Idaho Admin. Code r. 16.03.14.376

Current through September 2, 2024

Section 16.03.14.376 - FREESTANDING EMERGENCY DEPARTMENT (FSED): STAFFING AND SERVICES

The FSED must be integrated into the main hospital. This integration must be defined in the hospital's policies and procedures, and practices. Additional requirements are as follows:

01.Staffing. An FSED must be staffed twenty-four (24) hours per day, seven (7) days per week with:

a. A board certified physician, or board eligible emergency department physician, approved by the governing board as described under Section 200, "Governing Body and Administration," and the medical staff as described under Section 250, "Medical Staff," of these rules;

b. A qualified licensed registered nurse certified in Advanced Cardiac Life Support and Pediatric Advanced Life Support; and

c. Additional medical, nursing, and other personnel necessary to meet the needs of patients.

02.An FSED Must Provide or Arrange for:

a. At least one (1) ambulance licensed to the Critical Care Transport level by the EMS Bureau in accordance with: Title 56, Chapter 10, Idaho Code; IDAPA 16.02.02, "Idaho Emergency Medical Services Physician Commission"; and IDAPA 16.01.03, "Emergency Medical Services (EMS) - Agency Licensing Requirements." If the ambulance service is not provided directly by the FSED or main hospital, a contract must be in place including a provision that requires a maximum response time of thirty (30) minutes to the FSED.

b. A communications system that is fully integrated with the main hospital and that is capable of two (2) way radio communications with local EMS agencies in accordance with IDAPA 16.01.03, "Emergency Medical Services (EMS) - Agency Licensing Requirements."

03.Nursing Service. Nursing service at the FSED is a nursing unit as described under Subsection 002.31 of these rules.

04.Dietary Service. The FSED must provide dietary services consistent with the needs of each patient.

05.Laboratory Service. Basic laboratory service necessary for routine tests, as described under Subsection 350.01 of these rules, must be maintained at the FSED; and

a. The FSED must be able to perform emergency (stat) laboratory tests on-site necessary to meet the needs of patients served.

b. Laboratory services must be available twenty-four (24) hours per day, seven (7) days per week; and

c. Facilities for the procurement, proper storage, and transfusion of blood and blood products must be readily available at the FSED.

06.Radiology Service. The FSED must maintain and provide radiology services sufficient to perform and interpret the radiological examinations necessary for the diagnosis and treatment of patients twenty-four (24) hours per day, seven (7) days per week.

07.Pharmacy Service. Pharmacy services must be available at the FSED as follows:

a. The FSED must provide a pharmacy or drug and medicine service for the care and treatment of patients, consistent with the size and scope of the FSED; and

b. A pharmacist must be available on the premises, or on call, at all times.

Idaho Admin. Code r. 16.03.14.376

Effective March 17, 2022