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
Universal Citation: 10 NY Comp Codes Rules and Regs ยง 407.12
Current through Register Vol. 46, No. 39, September 25, 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.
(b) PCHs/CAHs shall comply with the provisions of section 405.19(b)-(e) of this Title with regard to the provision of emergency services.
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