, a signed consent for the surgical procedure to be performed, and a preoperative diagnosis, shall be made available in the surgical suite at the time of surgery; and

(3) An accurate and complete description of the operative procedure shall be recorded by the operating surgeon within forty-eight hours following completion of surgery.

S.D. Admin. R. 44:75:11:02

42 SDR 51, effective 10/13/2015; 50 SDR 062, effective 11/27/2023

General Authority: SDCL 34-12-13(10)(12).

Law Implemented: SDCL 34-12-13(10)(12).