New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 800 - RESIDENTIAL CARE AND HEALTH FACILITY RULES
Part He-P 802 - RULES FOR HOSPITALS
Section He-P 802.34 - Emergency Services

Universal Citation: NH Admin Rules He-P 802.34

Current through Register No. 40, October 3, 2024

(a) Hospitals shall provide emergency services overseen by a medical director of emergency services who shall be certified by the American College of Emergency Physicians in emergency medicine or the equivalent osteopathic board, be eligible to sit for the examination in emergency medicine, or have equivalent training or experience in emergency medicine in the following skills in accordance with the American College of Emergency Physicians (ACEP) "Emergency Department Planning and Resource Guidelines," (2014 edition), available as noted in Appendix A:

(1) Bladder catheterization;

(2) Cardiopulmonary resuscitation;

(3) Cardiac electro conversion;

(4) Cardiac pacer placement;

(5) Cricothyrotomy;

(6) CVP catheter placement;

(7) EKG interpretation;

(8) Endotracheal intubation;

(9) Gastric lavage;

(10) Initial fracture/dislocation management;

(11) Nasal packing;

(12) Pericadiocentesis;

(13) Spinal immobilization; and

(14) Thoracsotomy tube drainage.

(b) The medical director of emergency services shall hold current certification in advanced cardiac life support from the American Heart Association and in advanced trauma life support from the American College of Surgeons.

(c) An emergency department shall offer comprehensive emergency care to all individuals regardless of ability to pay 24 hours a day with at least one physician experienced in emergency care in the emergency care area or immediately available within the hospital.

(d) An emergency department shall employ or contract with licensed practitioners in the field of psychiatry, psychology, or other medical practitioners recognized by the board of medicine to have the knowledge and expertise to treat individuals in need of emergency mental health treatment to meet the mental health needs of individuals who present in the emergency department for mental health treatment.

(e) The nursing director of the emergency services shall be a registered nurse who is qualified by education, training, and experience to supervise the provision of emergency nursing services.

(f) The emergency department shall contain:

(1) Appropriate access from ambulance unloading area to facilitate easy transfer of patients;

(2) A waiting area for families of patients who are being treated or for patients waiting to be seen;

(3) Treatment rooms for the care of emergency patients that are equipped to provide treatment of life-threatening conditions; and

(4) Treatment areas which provide privacy for patient treatment without compromising patient care.

(g) Emergency service policies and procedures shall be developed regarding assessment and treatment by physicians and other personnel.

(h) The hospital shall develop a procedure for reporting suspected or alleged cases of child or adult abuse and neglect and emergency service personnel shall be trained in this procedure.

(i) Documentation of care provided in the emergency service department shall include the following information:

(1) A record of the emergency care provided; and

(2) A record of any emergency care provided prior to the patient's arrival in the emergency room.

#9580, eff 10-24-09

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