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 Services › Section 70453 - Comprehensive Emergency Medical Service General Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(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 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 relating 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 also 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
				  comprehensive 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: COMPREHENSIVE 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 emergency center. This list shall
				  include the name, address and telephone number of the following:
(1) Police department.
(2) Antivenin service.
(3) Drug abuse center.
(4) Poison control information
				  center.
(5) Suicide prevention
				  center.
(6) Director of State
				  Department of Health or his designee.
(7) Local health department.
(8) Clergy.
(9) County coroner or medical
				  examiner.