Current through Register Vol. 43, No. 45, November 7, 2024
Section 100-25-2 - General requirements(a) Except in an emergency, a person licensed to practice a branch of the healing arts shall not perform direct patient care in an office unless all of the following conditions are met: (1) The office at which the direct patient care is performed is sanitary and safe. (2) Smoking is prohibited in all patient care areas and all areas where any hazardous material is present. (3) Medical services waste is segregated, stored, collected, processed, and disposed of in accordance with K.A.R. 28-29-27. (b) On and after July 1, 2006, each person licensed to practice a branch of the healing arts who maintains an office within this state shall adopt and follow a written procedure for sanitation and safety that includes at least the following: (1) Standards for maintaining the cleanliness of the office. The standards shall specify the following: (A) The methods for and the frequency of cleaning and decontaminating the walls, ceilings, floors, working surfaces, furniture, and fixtures. The written procedure shall identify the types of disinfectants and cleaning materials to be used; and (B) the methods to prevent the infestation of insects and rodents and, if necessary, to remove insects and rodents; (2) standards for infection control and the disposal of biological waste. The standards shall be at least as stringent as the standards in all applicable laws pertaining to the disposal of medical and hazardous waste and shall specify the following: (A) The procedures to limit the spread of infection among patients and personnel through universal precautions, hand hygiene, and the proper handling and disposal of sharp objects; (B) the methods to decontaminate infected items with germicidal, virucidal, bactericidal, tuberculocidal, and fungicidal products; and (C) the procedures to sterilize reusable medical instruments and devices; (3) standards for maintaining drugs, supplies, and medical equipment. The standards shall be at least as stringent as the standards in all applicable laws pertaining to the supply, storage, security, and administration of controlled drugs and shall specify the following: (A) The manner of storing drugs and supplies to guard against tampering and theft; (B) the procedures for disposal of expired drugs and supplies; and (C) the procedures for maintaining, testing, and inspecting medical equipment; (4) standards for maintaining the safety of physical facilities. The standards shall require that all of the following conditions are met: (A) The office is properly equipped and maintained in good repair as necessary to prevent reasonably foreseeable harm to patients, personnel, and the public; (B) the lighting, ventilation, filtration, and temperature control are adequate for the direct patient care to be performed; (C) the floors, walls, and ceilings have surfaces that can be cleaned, disinfected, sterilized, or replaced as appropriate for the direct patient care to be performed; (D) adequate measures are in place to deter any unauthorized individuals from entering the treatment rooms; and (E) all passageways are free of clutter; and (5) a plan for reporting each reportable incident pursuant to K.S.A. 65-28,122 and K.S.A. 65-4923 and amendments thereto. Kan. Admin. Regs. § 100-25-2
Authorized by K.S.A. 65-2865; implementing K.S.A. 65-2837; effective, T-100-8-22-05, Aug. 22, 2005; effective, T-100-12-20-05, Dec. 20, 2005; effective March 17, 2006.