Iowa Administrative Code
Agency 481 - INSPECTIONS AND APPEALS
INSPECTIONS DIVISION
Chapter 51 - HOSPITALS
Rule 481-51.20 - Emergency services
Universal Citation: IA Admin Code 481-51.20
Current through Register Vol. 46, No. 19, March 20, 2024
(1) All hospitals shall provide for emergency services that offers reasonable care within the medical capabilities of the facility in determining whether an emergency exists, renders care appropriate to the facility and, at a minimum, renders lifesaving first aid and makes appropriate referral to a facility that is capable of providing needed services.
(2) The hospital shall have written policies and procedures specifying the scope and conduct of patient care to be provided in the emergency service. The policies shall:
a. Provide for training of all personnel
providing patient care in the emergency service.
b. Require that a medical record be kept on
every patient given treatment in the emergency service and establish the
medical record documentation. The documentation should include, at a minimum,
appropriate information regarding the medical screening provided, except where
the person refuses, then notation of patient refusal; physician documentation
of the presence or absence of an emergency medical condition or active labor;
physician documentation of transfer or discharge, stating the basis for
transfer or discharge; and, where transfer occurs, identity of the facility of
transfer, acceptance of the patient by the facility of transfer, and means of
transfer of the patient.
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