Current through Reg. 49, No. 38; September 20, 2024
(a) A CSU administrator, or administrator's
designee, must:
(1) identify common emergency
medical conditions of individuals the CSU staff will likely encounter; and
(2) develop a written plan
describing the specific and appropriate action the CSU staff members will take
to stabilize each identified common emergency medical condition, approved in
writing by the medical director, as required by § 306.61 of this
subchapter (relating to Crisis Stabilization Unit Medical Services), which
includes:
(A) the administration of first aid
and Basic Life Support when clinically indicated;
(B) the use of the supplies and equipment
described in subsection (f) of this section; and
(C) if the action is facilitating transfer of
the individual, a description of the method of transportation, and the name and
location of the hospital to which an individual will be transferred.
(b) At least one
physician, or physician-delegated PA or APRN, must, at all times:
(1) be physically present at a CSU to respond
to an individual's emergency medical condition; or
(2) be available to staff members by
telephone, radio, or audiovisual telecommunication device to provide medical
consultation as soon as possible, but not longer than 30 minutes.
(c) If a CSU physician, or
physician-delegated PA or APRN, determines an individual has an emergency
medical condition:
(1) the CSU physician, or
physician-delegated PA or APRN, must act to stabilize the emergency medical
condition within the capability of the CSU staff's abilities and in accordance
with the plan required by subsection (a)(2) of this section, and summon
emergency medical services (EMS) for transfer to a general hospital; and
(2) EMS transfers the individual
to a general hospital from the CSU, an RN must, as soon as possible:
(A) inform the general hospital to which the
transfer is made, by telephone, of:
(i) the
general condition and medical diagnoses of the individual;
(ii) the medications administered, and
treatments provided, to the individual by the CSU; and
(iii) the prognosis of the individual; and
(B) provide a copy of
the individual's medical records to the general hospital to which the transfer
is made.
(d)
A CSU administrator, or administrator's designee, must have a written agreement
with a general hospital that the hospital will accept, for medical treatment
and care, an individual transferred from the CSU in accordance with subsection
(c) of this section.
(e) The CSU
must have at least one staff member on each shift certified in Basic Life
Support and available to respond to emergency medical conditions in accordance
with the plan required by subsection (a)(2) of this section.
(f) The CSU must have an adequate amount of
appropriate emergency supplies and equipment immediately available and fully
operational at the CSU to respond to emergency medical conditions in accordance
with the plan required by subsection (a)(2) of this section, including, at a
minimum:
(1) oxygen;
(2) manual breathing bags and masks;
(3) an automated external
defibrillator; and
(4) a first aid
kit.
(g) A CSU
administrator, or administrator's designee, must have a written natural
disaster response policy and an active shooter policy.
