Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 34 - HOSPITALS › Section 28-34-16a - Emergency services

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Emergency
			 services plans. Each hospital shall maintain a comprehensive, written emergency
			 services plan based on community need and on the capability of the hospital.
			 This plan shall include procedures whereby an ill or injured person can be
			 addressed and either treated, referred to an appropriate facility or
			 discharged. Regardless of the scope of its services, each hospital shall
			 provide and maintain equipment necessary to institute essential life-saving
			 measures for inpatients and, when referral is indicated, shall arrange for
			 necessary transportation.
(b)
			 Organized emergency services. In hospitals with organized emergency services,
			 the following shall apply.
(1) Emergency
			 services shall be available 24 hours a day, and medical staff coverage shall be
			 adequate so that the patient will be seen within a period of time which is
			 reasonable relative to the severity of the patient's illness or injury.
(2) No patient shall be
			 transferred until the patient has been stabilized. A written statement of the
			 patient's immediate medical problem shall accompany the patient when
			 transferred. Every patient seeking medical care from the emergency services who
			 is not in need of immediate medical care or for whom services cannot be
			 provided by the hospital shall be given information about obtaining medical
			 care.
(3) The emergency service,
			 regardless of its scope, shall be organized and integrated with other
			 departments of the hospital.
(4)
			 The service shall be directed by a physician. The governing body shall adopt a
			 written statement defining the qualifications, duties, and authority of the
			 director. In the absence of a single physician, the direction of emergency
			 medical services may be provided through a multidisciplinary medical staff
			 committee, including at least one physician. The chairperson of this committee
			 shall serve as director.
(5) The
			 emergency nursing service shall be directed and supervised by a registered
			 nurse with training in cardiopulmonary resuscitation. At least one registered
			 nurse with this training shall be available at all times.
(6) The emergency service area shall be
			 located near an outside entrance to the hospital and shall be easily accessible
			 from within the hospital. Suction and oxygen equipment and cardiopulmonary
			 resuscitation units shall be available and ready for use. This equipment shall
			 include equipment used for tracheal intubation, tracheotomy, ventilating
			 bronchoscopy, intra-pleural decompression and intravenous fluid administration.
			 Standard drugs, parental fluids, plasma substitutes and surgical supplies shall
			 be on hand for immediate use in treating life-threatening conditions.
(7) Written policies and
			 procedures which delineate the proper administrative and medical procedures and
			 methods to be followed in providing emergency care shall be established. A
			 medical record shall be kept for each patient receiving emergency services and
			 it shall be made a part of any other patient medical record maintained in
			 accordance with K.A.R. 28-34-9a and amendments thereto.