Private Hospitals Regulation

Private Hospitals Regulation, M.R. 58/93 The Private Hospitals Act , C.C.S.M. c. P130 Regulation 58/93 Registered March 19, 1993 bilingual version (HTML) Table of Contents Section 1 Admissions 2 Medical and nursing care 3 Records 4 Laboratory 5 Operations 6 Reports 7 Equipment 8 Fire hazards 9 Inspections 10 Repeal 11 Coming into force Schedule Admissions 1(1) No patient shall be admitted to, or retained for care or treatment in, a private hospital unless that patient is under the active care of a legally qualified medical practitioner. 1(2) No patient shall be admitted to a private hospital licensed for the care of alcoholic patients, except under the written certificate of a legally qualified medical practitioner that the person requires treatment for alcoholism. Medical and nursing care 2(1) No form of treatment shall be instituted or given to any patient admitted to a private hospital except on the written order of a legally qualified medical practitioner. 2(2) No patient admitted to a private hospital shall be placed under any type of physical restraint without the written order of the attending physician. 2(3) Each private hospital shall have (a) a staff of graduate nurses and other categories of employees that is sufficient for the adequate nursing care of patients, considering the number and type of patients admitted; and (b) at least one registered nurse on duty at all times. 2(4) The legally qualified medical practitioner in charge of an alcoholic patient admitted to a private hospital licensed for the care of alcoholic patients shall see that patient at least twice a week. Records 3(1) A private hospital shall have adequate means for recording, and the licensee thereof shall record, in respect of each patient admitted thereto, (a) the clinical history; (b) the report of the physical examination; (c) the provisional diagnosis; (d) the daily progress notes; (e) the condition on discharge; and (f) such further and other records as the minister may direct. 3(2) The clinical history, the report of the physical examination, and the provisional diagnosis, required under subsection (1), shall be made and duly recorded in writing within 36 hours of the patient's admission to the private hospital. 3(3) The superintendent of each private hospital is responsible for the preservation and storage of all such records made in respect of patients in the hospital. Laboratory 4(1) Subject to subsection (2), the operating surgeon shall immediately set aside tissues or sections of tissues removed at operations or curettage, and the superintendent shall forward them, with a short history of the case and a statement of the findings at operation, in writing, to a laboratory approved by the minister, and obtain a written pathological report on those tissues or sections of tissues. 4(2) Tonsils, or an appendix, tooth, frenum, hemorrhoid, finger, toe, hand, foot, arm, or leg, removed or amputated, shall not be forwarded as provided in subsection (1), unless the surgeon wishes a special examination. 4(3) The pathological report received from the laboratory under subsection (1) is part of the patient's case history. Operations 5(1) Subject to subsection (2), no surgical operation shall be performed on any patient in a private hospital without the consent, in writing, of the patient or his or her legally qualified representative. 5(2) An operation may be performed without written consent under subsection (1) where (a) in the opinion of the operating surgeon, an emergency condition exists, and delay might endanger the life of the patient; (b) the patient is unable to give consent and no person with authority to do so can readily be found; and (c) the operating surgeon makes a written report on the case history, stating his or her opinion and the reasons for failure to obtain a written consent to the performance of the operation. 5(3) The history of the case and report of physical examination shall be completed prior to operation. 5(4) Under emergency conditions complete documentation may be waived but the surgeon performing the operation shall state in writing the reason for lack of that document, and shall also state his or her pre-operative diagnosis. 5(5) The written report of each operation shall be placed in the patient's case history. 5(6) The anaesthetist for each operation shall be a legally qualified medical practitioner, and shall record the details of anaesthesia. 5(7) In cases of abortion, threatened abortion, or where therapeutic abortion is indicated, and wherever emptying of the uterus is indicated, two legally qualified medical practitioners shall examine the patient, and shall make and sign a record, clearly indicating reasons for adopting surgical procedure. 5(8) Each consultant called shall, wherever possible, be a legally qualified medical practitioner, not associated in practice with the legally qualified medical practitioner in charge of the case. 5(9) No person shall perform a major operation in a private hospital that does not have adequate means of sterilization, and does not possess all other equipment essential to such an operation. 5(10) No person shall perform a surgical operation in a private hospital without sufficient qualified assistants. Reports 6(1) The superintendent of each private hospital shall, within 24 hours of the death of any patient, directly or indirectly resulting from pregnancy, report the death in writing, to the minister, on the form set out in the Schedule. 6(2) The superintendent of each private hospital shall, within 24 hours of any curettage or emptying of the uterus of any patient, report, in writing, to the minister the facts respecting the curettage or emptying of the uterus, the reason for surgical intervention, and the names of the operating surgeon and consultants. 6(3) The licensee of each private hospital shall submit to the minister an annual financial and statistical report respecting the hospital, in such form as may be required by the minister. Equipment 7(1) The licensee of each private hospital shall provide (a) an adequate supply of hot and cold water, of sanitary quality, under pressure to all parts of the building; and (b) properly installed plumbing and drainage and sewage systems. 7(2) The licensee of each private hospital licensed as a surgical hospital shall maintain in the hospital at all times an operating suite suitably equipped to carry on the work of the hospital. 7(3) The licensee of each private hospital licensed as a maternity hospital shall maintain at all times (a) a delivery room; and (b) a suitable nursery for the care of newborn infants, which shall have (i) minimum floor space of 20 square feet for each bassinette, (ii) suitable refrigeration and bottle sterilization facilities, and (iii) suitable accommodation for the isolation of patients having puerperal infection. Fire hazards 8 The licensee of each private hospital shall comply with the recommendations and requirements of The Fire Commissioner for Manitoba. Inspections 9 The inspector appointed by the minister under the Act, shall (a) administer and enforce the Act and this regulation; (b) make regular inspections of all private hospitals; and (c) decide as to, or approve, or decide as to and approve, the suitability or adequacy of accommodation or equipment required under the Act. Repeal 10 Manitoba Regulation 454/88 R is repealed. Coming into force 11 This regulation comes into force on March 31, 1993. SCHEDULE Form for Reporting Deaths Resulting from Pregnancy