35. A licence for a medical clinic may be issued to a medical practitioner, a dentist or such other person as the Director thinks fit.
—(1) The licensee of a medical clinic shall ensure that every patient of the medical clinic is provided with adequate safety, privacy and comfort when such patient is undergoing consultation, examination or treatment.
(2) In the course of treatment of any patient, a medical clinic shall not provide lodging or accommodation for a period exceeding 12 hours.
37. Where the licensee of a medical clinic intends to establish any special care service as specified in the Third Schedule, he shall obtain the prior approval of the Director in writing by making an application to the Director not less than 30 days before the intended commencement of the special care service.
38. Where a medical clinic intends to perform ambulatory surgery, it shall provide adequate and proper facilities which shall include facilities for recovery from anaesthesia.
—(1) Every medical clinic which performs procedures requiring the use of anaesthesia shall ensure that all general anaesthesia, spinal anaesthesia and epidural anaesthesia be performed either by an anaesthetist or a medical practitioner or a dentist under the supervision of an anaesthetist.
(2) Where general anaesthesia, spinal anaesthesia or epidural anaesthesia is administered, the operating medical or dental practitioner and the anaesthetist shall be 2 different persons.
40. Every medical clinic shall have resuscitation facilities for emergencies.
—(1) All personnel in a medical clinic, other than registered pharmacists, shall work under the direct supervision of the medical practitioner or the dentist, as the case may be.
(2) The medical practitioner or the dentist in a medical clinic shall be fully responsible for all activities involved in the preparation and dispensing of medicinal products, including the maintenance of appropriate records.
(3) Every medical clinic shall comply with regulation 28 when dealing with drugs.
—(1) Every medical clinic shall have medical and surgical equipment, instruments, appliances and materials which shall be functional, effective and comply with established or recommended procedures for their maintenance and use.
(2) Every equipment used in any endoscopic, operative or invasive procedure on the patient shall be rendered sterile by the appropriate procedure of sterilisation.
(3) Where a medical clinic provides a laboratory service or a radiology service, the licensee of the medical clinic shall ensure that —
the medical clinic is provided with adequate and appropriate equipment for the service to be carried out accurately and safely, and that the service is carried out by a suitably trained person; and
—(1) Every licensee of a medical clinic shall not delegate any duty to any staff which can only be performed by the medical practitioner or the dentist.
(2) All clinical procedures shall be carried out by a medical practitioner, dentist or other qualified person who has adequate training and experience in the use of any equipment used for carrying out such procedures.
44. Where any sample of any matter derived from a human body is taken at a medical clinic for test or examination for the purpose of providing information for the diagnosis, prevention or treatment of any disease or for the assessment of the health of any person, the licensee of the medical clinic shall ensure that such sample is tested or examined —
by a licensed clinical laboratory;
where the medical clinic provides a laboratory service which is capable of performing the requisite test or examination, by a suitably qualified person employed to carry out the laboratory service at the medical clinic; or
where the sample is intended to be sent for testing or examination abroad, by a foreign clinical laboratory which has been accredited by an accreditation body approved by the Director.
—(1) Any premises that are being used as a medical clinic shall be physically separated from premises that are being used for the provision of other services.
(2) The premises being used as a medical clinic shall have a separate entrance from those premises being used for the provision of those other services.
46. [Deleted by S 831/2010 wef 02/01/2011]