Section 70438.2 - Cardiac Catheterization Laboratory Service - Expanded(a) As used in this section, the following definition applies:(1) "Expanded cardiac catheterization laboratory space" means a catheterization laboratory space, as provided for in Section 70439(a), that is located in a building connected to a general acute care hospital, as described in subdivision (b).(b) General acute care hospitals that qualify, pursuant to Section 1255(d)(3) of the Health and Safety Code, to provide cardiac catheterization laboratory service in expanded cardiac catheterization laboratory space, may do so, provided that: (1) There exists an enclosed all-weather passageway that connects the general acute care hospital and the structure in which the expanded cardiac catheterization space is located. Such a passageway shall: (A) be short enough to allow a patient that is undergoing a cardiac catheterization procedure in the expanded cardiac catheterization laboratory space and who needs emergent care to arrive in the appropriate definitive care option in the general acute care hospital within 10 minutes of the time the physician deems that the patient needs to be transported to the definitive care option within the general acute care hospital. The actual transport time of the patient to the definitive care option from the cardiac catheterization laboratory space shall not exceed 5 minutes.(B) have lighting and emergency lighting and power in accordance with Sections 70851 and 70841, respectively;(C) have installed heating, air conditioning and ventilating systems;(D) be equipped with an emergency call feature at each end of the enclosed all-weather passageway. For the purposes of this subdivision, "emergency call feature" is defined as a telephonic connection, or any other means of communication, permanently located within the enclosed all-weather passageway, that allows the medical staff members to communicate with medical staff members in the general acute care hospital;(E) have access that is restricted to authorized staff and to patients accompanied by authorized staff. Authorized staff shall be determined by the policies and procedures developed, maintained, and implemented by the general acute care hospital; and(F) be secured by electronic means in accordance with the security policies and procedures developed, maintained, and implemented by the general acute care hospital.(2) Policies and procedures for expanded cardiac catheterization laboratory space care for both inpatients and outpatients shall be developed, maintained and implemented by the general acute care hospital.(A) Inpatient care policies and procedures for the expanded cardiac catheterization laboratory space shall include consideration of the acuity of the inpatient and the type of procedure needed by the patient for the purpose of determining whether the placement of an inpatient in the expanded cardiac catheterization laboratory space is medically appropriate.(3) Inpatients shall have priority for placement on the general acute care hospital's cardiac catheterization laboratory schedule. Inpatients in need of cardiac catheterization laboratory procedures shall not have such procedures performed in the expanded cardiac catheterization laboratory space, unless all of the general acute care hospital cardiac catheterization laboratory space is actively in use.(4) Pediatric cardiac catheterization, as defined in Health and Safety Code Section 1255.5(e), services shall not be performed in an expanded cardiac catheterization laboratory space, in accordance with Sections 1255.5(d) and (e) of the Health and Safety Code.(c) Not more than 25 percent of the general acute care hospital's inpatients in need of cardiac catheterization laboratory service may have such procedures performed in the expanded cardiac catheterization laboratory space per calendar year. The general acute care hospital shall maintain records that provide the number of cardiac catheterization procedures performed in the expanded cardiac catheterization laboratory space, and the patient's status as an inpatient or outpatient.(d) The hospital shall comply with all of the requirements of Sections 70433(a), (b), (c)(1), (e), (i), (j), 70435(a) and 70437(a).Cal. Code Regs. Tit. 22, § 70438.2
1. New section filed 2-19-2013 as an emergency; operative 2-28-2013 pursuant to Health and Safety Code section 1255(d)(3)(C) & (D) (Register 2013, No. 8). A Certificate of Compliance must be transmitted to OAL by 8-27-2013 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 8-19-2013 as an emergency; operative 8-20-2013 (Register 2013, No. 34). A Certificate of Compliance must be transmitted to OAL by 11-18-2013 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 8-19-2013 order, including amendment of subsections (a)-(a)(1), (b)(1)(A), (b)(1)(E), (b)(2)(A) and (b)(3), transmitted to OAL 11-15-2013 and filed 12-17-2013; amendments effective 12-17-2013 pursuant to Government Code section 11343.4(b)(3) (Register 2013, No. 51). Note: Authority cited: Sections 1255, 131050, 131051 and 131200, Health and Safety Code. Reference: Section 1255, Health and Safety Code.
1. New section filed 2-19-2013 as an emergency; operative 2-28-2013 pursuant to Health and Safety Code section 1255(d)(3)(C) & (D) (Register 2013, No. 8). A Certificate of Compliance must be transmitted to OAL by 8-27-2013 or emergency language will be repealed by operation of law on the following day.