10A N.C. Admin. Code 13S.0326

Current through Register Vol. 39, No. 12, December 1, 2024

Section 13S .0326 - EMERGENCY BACK-UP SERVICES

(a) Each clinic shall have a written plan for the transfer of emergency cases from the clinic to the closest hospital when hospitalization becomes necessary.

(b) The clinic shall have written protocols, personnel, and equipment to handle medical emergencies as defined above which may arise in connection with services provided by the clinic.

(c) All clinics shall have written emergency case instructions for clinic staff to carry out in the event of an emergency. All clinic personnel shall have access to and be capable of carrying out the clinic's written emergency case instructions:

(1) Instructions shall be followed in the event of an emergency, any unexpected anesthetic, medical or procedural complications, or other conditions making transfer to an emergency department and/or hospitalization of a patient necessary.

(2) The instructions shall include arrangements for immediate contact of emergency medical services when indicated and when advanced cardiac life support is needed.

(3) When emergency medical services are not indicated, the instructions shall include procedures for timely escort of the patient to the hospital or to an appropriate licensed health care professional.

(d) The clinic shall provide intervention for emergency cases. These provisions shall include:

(1) basic cardio-pulmonary life support;

(2) emergency instructions for:

(A) administration of intravenous fluids;

(B) establishing and maintaining airway support;

(C) oxygen administration;

(D) utilizing a bag-valve-mask resuscitator with oxygen reservoir; and

(E) utilizing an automated external defibrillator.

(3) emergency lighting available in the procedure room as set forth in Rule .0212 of this Subchapter; and

(4) ultrasound equipment.

10A N.C. Admin. Code 13S .0326

Authority G.S. 131E-153.5; 143B-165;
Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023;
Emergency Rule North Carolina Register Volume 38, Issue 11, December 1, 2023 effective 11/14/2023, exp. 1/30/2024 (Emergency).

Temporary Adoption by North Carolina Register Volume 38, Issue 17, March 1, 2024 effective 2/8/2024, exp. 11/26/2024.

Amended by North Carolina Register Volume 39, Issue 09, November 1, 2024 effective 10/1/2024.