California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 7 - System Requirements › Section 100169 - Paramedic Base Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A LEMSA with
				  an ALS system shall designate a paramedic base hospital(s) or alternative base
				  station, pursuant to Health and Safety Code Section
				  1798.105
				  if no qualified base hospital is available to provide medical direction, to provide
				  medical direction and supervision of paramedic personnel.
(b) A designated paramedic base hospital shall be
				  responsible for the provisions of subsections (b)(1) through (b)(13) of this
				  section, and alternate base stations shall be responsible for the provisions of
				  subsections (b)(4) through (b)(13) of this section.
(1) Be licensed by the California Department of
				  Public Health as a general acute care hospital, or, for an out of state general
				  acute care hospital, meet the relevant requirements for that license and the
				  requirements of this section where applicable, as determined by the LEMSA which is
				  utilizing the hospital in the local EMS system.
(2) Be accredited by a Centers for Medicare and
				  Medicaid Services approved deeming authority.
(3) 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. Hospitals meeting requirements in this section shall
				  be referenced in the EMS Plan of the approving LEMSA.
(4) Have and agree to utilize and maintain two-way
				  telecommunications equipment, as specified by the LEMSA, capable of direct two-way
				  voice communication with the paramedic field units assigned to the
				  hospital.
(5) Both parties shall
				  maintain a record of all online medical direction between the service provider and
				  base hospital or alternative base station as specified by LEMSA policy.
(6) Have a written agreement, which is reviewed
				  every three (3) years, 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 local
				  LEMSA's policies and procedures.
(7)
				  Have a physician licensed in the State of California, experienced in emergency
				  medical care, assigned to the emergency department, available at all times to
				  provide immediate medical direction to the MICN or paramedic personnel. This
				  physician shall have experience in and knowledge of base hospital radio operations
				  and LEMSA policies, procedures, and protocols.
(8) Assure that nurses giving medical direction to
				  paramedic personnel are trained and authorized as MICNs by the medical director of
				  the LEMSA.
(9) Designate a paramedic
				  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
				  when the medical director determines that an individual with these qualifications is
				  not available. The base hospital medical director shall be regularly assigned to the
				  emergency department, have experience in and knowledge of base hospital radio
				  operations and LEMSA policies and procedures, and shall be responsible for functions
				  of the base hospital including the EMSQIP.
(10) Identify a base hospital coordinator who is a
				  currently licensed in California registered nurse with experience in and knowledge
				  of base hospital operations and LEMSA policies and procedures. The base hospital
				  coordinator shall serve as a liaison to the local EMS system.
(11) Ensure that a mechanism exists for
				  prehospital providers to contract for the provision of medications, medical supplies
				  and equipment used by paramedics 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.