Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-100 - General Hospital Standards
Section R432-100-18 - Emergency Care Service
Universal Citation: UT Admin Code R 432-100-18
Current through Bulletin 2024-06, March 15, 2024
(1) Each licensee shall evaluate and classify itself to indicate its capability in providing emergency care. Type I, II, or III represents acute care hospitals and critical access hospitals and Type IV category represents specialty hospitals.
(a) A Type I Acute or Critical
Access Hospital licensee shall provide in-hospital support by members of the
medical staff for:
(i) medical;
(ii) surgical;
(iii) orthopedic;
(iv) obstetric;
(v) pediatric; and
(vi) anesthesia services;
(b) The licensee shall ensure
specialty consultation is available within 30 minutes, or two-way voice
communication is available for the initial consultation.
(c) A Type III licensee shall ensure that
specialty consultation is available by request of the attending medical staff
member by transfer to a type I or type II hospital where care can be provided.
(2) The licensee shall organize and staff the emergency service with qualified individuals based on the defined capability of the hospital.
(a) An
individual appointed and authorized by the hospital administrator shall direct
the emergency services.
(b) One or
more members of the medical staff shall define in writing and provide medical
direction of emergency services. The medical staff shall provide back-up and
on-call coverage for emergency services and as needed for emergency specialty
services.
(c) A licensed
practitioner is responsible for the evaluation and treatment of a patient who
presents themself or is brought to the emergency care area including:
(i) an appropriate medical screening
examination;
(ii) stabilizing
treatment; and
(iii) if necessary
for definitive treatment, an appropriate transfer to another medical facility
that has agreed to accept the patient for care.
(d) The priority by which persons seeking
emergency care are seen by a physician may be determined by trained personnel
using guidelines established by the emergency room director and approved by the
medical staff.
(e) The licensee
shall post rosters designating medical staff members on duty or on call for
primary coverage and specialty consultation in the emergency care
area.
(f) A designated registered
nurse who is qualified by relevant training, experience, and current competence
in emergency care shall supervise the care provided by any nursing service
personnel in the department.
(i) The emergency
nurse supervisor shall ensure that there is enough nursing service personnel
for the types and volume of patients served.
(ii) Type I and II emergency department
licensees shall have at least one registered nurse with advanced cardiac life
support certification, and enough other nursing staff assigned and on duty
within the emergency care area.
(iii) The emergency nurse supervisor shall
participate in internal committee activities concerned with the emergency
service.
(g) The licensee
shall ensure that the emergency service is integrated with other departments in
the hospital.
(i) The licensee shall provide
clinical laboratory services with the capability of performing any routine
studies and standard analyses of blood, urine, and other body fluids. The
licensee shall ensure that a supply of blood is available 24 hours per
day.
(ii) The licensee shall ensure
that diagnostic radiology is available 24 hours per day.
(h) The licensee shall define, in writing,
the duties and responsibilities of any personnel, including physicians and
nurses, providing care within the emergency service area.
(3) Each licensee shall define its scope of emergency services in writing and implement a plan for emergency care, based on community needs and on the capabilities of the hospital.
(a) Each licensee shall comply with federal
antidumping regulations as defined in the Code of Federal Regulations Title
351.101.
(b) The licensee shall
define the role of the emergency service in the hospital's disaster
plans.
(c) Each licensee shall have
a communication system that permits instant contact with law enforcement
agencies, rescue squads, ambulance services, and other emergency services
within the community.
(d) The
licensee's emergency department policies and protocols shall address:
(i) the care, security, and control of
prisoners or people to be detained for police or protective custody;
(ii) providing care to an unemancipated minor
not accompanied by parent or guardian, or to an unaccompanied unconscious
patient;
(iii) handling of
hazardous materials and contaminated patients;
(iv) reporting of persons dead-on-arrival to
the proper authorities including the legal requirements for the collection and
preservation of evidence; and
(v)
the evaluation and handling of alleged or suspected child or adult abuse
cases.
(e) The licensee
shall develop criteria to alert emergency department and service personnel to
possible child or adult abuse. The criteria shall address:
(i) suspected physical assault;
(ii) suspected rape or sexual
molestation;
(iii) suspected
domestic abuse of elders, spouses, partners, and children;
(iv) the collection, retention, and
safeguarding of specimens, photographs, and other evidentiary materials;
and
(v) visual and auditory privacy
during examination and consultation of patients.
(f) The licensee shall make a list available
in the emergency department that outlines private and public community agencies
and resources that provide, arrange, evaluate, and care for the victims of
abuse.
(4) The licensee shall make reasonable and timely efforts to contact the guardian, parents, or next of kin of any unaccompanied minor, or any unaccompanied unconscious patient admitted to the emergency department.
Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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