Document Citation: 22 CCR 70413

Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 5. LICENSING AND CERTIFICATION OF HEALTH FACILITIES, HOME HEALTH AGENCIES, CLINICS, AND REFERRAL AGENCIES
CHAPTER 1. GENERAL ACUTE CARE HOSPITALS
ARTICLE 6. SUPPLEMENTAL SERVI

Date:
08/31/2009

Document:

22 CCR 70413 (2011)

§ 70413. Basic Emergency Medical Service, Physician on Duty, General Requirements

(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate.

(b) The responsibility and the accountability of the emergency medical service to the medical staff and administration shall be defined.

(c) The emergency medical service shall be so located in the hospital as to have ready access to all necessary services.

(d) A communications system employing telephone, radiotelephone or similar means shall be in use to establish and maintain contact with the police department, rescue squads and other emergency services of the community.

(e) The emergency medical service shall have a defined emergency and mass casualty plan in concert with the parent hospital's capabilities and the capabilities of the community served.

(f) The hospital shall require continuing education of all emergency medical service personnel.

(g) Medical records shall be maintained on all patients presenting themselves for emergency medical care. These shall become part of the patient's hospital medical record. Past hospital records shall be available to the emergency medical service.

(h) An emergency room log shall be maintained and shall contain at least the following information related to the patient: name, date, time and means of arrival, age, sex, record number, nature of complaint, disposition and time of departure. The name of those dead on arrival shall be entered in the log.

(i) All medications furnished to patients through the emergency service shall be provided by a pharmacist or an individual lawfully authorized to prescribe. Such medications shall be properly labeled and all required records shall be maintained in accordance with state and federal laws.

(j) Each Basic Emergency Medical Service shall be identified to the public by an exterior sign, clearly visible from public thoroughfares. The wording of such signs shall state: BASIC EMERGENCY MEDICAL SERVICE, PHYSICIAN ON DUTY.

(k) Standardized emergency nursing procedures shall be developed by an appropriate committee of the medical staff.

(l) A list of referral services shall be available in the basic emergency service. This list shall include the name, address and telephone number of the following:

(1) Police department.

(2) Antivenin service.

(3) Burn center.

(4) Drug abuse center.

(5) Poison control information center.

(6) Suicide prevention center.

(7) Director of the State Department of Health or his designee.

(8) Local health department.

(9) Clergy.

(10) Emergency psychiatric service.

(11) Chronic dialysis service.

(12) Renal transplant center.

(13) Intensive care newborn nursery.

(14) Emergency maternity service.

(15) Radiation accident management service.

(16) Ambulance transport and rescue service.

(17) County coroner or medical examiner.

(m) The hospital shall have the following service capabilities:

(1) Intensive care service with adequate monitoring and therapeutic equipment.

(2) Laboratory service with the capability of performing blood gas analysis and electrolyte determinations.

(3) Radiological service shall be capable of providing the necessary support for the emergency service.

(4) Surgical services shall be immediately available for life-threatening situations.

(5) Postanesthesia recovery service.

(6) The hospital shall have readily available the services of a blood bank containing common types of blood and blood derivatives. Blood storage facilities shall be in or adjacent to the emergency service.

(n) Periodically, an appropriate committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.