[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR482.57]



[Page 501-502]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 482_CONDITIONS OF PARTICIPATION FOR HOSPITALS--Table of Contents

 

                  Subpart D_Optional Hospital Services

 

Sec. 482.57  Condition of participation: Respiratory care services.



    The hospital must meet the needs of the patients in accordance with 

acceptable standards of practice. The following requirements apply if 

the hospital provides respiratory care service.

    (a) Standard: Organization and Staffing. The organization of the 

respiratory care services must be appropriate to the scope and 

complexity of the services offered.

    (1) There must be a director of respiratory care services who is a 

doctor of medicine or osteopathy with the knowledge experience, and 

capabilities to supervise and administer the service properly. The 

director may serve on either a full-time or part-time basis.



[[Page 502]]



    (2) There must be adequate numbers of respiratory therapists, 

respiratory therapy technicians, and other personnel who meet the 

qualifications specified by the medical staff, consistent with State 

law.

    (b) Standard: Delivery of Services. Services must be delivered in 

accordance with medical staff directives.

    (1) Personnel qualified to perform specific procedures and the 

amount of supervision required for personnel to carry out specific 

procedures must be designated in writing.

    (2) If blood gases or other laboratory tests are performed in the 

respiratory care unit, the unit must meet the applicable requirements 

for laboratory services specified in Sec. 482.27.

    (3) Services must be provided only on, and in accordance with, the 

orders of a doctor of medicine or osteopathy.



[51 FR 22042, June 17, 1986; 51 FR 27848, Aug. 4, 1986, as amended at 57 

FR 7136, Feb. 28, 1992]