Health Licensing
Provider-Wide Exceptions & Position Statements
In the interest of establishing reasonable standards that can be met by providers and yet do not compromise the health and well-being of the patients, residents, and participants cared for in South Carolina licensed facilities, it has been determined that alternative standards will be considered as acceptable. A Provider-Wide Exception (PWE) is the tool that is used to achieve a working relationship between the facility and their regulators. This page also contains Position Statements that give guidance or interpretations of the regulation.
Note: Some Provider-Wide Exceptions pre-date the publishing dates of specific Regulation established by the State Register and may no longer be in effect. In these instances, if there is a conflict between a PWE that pre-dates the publishing date of the regulation, the standard in the regulation shall supercede the PWE.
Affects Multiple Regulations
- Tuberculosis Screening - BAMT (PWEMR-01) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWEMR-02) (pdf)
- Travel Distance to Nearest Exit (PWEMR-03) (pdf)
- Disaster Shelter (PS-MR-19970124) (pdf)
- Use of electronic signatures in records and advanced technologies for records storage (PS-MR-19930519 (pdf)
Abortion Clinics (Regulation 61-12)
- CPR Training (PWE012-01) (pdf)
- Tuberculosis Screening (PWE012-02) (pdf)
- Reportable Accidents that Must be Reported to Health Licensing (PS-R012-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE012-04) (pdf)
Ambulatory Surgery Centers (Regulation 61-91)
- Tuberculosis Screening (PWE091-01) (pdf)
- Reportable Accidents Incidents That Must Be Reported to Health Licensing (PS-R091-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE091-03) (pdf)
- Notification of Temporary Facility Closure and Zero Census (PS-R091-19981207) (pdf)
ICF / MR Facilities (Regulation 61-13)
- Annual Review of Policies & Procedures (PWE013-02) (pdf)
- Verbal Orders for Medication & Treatment (PWE013-03) (pdf)
- Pre-employment Physical Examinations (PWE013-04) (pdf)
- Signal or Call System (PWE013-05) (pdf)
- Pets in Dining/Activity Areas (PWE013-06) (pdf)
- Notification of Temporary Closure and Zero Census (PS-R013-19981207) (pdf)
- Food Temperatures (PWE013-08) (pdf)
- Hot Water Supplied to Washing Sinks (PWE013-09) (pdf)
- Emergency/Disaster Preparedness (PS-R013-20040904) (pdf)
- "No Smoking" Signs ( PWE013-10) (pdf)
- Tuberculosis Screening (PWE013-11) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R013-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE013-13) (pdf)
- Internal and External Medical Surge during an Emergency (PS-R013-20080111) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R013-20080115) (pdf)
Hospitals (Regulation 61-16)
- Orders for Medication & Treatment (See also PWE016-09) (PWE016-01) (pdf)
- Staff Meeting Requirements (PWE016-02) (pdf)
- Consolidating Licenses of Separate & Distinct Buildings (PS-R016-19950307) (pdf)
- Medical Record Requirements (PWE016-04) (pdf)
- Handling of Soiled Linen (PWE016-05) (pdf)
- Annual Review of Policies & Procedures (PWE016-06) (pdf)
- Pre-employment Physical Examinations (PWE016-07) (pdf)
- Notification of Temporary Closure and Zero Census (PS-R016-19981207) (pdf)
- Regarding the PWE016-01, PWE for Authentication of Verbal Orders (PWE016-09) (pdf)
- Travel Distance to Nearest Exit (PWE016-10) (pdf)
- Prescriber Signatures on Verbal Orders (See also PWE016-01) (PS-R016-19990811) (pdf)
- Emergency/Disaster Preparedness (PS-R016-20040904) (pdf)
- "No Smoking" Signs (PWE016-12) (pdf)
- Tuberculosis Screening (PWE016-13) (pdf)
- Reporting of Incidents and Accidents in Hospitals (PS-R016-20060905) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R016-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE016-16) (pdf)
- Internal and External Medical Surge during an Emergency (PS-R016-20080111) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R016-20080115) (pdf)
