Section 246-330-115 - GovernanceThis section outlines the organizational guidance and oversight responsibilities of ambulatory surgical facility resources and staff to support safe patient care.
An ambulatory surgical facility must have a governing authority that is responsible for determining, implementing, monitoring and revising policies and procedures covering the operation of the facility that includes:
(1) Selecting and periodically evaluating a chief executive officer or administrator;(2) Appointing and periodically reviewing a medical staff;(3) Approving the medical staff bylaws;(4) Reporting practitioners according to RCW 70.230.120;(5) Informing patients of any unanticipated outcomes according to RCW 70.230.150;(6) Establishing and approving a coordinated quality performance improvement plan according to RCW 70.230.080;(7) Establishing and approving a facility safety and emergency training program according to RCW 70.230.060;(8) Reporting adverse events and conducting root cause analyses according to chapter 246-302 WAC;(9) Providing a patient and family grievance process including a time frame for resolving each grievance according to RCW 70.230.080(1)(d);(10) Defining who can give and receive patient care orders that are consistent with professional licensing laws; and(11) Defining who can authenticate written or electronic orders for all drugs, intravenous solutions, blood, and medical treatments that are consistent with professional licensing laws.Wash. Admin. Code § 246-330-115
Statutory Authority: Chapter 70.56 RCW. 12-16-057, § 246-330-115, filed 7/30/12, effective 10/1/12. Statutory Authority: Chapter 70.230 RCW. 09-09-032, § 246-330-115, filed 4/7/09, effective 5/8/09.