New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 2 - Hospitals › Part 407 - Primary Care Hospitals-minimum Standards › Section 407.12 - Emergency services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) General
					 requirements for emergency services.
(1)
					 Written protocols for the provision of emergency services by a PCH/CAH shall be
					 developed for the area served by the PCH/CAH; they shall take into
					 consideration the service capabilities of the PCH/CAH, the general hospital(s)
					 with which it has a formal affiliation pursuant to section
					 407.1 of this Part, and other area
					 providers, as appropriate.
(2)
					 PCHs/CAHs shall participate in a system which assures the availability of
					 emergency medical services on a 24-hour a day basis within a service area-wide
					 emergency medical services system. A PCH/CAH shall maintain an instantaneous
					 communications link with its affiliated general hospital(s) and other
					 appropriate providers of emergency medical services, medical backup and
					 consultation, and medical control.
(3) At a minimum, PCHs/CAHs shall maintain an
					 adequate supply of emergency equipment, supplies, and medication readily
					 available for treating emergency cases. The items available shall include, but
					 need not be limited to:
(i) drugs and
					 biologicals commonly used in life-saving procedures such as analgesics, local
					 anesthetics, antibiotics, anticonvulsants, antidotes and emetics, serums and
					 toxoids, antiarrhythmics, cardiac glycosides, antihypertensives, diuretics, and
					 oral and IV electrolytes and replacement solutions (adult and pediatric);
					 and
(ii) equipment and supplies
					 commonly used in lifesaving and life support procedures including but not
					 limited to airway control and ventilation devices in adult and pediatric sizes,
					 portable (transport) mechanical ventilators, endotracheal tubes,
					 bag/valve/mask, oxygen, tourniquets, immobilization devices, nasogastric tubes,
					 splints, IV therapy supplies, suction machine, defibrillator, cardiac monitor,
					 chest tubes, and indwelling urinary catheters.
(4) Emergency services shall be coordinated
					 with appropriate area providers including ambulance providers serving the
					 pre-hospital delivery system of the PCH's/CAH's service area.
(5) PCHs/CAHs shall establish comprehensive
					 written procedures for screening and assessing patients to determine the most
					 appropriate on-site treatment, for identifying cases beyond the facility's
					 capability to treat which require safe transfer to a more appropriate facility,
					 and for arranging such transfers.
(6) PCHs/CAHs shall maintain, or coordinate
					 with the general hospital(s) with which it has a formal affiliation pursuant to
					 section 407.1 of this Part, or, if a
					 member of a rural health network, through the network, an emergency
					 transportation system with advanced life support capability available on a 24-
					 hour a day on call basis to provide timely inter-facility transport.
(7) PCHs/CAHs, in cooperation with other area
					 emergency medical service providers, shall develop written procedures to allow
					 appropriately trained PCH/CAH personnel to provide patient care on ambulances
					 in potentially life-threatening situations where such assistance is required;
					 and
(8) PCHs that do not provide
					 24-hour a day on-site emergency services shall:
(i) ensure that patients in need of emergency
					 care arriving at the facility during non-operating hours are provided with
					 information necessary to contact hospital personnel responsible for arranging
					 for providing emergency care; and
(ii) ensure that EMS/ambulance personnel
					 transporting patients are able, during operating and non-operating hours, to
					 contact hospital personnel responsible for arranging for providing emergency
					 care to facilitate appropriate and timely patient disposition.