Utah Administrative Code

The Utah Administrative Code is the body of all effective administrative rules as compiled and organized by the Division of Administrative Rules (see Subsection 63G-3-102(5); see also Sections 63G-3-701 and 702).

NOTE: For a list of rules that have been made effective since August 1, 2019, please see the codification segue page.

NOTE TO RULEFILING AGENCIES: Use the RTF version for submitting rule changes.

R432. Health, Family Health and Preparedness, Licensing.

Rule R432-105. Specialty Hospital - Orthopedic.

As in effect on August 1, 2019

Table of Contents

R432-105-1. Legal Authority.

This rule is adopted pursuant to Title 26, Chapter 21.

R432-105-2. Purpose.

The purpose of this rule is to promote the public health and welfare through the establishment and enforcement of licensure standards. This rule sets standards for the operation and maintenance of an orthopedic specialty hospital.

R432-105-3. Time for Compliance.

All Orthopedic Specialty hospitals shall be licensed and in full compliance with R432-105.

R432-105-4. Definitions.

(1) Refer to Common Definitions in R432-1-3.

(2) Special definitions.

(a) "Orthopedic Specialty Hospital" means a specialty hospital that provides evaluation, diagnosis, and treatment of individuals with a primary diagnosis of musculoskeletal disorders and injuries as defined in the Orthopaedic ICD-9-CM.

(b) "Donor center" means a facility that procures, prepares, processes, stores and transports blood and blood components.

(c) "Transfusion service" means a facility that may prepare blood components, but also stores, determines compatibility, transfuses blood and blood components and monitors transfused patients for any ill effect.

(d) "Blood bank" means a facility that combines the functions of a donor center and transfusion service within the same facility.

(3) See definition of "specialty hospital", R432-101-4(2).

R432-105-5. Licensure.

License required. Refer to R432-2.

R432-105-6. General Construction Rules.

Refer to R432-11. Orthopedic Specialty Hospital Construction Rule.

R432-105-7. Organization and Staff.

The following services and policies shall comply with R432-100:

(1) Administrator, R432-100-6.

(2) Medical and Professional Staff, R432-100-7.

(3) Nursing Care Services, R432-100-12.

(4) Personnel Management Service, R432-100-8.

(5) Infection Control, R432-100-10.

(6) Quality Improvement Plan, R432-100-9.

(7) Patient Rights, R432-100-11.

(8) Governing Body, R432-100-5.

R432-105-8. Admission Policy.

An orthopedic specialty hospital is limited to serving patients that meet the following criteria:

(1) Each patient shall have a primary admitting diagnosis that requires evaluation, diagnosis and treatment of a musculoskeletal disorder or injury, as defined in the Orthopaedic ICD-9-CM, the International Classification of Diseases, 9th Edition, Clinical Modification, Expanded, published by the American Academy of Orthopaedic Surgeons which is adopted and incorporated by reference and;

(2) There is a reasonable expectation that the patient's needs can be met by the services provided by the orthopedic specialty hospital.

R432-105-9. Clinical Services.

The following services shall comply with R432-100:

(1) Surgical Services, R432-100-14.

(2) Critical Care Unit, R432-100-13.

(3) Outpatient Services, R432-100-28.

(4) Pediatric Services, R432-100-18.

R432-105-10. Emergency Services.

(1) Each specialty hospital shall have the ability to provide emergency first aid treatment to patients, staff, visitors, and to persons who may be unaware of or unable to immediately reach services in other facilities.

(2) Provisions shall include a treatment room, storage for supplies and equipment, provisions for reception and control of patients, convenient patient toilet room, and communication access to a poison control center.

(3) Additional Emergency Services.

Any additional or expanded emergency services offered shall comply with the provisions of the appropriate sections of R432-100-16.

R432-105-11. Complementary Services.

The following services shall comply with R432-100:

(1) Anesthesia Services, R432-100-15.

(2) Blood Services, R432-100-23.

(3) Laboratory and Pathology, R432-100-22.

(4) Pharmacy, R432-100-24.

(5) Radiology, R432-100-21.

(6) Respiratory Care, R432-100-19.

(7) Social Services, R432-100-25.

R432-105-12. Ancillary Services.

The following services shall comply with R432-100:

(1) Central Supply, R432-100-34.

(2) Dietary, R432-100-31.

(3) Laundry, R432-100-35.

(4) Medical Records, R432-100-33.

(5) Emergency and Disaster Plans, R432-100-38.

(6) Maintenance Services, R432-100-37.

(7) Housekeeping Services, R432-100-36.

R432-105-13. Penalties.

Any person who violates any provision of this rule may be subject to the penalties enumerated in 26-21-11 and R432-3-6 and be punished for violation of a class A misdemeanor as provided in 26-21-16.


health care facilities

Date of Enactment or Last Substantive Amendment

March 3, 1995

Notice of Continuation

November 9, 2015

Authorizing, Implemented, or Interpreted Law

26-21-2.1; 26-21-5; 26-21-6; 26-21-20

Additional Information


For questions regarding the content or application of rules under Title R432, please contact the promulgating agency (Health, Family Health and Preparedness, Licensing). A list of agencies with links to their homepages is available at http://www.utah.gov/government/agencylist.html or from http://www.rules.utah.gov/contact/agencycontacts.htm.