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 70413 - Basic Emergency Medical Service, Physician on Duty, 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 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.