Section R9-10-210. Transport

A.      For a transport of a patient, the administrator of a sending hos- pital shall ensure that:

1.        Policies and procedures are established, documented, and implemented that:

a.         Specify the process by which the sending hospital personnel members coordinate the transport and the medical services provided to a patient to protect the health and safety of the patient;

b.        Require an assessment of the patient by a registered nurse or a medical staff member before transporting the patient and after the patient’s return;

c.         Specify the information in the sending hospital’s patient medical record that is required to accompany the patient, which shall include the information related to the medical services to be provided to the patient at the receiving health care institution;

d.        Specify how the sending hospital personnel mem- bers communicate patient medical record informa- tion that the sending hospital does not provide at the time of transport but is requested by the receiving health care institution; and

e.         Specify how a medical staff member explains the risks and benefits of a transport to the patient or the patient's representative based on the:

i.         Patient’s medical condition, and

ii.        Mode of transport; and

2.        Documentation in the patient’s medical record includes:

a.         Consent for transport by the patient or the patient's representative or why consent could not be obtained;

b.        The acceptance of the patient by and communication with an individual at the receiving health care insti- tution;

c.         The date and the time of the transport to the receiv- ing health care institution;

d.        The date and time of the patient's return to the send- ing hospital, if applicable;

e.         The mode of transportation; and

f.         The type of personnel member or medical staff member assisting in the transport if an order requires that a patient be assisted during transport.

B.       For a transport of a patient to a receiving hospital, the adminis- trator of the receiving hospital shall ensure that:

1.        Policies and procedures are established, documented, and implemented that:

a.         Specify the process by which the receiving hospital personnel members coordinate the transport and the medical services provided to a patient to protect the health and safety of the patient;

b.        Require an assessment of the patient by a registered nurse or a medical staff member upon arrival of the patient and before the patient is returned to the send- ing hospital unless the receiving facility is a satellite facility, as established in A.R.S. § 36-422, and does not have a registered nurse or a medical staff mem- ber at the satellite facility;

c.         Specify the information in the receiving hospital's patient medical record required to accompany the patient when the patient is returned to the sending hospital, if applicable; and

d.        Specify how the receiving hospital personnel mem- bers communicate patient medical record informa- tion to the sending hospital that is not provided at the time of the patient's return; and

2.        Documentation in the patient's medical record includes:

a.         The date and time the patient arrives at the receiving hospital;

b.        The medical services provided to the patient at the receiving hospital;

c.         Any adverse reaction or negative outcome the patient experiences at the receiving hospital, if applicable;

d.        The date and time the receiving hospital returns the patient to the sending hospital, if applicable;

e.         The mode of transportation to return the patient to the sending hospital, if applicable; and

f.         The type of personnel member or medical staff member assisting in the transport if an order requires that a patient be assisted during transport.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Section R9-10- 210 renumbered to R9-10-208; new Section R9-10-210 renumbered from R9-10-212 and amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20

A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effec- tive July 1, 2014 (Supp. 14-2).