10A NCAC 13C .0201      APPLICATION

(a)  A person shall submit an application for a license to establish or maintain an ambulatory surgical facility to the Department in writing on the form provided by the Department. Each application shall contain all necessary and reasonable information that the Department may by rule require, including the following and other pertinent information the Department may deem appropriate to carry out its responsibilities for statistical data collection and long range health planning:

(1)           name of facility,

(2)           address of facility,

(3)           telephone number of facility,

(4)           names of owners,

(5)           names of operator and governing authority,

(6)           name of chief executive officer,

(7)           composition of medical and paramedical staff,

(8)           name of chief of staff,

(9)           director of nursing service,

(10)         number of operating rooms and recovery beds,

(11)         list of surgical procedures to be performed in facility,

(12)         qualification of persons responsible for anesthesia services,

(13)         information regarding use and storage of flammable anesthesia,

(14)         description of laboratory and pathology services,

(15)         name of hospital(s) with which transfer agreement has been made,

(16)         description of arrangements for emergency transportation of patients from the facility,

(17)         description of arrangements for food service, and

(18)         information regarding sanitation inspection and fire inspection.

(b)  The person shall make application for a license for a new facility or for the renewal of a license for an existing facility. Applications for licensure for a new facility shall be submitted at least 120 days prior to opening.

(c)  Any ambulatory surgical facility desiring licensure which is in operation at the time of promulgation of any applicable rules or regulations shall be given a reasonable time, not to exceed one year from the date of such promulgation, within which to comply with such rules and regulations.


History Note:        Authority G.S. 131E‑147; 131E‑149;

Eff. October 14, 1978;

Amended Eff. November 1, 1989;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017.