- Qualified Food Service Supervisor Exception (Temporary PWE) (PWE016-18) (pdf)
- External Medical Surge Position Statement (PS-R016-20090317) (pdf)
- Qualified Food Service Supervisor Exception (PWE016-20) (pdf)
- Qualified Food Service Supervisor Exception (PWE016-21)
- Qualified Food Service Supervisor Exception Extension (PWE016-22)
- Federal and State Regulations - Authentication of Verbal Orders (PWE016-23) (pdf)
Nursing Homes (Regulation 61-17)
- Emergency/Disaster Preparedness (PS-R017-20040904) (pdf)
- Physician Visits in Nursing Homes (PS-R017-20060524) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE017-02) (pdf)
- Reportable Accidents that Must be Reported to Health Licensing ( PS-R017-20060914) (pdf)
- Internal and External Medical Surge during an Emergency (PS-R017-20080111) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R017-20080115) (pdf)
- Qualified Food Service Supervisor Exception (Temporary PWE) (PWE017-04) (pdf)
- Hepatitis B Vaccination and TB Screening (PWE017-05) (pdf)
- Criminal Background Checks for Nursing Homes (PWE017-06) (doc)
- Qualified Food Service Supervisor Exception (PWE017-07) (pdf)
- Qualified Food Service Supervisor Exception (PWE017-08)
- Qualified Food Service Supervisor Exception (PWE017-09)
- Temporary Modification of Nursing Home Staffing Standards for Fiscal Year 2011-2012 (PS-R017-20110609) (pdf)
- Temporary Modification of Nursing Home Staffing Standards for Fiscal Year 2012-2013 (PS-R17-20120803) (pdf)
Adult Day Care Facilities (Regulation 61-75)
- Pre-enrollment Physical Examination Requirements (PWE075-01) (pdf)
- Pre-employment Physical Examinations (PWE075-03) (pdf)
- Pets in Dining/Activity Areas (PWE075-04) (pdf)
- Notification of Temporary Closure and Zero Census (PS-R075-19981207) (pdf)
- Emergency/Sick Beds (PWE075-06) (pdf)
- Hot Water Temperature in Toilet Room Lavatories (PWE075-07) (pdf)
- ADC - American Red Cross First Aid Training (PWE075-08) (pdf)
- CPR Training (PWE075-09) (pdf)
- Tuberculosis Screening for Employees/Staff/Volunteers (PWE075-10) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R075-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE075-12) (pdf)
Hospice (Regulation 61-78)
- Hospice In-Patient Facility - One-hour Fire-Resistive Separation Construction (PWE078-01) (pdf)
- Emergency/Disaster Preparedness (PS-R078-20040904) (pdf)
- "No Smoking" Signs (PWE078-02) (pdf)
- Tuberculosis Screening (PWE078-03) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R078-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE078-05) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R078-20080115) (pdf)
CRCF (Regulation 61-84)
- Emergency/Disaster Preparedness (PS-R084-20040904) (pdf)
- Medication Administration Training (PS-R084-20020820) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE084-01) (pdf)
- Guidance for Section 1205.B (PS-R084-20071116) (pdf)
- Internal and External Medical Surge during an Emergency (PS-R084-20080111) (pdf)
- Level of Care Waiver (PS-R084-20090831) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R084-20060914) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R084-20080115) (pdf)
- Door Closures (PWE084-02) (pdf)
PSAD (Regulation 61-93)
- Fire Drill Records (PWE093-01) (pdf)
- Emergency/Disaster Preparedness (PS-R093-20040904) (pdf)
- Emergency Medication Kit (PWE093-02) (pdf)
- On-Site Storage of Legend Medications (PWE093-03) (pdf)
- Tuberculosis Screening (PWE093-04) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R093-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE093-06) (pdf)
- Emergency Evacuation Plan Submission Requirements (PS-R093-20080115) (pdf)
- Proposed Narcotic Treatment Programs Changes to Initial Licensure Requirements (PS-R093-20100701) (pdf)
- Notification of Temporary Facility Closure and Zero Census (PS-R093-19981207) (pdf)
Renal Dialysis (Regulation 61-97)
