Section R9-10-217. Emergency Services

A.      An administrator of a general hospital or a rural general hospi- tal shall ensure that:

1.        Emergency services are provided 24 hours a day in a des- ignated area of the hospital;

2.        Emergency services are provided as an organized service under the direction of a medical staff member;

3.        The scope and extent of emergency services offered are documented in the hospital’s scope of services;

4.        Emergency services are provided to an individual, includ- ing a woman in active labor, requesting emergency ser- vices;

5.        If emergency services cannot be provided at the hospital to meet the needs of a patient in an emergency, measures and procedures are implemented to minimize risk to the patient until the patient is transported or transferred to another hospital;

6.        A roster of on-call medical staff members is available in the emergency services area;

7.        There is a chronological log of emergency services pro- vided to patients that includes:

a.         The patient's name;

b.        The date, time, and mode of arrival; and

c.         The disposition of the patient including discharge, transfer, or admission; and

8.        The chronological log required in subsection (A)(7) is maintained:

a.         In the emergency services area for at least 12 months after the date of the emergency services; and

b.        By the hospital for at least an additional four years.

B.       An administrator of a special hospital that provides emergency services shall comply with subsection (A).

C.      An administrator of a hospital that provides emergency ser- vices, but does not provide perinatal organized services, shall ensure that emergency perinatal services are provided within the hospital's capabilities to meet the needs of a patient and a neonate, including the capability to deliver a neonate and to keep the neonate warm until transfer to a hospital providing perinatal organized services.

D.      An administrator of a hospital that provides emergency ser- vices shall ensure that a room used for seclusion in a desig- nated area of the hospital used for providing emergency services, complies with applicable physical plant health and safety codes and standards for seclusion rooms, incorporated by reference in A.A.C. R9-1-412.

Historical Note

Adopted effective February 23, 1979 (Supp. 79-1). Sec- tion repealed; new Section made by final rulemaking at 8

A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Section R9-10-217 renumbered to R9-10-218; new Sec-

tion R9-10-217 renumbered from R9-10-216 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; effective July 1, 2014 (Supp. 14-2).