28 Pa. Code § 138.14 – Programs and services.

(a) To perform cardiac catheterizations a hospital shall be an acute care facility that:
1. (1) Has inpatient medical and surgical services onsite.
2. (2) Has a coronary care unit onsite with 24-hour per day monitoring capability.
3. (3) Has a peripheral vascular surgical program available.
4. (4) Provides noninvasive cardiac diagnostic modalities including exercise and pharmacologic stress testing, echo cardiography and nuclear cardiology.
5. (5) Has a setting in which ambulatory cardiac catheterization patients can be observed for 4 to 6 hours after the procedure.
6. (6) Has adequate physician coverage to manage postprocedure complications.
(b) Outpatient diagnostic cardiac catheterization services shall be performed if care is exercised in selecting only appropriate low risk patients as defined in this chapter.
(c) To allow for continuity of care, mobile cardiac catheterization laboratories may be utilized onsite at a hospital which is already providing cardiac catheterization services while the existing, fixed cardiac catheterization laboratory is being renovated or its equipment upgraded.