R9-10-221. Intensive Care Services

Except for a special hospital that provides only psychiatric services, an administrator of a hospital that provides intensive care services shall ensure that: 1. Intensive care services are provided as an organized service in a designated area under the direction of a medical staff member; 2. An inpatient admitted for intensive care services is personally visited by a physician at least once every 24 hours; 3. Admission and discharge criteria for intensive care services are established; 4. A personnel member’s responsibilities for initiation of medical services in an emergency to a patient in an intensive care unit pending the arrival of a medical staff member are established and documented in policies and procedures; 5. In addition to the requirements in R9-10-214(C), an intensive care unit is staffed: a. With at least one registered nurse assigned for every two patients, and b. According to an acuity plan as required in R9-10- 214; 6. Each intensive care unit has a policy and procedure that provides for meeting the needs of the patients; 7. If the medical services of an intensive care patient are reduced to a lesser level of care in the hospital, but the patient is not physically relocated, the nurse to patient ratio is based on the needs of the patient; 8. Private duty staff do not provide hospital services in an intensive care unit; 9. At least one registered nurse assigned to a patient in an intensive care unit is certified in advanced cardiac life support specific to the age of the patient; 10. Resuscitation, emergency, and other equipment are available to meet the needs of a patient including: a. Ventilatory assistance equipment, b. Respiratory and cardiac monitoring equipment, c. Suction equipment, d. Portable radiologic equipment, and e. A patient weighing device for patients restricted to a bed; and 11. An intensive care unit has at least one emergency cart that is maintained according to R9-10-218.