Current through Register Vol. 51, No. 19, September 20, 2024
A. A
facility shall comply with applicable federal, State, and local laws and
regulations.
B. Restriction of
License-Nomenclature. A limited service hospital may not use in its title the
words "emergency department", "emergency center", "emergency room", or any
other terminology in referring to the limited service hospital or any part of
the facility that may convey to the public that the facility is prepared to
provide the full range of emergency services that are normally provided by a
hospital.
C. Hours of Operation.
The facility shall be open 24 hours a day, 7 days a week.
D. Staff.
(1) At least one physician who is
credentialed in emergency medicine shall be at the facility at all
times.
(2) The facility shall have
a sufficient number of registered nurses and other health professionals with
appropriate training to provide advanced life support.
E. Laboratory and Radiologic Services. The
facility shall have basic x-ray and laboratory services available at all times
and be staffed by at least:
(1) One radiology
technician; and
(2) One laboratory
technician.
F.
Pharmaceutical Services.
(1) Pharmaceutical
services shall be supervised by a pharmacist licensed to practice in this
State.
(2) The facility shall
provide pharmaceutical services in accordance with accepted professional
principles and appropriate federal, State, and local laws and
regulations.
G. Clinical
Records.
(1) The facility shall maintain
clinical records for all patients in accordance with accepted professional
standards and practices.
(2)
Clinical records shall contain:
(a)
Identification and summary, including, at least, the patient's name, Social
Security number, marital status, age, sex, and home address;
(b) Name, address, and telephone number of
the personal physician, dentist, parent or next of kin, or authorized
representative;
(c) Evidence of
assessment of the patient's needs, of establishment of an appropriate plan of
initial and ongoing treatment, and of the care or services provided;
(d) Consent forms when required;
(e) Diagnostic and therapeutic
orders;
(f) Reports of medication
administration, treatments, and clinical findings; and
(g) Discharge summary including final
diagnosis and prognosis.
(3) Current clinical records and those of
discharged patients shall be completed promptly. All clinical information
pertaining to a patient shall be centralized in the patient's clinical
record.
(4) Clinical records shall
be retained for a period of not less than 5 years from the date of discharge
or, in the case of a minor, 3 years after the patient becomes of age or 5
years, whichever is longer.
H. Equipment.
(1) A facility shall have the equipment
necessary to provide at least the following care:
(a) Cardiac monitoring, defibrillation, and
external pacing;
(b) Medication
administration;
(c) Oxygen
therapy;
(d) Airway management
including endotracheal intubation;
(e) Respiratory ventilation; and
(f) Intravenous and intraosseous access and
fluid therapy.
(2) All
equipment at the facility shall be in good operating condition at all
times.
I. Infection
Control. A facility shall:
(1) Develop and
implement policies and procedures on the use of standard precautions for
infection control; and
(2) Comply
with the requirements of COMAR
10.06.01.07B,
except in an emergency life-threatening situation when it is not feasible or
practical to comply with the infection control measures.
