California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 5 - Operational Requirements › Section 100127 - Advanced EMT and/or EMT-II Base Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  A LEMSA with a LALS system shall designate an Advanced EMT and/or EMT-II base
				  hospital(s) or alternative base stations to provide medical direction and
				  supervision of Advanced EMT personnel. A Paramedic base hospital may serve as an
				  Advanced EMT and/or EMT-II base hospital.
(b) A designated Advanced EMT and/or EMT-II base
				  hospital shall:
(1) Be licensed by the California
				  Department of Public Health as a general acute care hospital.
(2) Have a special permit for Basic or
				  Comprehensive Emergency Medical Service pursuant to the provisions of Division 5, or
				  have been granted approval by the Authority for utilization as a base hospital
				  pursuant to the provisions of Section
				  1798.101
				  of the Health and Safety Code.
(3) Be
				  accredited by a Centers for Medicare and Medicaid Services approved deeming
				  authority.
(4) Have and agree to utilize
				  and maintain two-way telecommunications as specified by the LEMSA, capable of direct
				  two-way voice communication with the Advanced EMT field units assigned to the
				  hospital.
(5) Have a written agreement
				  with the LEMSA indicating the concurrence of hospital administration, medical staff
				  and emergency department staff to meet the requirements for program participation as
				  specified in this Chapter and by the LEMSA's policies and procedures.
(6) Assure that a Physician, licensed in the State
				  of California, experienced in emergency medical care, is assigned to the emergency
				  department, and is available at all times to provide immediate medical direction to
				  the Mobile Intensive Care Nurse, or Advanced EMT personnel. This Physician shall
				  have experience in and knowledge of base hospital radio operations and LEMSA
				  policies, procedures and protocols.
(7)
				  Assure that nurses giving radio direction to Advanced EMT personnel are trained and
				  certified as Mobile Intensive Care Nurses by the medical director of the
				  LEMSA.
(8) Designate an Advanced EMT
				  base hospital medical director who shall be a Physician on the hospital staff,
				  licensed in the State of California who is certified or prepared for certification
				  by the American Board of Emergency Medicine. The requirement of board certification
				  or prepared for certification may be waived by the medical director of the LEMSA.
				  This Physician shall be regularly assigned to the emergency department, have
				  experience in and knowledge of base hospital telecommunications and LEMSA policies
				  and procedures and shall be responsible for functions of the base hospital including
				  quality improvement as designated by the medical director of the LEMSA.
(9) Identify a base hospital coordinator who is a
				  California licensed Registered Nurse with experience in and knowledge of base
				  hospital operations and LEMSA policies and procedures and is a prehospital liaison
				  to the LEMSA.
(10) Ensure that a
				  mechanism exists for replacing medical supplies and equipment used by LALS personnel
				  during treatment of patients according to policies and procedures established by the
				  LEMSA.
(11) Ensure a mechanism exists
				  for initial supply and replacement of controlled substances administered by LALS
				  personnel during treatment of patients according to policies and procedures
				  established by the LEMSA.
(12) Provide
				  for CE in accordance with the policies and procedures of the LEMSA.
(13) Agree to participate in the LEMSA's EMSQIP,
				  which may include making available all relevant records for program monitoring and
				  evaluation.