Current through Register Vol. 42, No. 5, February 29, 2024
(1) The FED, as a
department of the parent hospital, shall have personnel management as a section
of the hospital's personnel syste m and shall be governed by the Board's Rules
for Hospitals, Chapter 420-5-7, Ala. Admin. Code. The
FED shall be adequately staffed at all times to meet the needs of the patient
population served.
(2) Staff
Qualifications for FEDs.
(a) The FED Medical
Director shall be:
1. Board Certified by
American Board of Emergency Medicine or the American Osteopathic Board of
Emergency Medicine.
2. Competent in
management and administration of clinical services in an Emergency
Department.
3. Knowledgeable about
EMS operations and the regional EMS network.
4. Responsible for assessing and making
recommendations to the parent hospital's credentialing body related to the
qualifications of FED physicians and the clinical privileges granted to FED
physicians.
5. Responsible for
assuring that the clinical staff are continuously qualified, competent and
supervised in emergency care of patients.
(b) Each FED physician shall be individually
credentialed by the parent hospital medical staff.
(c) At least one physician on site during
hours of operation shall be:
1. Certified or
Board Eligible by the American Board of Emergency Medicine or the American
Board of Osteopathic Emergency Medicine; or
2. 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.
(d) The Director of Nursing
Services in the FED shall be a Registered Nurse with an active and unencumbered
license from the Alabama Board of Nursing and shall direct all nursing services
and all nursing support personnel, and must:
1. Demonstrate by education and experience
competency in Emergency Room nursing. The designation of Certified Emergency
Nurse (CEN) is a benchmark, but not required.
2. Provide evidence of competent management
and administration of clinical services in an Emergency Department.
3. Ensure nursing and support staff are
appropriately educated and qualified.
(e) Each Registered Nurse (RN) in an FED
shall:
1. Provide evidence of at least one
year previous Emergency Department or ICU experience as a staff nurse or
completion of an Emergency Department educational program.
2. Demonstrate evidence of the knowledge and
skills to deliver emergency nursing care.
(f) At least one licensed registered nurse
who has training and experience in emergency care shall be on site at the FED
at all times. At least one registered nurse on site shall hold a current
certification in both Advanced Cardiac Life Support and Advance 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.
(g) At least one certified and registered
radiology technologist shall be on site at the FED at all times.
(h) At least one person qualified to perform
laboratory testing at the level of laboratory services provided on site by the
FED shall be on duty at all times.
(3) Each FED shall have a full time
administrative director who acts as a liaison with the parent hospital, directs
the daily administrative operations of the FED, ensures the employees and staff
are adequately trained, and provides oversight of the maintenance of the FED,
coordination of patient safety and quality improvement programs and
activities.