- Documentation of Physician's Visit at Least Weekly (PS-R097-19960621) (pdf)
- Authentication of Telephone or Verbal Orders Issued by Prescribing Physician or Designated Physician Within 72 Hours (PWE097-03) (pdf)
- Monthly Review of All Prescribed Medications (PWE097-04) (pdf)
- Pre-employment Physical Examinations (PWE097-05) (pdf)
- Notification of Temporary Closure and Zero Census (PS-R097-19981207) (pdf)
- Noted Trends on Inspections of Renal Dialysis Facilities (PS-R097-19990721) (pdf)
- Hepatitis Testing (Replaces PWE Dated 11/03/94) (PWE097-07) (pdf)
- Clarification of Staffing Standards (PS-R097-19991104) (pdf)
- Nursing Board Advisory (#33) responsibility of selected LPN practicing in dialysis facilities (PS-R097-20010920) (pdf)
- Vapor Concentration Monitoring - Renal Dialysis Facilities (PS-R097-20020712) (pdf)
- HBsAB Testing (PS-R097-20020918) (pdf)
- Physician Extenders (PWE097-11) (pdf)
- Tuberculosis Screening (PWE097-12) (pdf)
- Reportable Accidents that Must be Reported to Health Licensing (PS-R097-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE097-14) (pdf)
- Reportable Incidents and Accidents (PS-R097-20090721) (pdf)
- Care Plans Renal Dialysis Facilities (PWE097-16) (pdf)
- Number of Physician Visits per Year (PWE097-17) (pdf)
- Long Term Care Plans (Dated 02/16/2012) (PWE-R97-20120215) (pdf)
Birthing Centers (Regulation 61-102)
- Pre-employment Physical Examinations (PWE102-01) (pdf)
- Tuberculosis Screening (PWE102-02) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R102-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE102-04) (pdf)
Res. Treatment Facilities (Regulation 61-103)
- Verbal Orders for Medication & Treatment (PWE103-01) (pdf)
- Amendment to SC Code Affecting DHEC Standards (PS-R103-19980727) (pdf)
- Pre-employment Physical Examinations (PWE103-03) (pdf)
- Notification of Temporary Closure and Zero Census (PS-R103-19981207) (pdf)
- Travel Distance to Nearest Exit (PWE103-05) (pdf)
- Food Temperatures (PWE103-06) (pdf)
- Hot Water Supplied to Washing Sinks (PWE103-07) (pdf)
- Requirement to Update Written Transfer Agreement with One or More Hospitals (PWE103-08) (pdf)
- Emergency/Disaster Preparedness (PS-R103-20040904) (pdf)
- Tuberculosis Screening (PWE103-09) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R103-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE103-11) (pdf)
Body Piercing (Regulation 61-109)
- American Red Cross First Aid Training (Replaces PWE of 10/27/03) (PS-R109-20041229) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R109-20060914) (pdf)
- Body Piercing Definition-Surface Anchor, Microdermal, and Single-point Piercing (PS-R109-20110401) (pdf)
Tattoo Facilities (Regulation 61-111)
- CPR and First Aid Training Courses (PS-R111-20060330) (pdf)
- Reportable Accidents that Must be Reported to Health Licensing (PS-R111-20060914) (pdf)
Midwives (Regulation 61-24)
- Tuberculosis Screening (PWE024-01) (pdf)
- Reportable Accidents that Must be Reported to Health Licensing (PS-R024-20060914) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE024-03) (pdf)
- Alternative Process for Initial Licensure of Midwives (PWE024-04) (pdf)
- Alternative Healthcare Providers for Referrals and Consultations (PWE024-06) (pdf)
Freestanding or Mobile Technology (Regulation 61-108)
- Tuberculosis Screening (PWE108-01) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE108-02) (pdf)
- Reportable Accidents/Incidents That Must Be Reported to Health Licensing (PS-R108-20060914)
Home Health Agencies (Regulation 61-77)
- Tuberculosis Screening (PWE077-01) (pdf)
- Nurse Licensure Compact Act and Licensed Facilities (PWE077-02) (pdf)
Provider-Wide Exceptions will be added to this site as they become approved. If you want to access a specific exception that is not currently available here, please e-mail Joe Randall with your request.
For additional information, contact: Division Director Gwendolyn Thompson - (803) 545-4370