7 AAC 12.880. Outpatient service

(a) If a facility provides outpatient service, the responsibility of the outpatient service to the medical staff and the administration of the facility must be defined in writing.

(b) The outpatient service must develop a written plan describing its treatment philosophy, objectives, and organization.

(c) If the facility is one that performs outpatient surgery, the written policies and procedures must make provision for at least the following:

(1) types of operative procedures that may be performed;

(2) types of anesthesia that may be used;

(3) pre-operative evaluation of the patient which meets the same standards as apply to inpatient surgery;

(4) informed consent by a patient before treatment;

(5) the delivery to a pathologist designated by the facility of all anatomical parts, tissues, or foreign objects that are removed from a patient, except those designated by the medical staff as not requiring a pathologist's report, and the filing of the pathologist's findings in the patient's medical record;

(6) written instructions to a patient before surgery, which include

(A) applicable restrictions on food and drugs that may be taken before surgery;

(B) any special preparations to be made by the patient;

(D) clear explanation that admission to the hospital may be required in the event of an unforeseen circumstance; and

(7) examination of each patient by a physician before discharge.

(d) A medical record must be maintained for each patient who receives care in the outpatient service.

(e) If outpatient psychiatric followup treatment is provided, the outpatient service must comply with 7 AAC 12.215(d) (3).

(f) If outpatient substance abuse followup treatment is provided, the outpatient service must comply with 7 AAC 12.220(c) (5) and 7 AAC 33.005 - 7 AAC 33.165.

History: Eff. 11/19/83, Register 88

Authority: AS 18.05.040

AS 18.20.010

AS 18.20.060

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