Clinical Services and Equipment

Each SEF shall have: (A) monitored and unmonitored beds in sufficient quality to meet projected patient volume; (B) the availability, at all times, of pediatric and adult code carts and other standard and specialty equipment described in the hospital’s policies and procedures; (C) surgical or other emergency consultative services available, on site or at an appropriate full service hospital, within 30 minutes of a decision that said services are warranted; (D) written policies that assure that all transfers from the SEF are carried out in accord with all applicable state and federal laws and the Massachusetts Statewide Interfacility Transfer Guidelines; and (E) a written list of the medical conditions and problems that are appropriate and inappropriate for ambulance transport to the SEF based on the capability of the SEF and regional point of entry plans.