R9-10-217. Emergency Services

A. An administrator of a general hospital or a rural general hospital shall ensure that: 1. Emergency services are provided 24 hours a day in a designated 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, including a woman in active labor, requesting emergency services; 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 provided 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 services, 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 services shall ensure that a room used for seclusion in a designated area of the hospital used for providing emergency services, complies with applicable physical plant health and safety codes and standards for a secure hold room as described in the American Institute of Architects and Facilities Guidelines Institute, Guidelines for Design and Construction of Health Care Facilities, incorporated by reference in R9-10- 104.01.