R9-25-206. ALS

Base Hospital Authority and Responsibilities (Authorized by A.R.S. §§ 36-2201, 36- 2202(A)(3) and (A)(4), 36-2204(5) and (6), 36-2208(A), and 36- 2209(A)(2)) A. An ALS base hospital certificate holder shall: 1. Have the capability of providing both administrative medical direction and on-line medical direction; 2. Provide administrative medical direction and on-line medical direction to an EMCT according to: a. A written agreement described in A.R.S. § 36- 2201(4); b. The requirements in R9-25-201 for administrative medical direction; and c. The requirements in R9-25-202 for on-line medical direction; 3. Ensure that personnel are available to provide administrative medical direction and on-line medical direction; and 4. Establish, document, and implement policies and procedures, consistent with A.R.S. Title 36, Chapter 21.1 and this Chapter, that include a quality assurance process to evaluate the effectiveness of the on-line medical direction provided to EMCTs. B. An ALS base hospital certificate holder shall notify in writing: 1. The Department no later than 24 hours after: a. Ceasing to meet a requirement in R9-25-203(B)(1) or (2); or b. For a special hospital, ceasing to be licensed under 9 A.A.C. 10, Article 2, as a special hospital or to meet the requirement in R9-25-203(B)(2); and 2. Each emergency medical services provider or ambulance service with which the ALS base hospital has a current written agreement to provide administrative medical direction or on-line medical direction no later than seven days before ceasing to provide administrative medical direction or on-line medical direction or as specified in the written agreement, whichever is earlier. C. An ALS base hospital may act as a training program without training program certification from the Department, if the ALS base hospital: 1. Is eligible for training program certification as provided in R9-25-301(C); and 2. Complies with the requirements in R9-25-301(D), R9-25- 302, R9-25-303(B), (C), and (F), and R9-25-304 through R9-25-306. D. If an ALS base hospital’s pharmacy provides all of the agents for an emergency medical services provider or ambulance service, and the ALS base hospital owns the agents provided, the ALS base hospital’s certificate holder shall ensure that: 1. Except as stated in subsections (D)(2) and (3), the policies and procedures for agents to which an EMCT has access that are established by the administrative medical director for the emergency medical services provider or ambulance service comply with requirements in R9-25- 201(F)(2); 2. The emergency medical services provider or ambulance service requires an EMCT for the emergency medical services provider or ambulance service to notify the pharmacist in charge of the hospital pharmacy of a missing, visibly adulterated, or depleted controlled substance; and 3. The pharmacist in charge of the hospital pharmacy notifies the Department, as specified in R9-25-201(F)(3), of a missing, visibly adulterated, or depleted controlled substance.