Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 84 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI PILOT FREESTANDING EMERGENCY ROOMS › Rule 15-16-1-41.84.14 - Staffing and Treatment

Current through June 25, 2024
The PFER must possess the staff and resources necessary
						to evaluate all individuals presenting to the emergency department. The PFER
						must follow all requirements of EMTALA in regard to assuring the medical
						evaluation, stabilization and transfer of a patient found to have an emergency
						condition. The PFER must follow all Board approved System of Care Plans.
						Because of the unscheduled and episodic nature of health emergencies and acute
						illness, the PFER must be staffed with experienced American Board of Medical
						Specialties (ABMS) or American Osteopathic Association (AOA) board certified or
						board eligible medical director, physicians, nursing, and ancillary personnel
						who must be available 24 hours a day. The PFER will also provide treatment for
						individuals whose health needs are not of an emergent nature, but for whom the
						PFER may be the only accessible or timely entry point into the broader health
						care system.
1. Staffing that must be
					 available 24 hours a day on site include:
A.
					 At-least one physician on site Certified or Board Eligible by the American
					 Board of Emergency Medicine or the American Board of Osteopathic Emergency
					 Medicine; or Certified or Board Eligible to sit for the examination of one of
					 the following boards: Internal Medicine, Family Medicine, or Surgery; and shall
					 hold a certificate from the following approved programs: Advanced Coronary Life
					 Support; Advanced Trauma Life Support; Advanced Pediatric Life Support; and
					 shall have three years of full-time clinical experience in emergency medicine
					 within the past five years.
B.
					 At-least one registered nurse on site with training in emergency care.
					 Registered nurse shall hold a current certification in both Advanced Cardiac
					 Life Support and Advanced Pediatric Life Support, or two registered nurses on
					 site at all times, one having current certification in Advanced Cardiac Life
					 Support and one with current certification in Advanced Pediatric Life Support.
C. At-least one certified and
					 registered radiology technologist shall be on site at the PFER at all
					 times.
D. At-least one person
					 qualified to perform laboratory testing at the level of laboratory services
					 provided on site by the PFER shall be on duty at all times.
E. Each PFER shall have a full-time
					 administrative director who directors the daily administrative operations of
					 the PFER, ensures the employees and staff are adequately trained, and provides
					 oversight of the maintenance of the PFER, coordination of patient safety and
					 quality improvement programs and activities.
F. Compliance with the above will be
					 evidenced by:
i. Published on-call list of
					 practitioners to the Emergency Department; and
ii. Documentation of nursing staffing
					 patterns to assure 24-hour coverage.