Section 16.03.14.460 - OUTPATIENT SERVICEIf the hospital has such service it shall meet the nonemergency health needs of patients who remain in the hospital less than twenty-four (24) hours.
01.Staffing. When a hospital maintains a formally organized clinic service distinct from the emergency service, the outpatient service shall be under the overall medical direction of a physician whose authority and responsibilities are defined in writing and approved by the governing body. There shall be adequate personnel to meet the needs of the patients, and a licensed registered nurse shall be on duty at all times. All practitioners shall be members of the active medical staff.02.Outpatient Surgery. If outpatient surgery is performed, the requirements found in Section 380 shall be met.03.Policies and Procedures. There shall be written policies and procedures for at least the following:a. Services offered, including types of surgeries performed; andb. Procedure for evaluation, treatment and referral of patients; andc. Responsibility and accountability to other hospital services or departments, and to the medical staff and administration.04.Medical Record. A medical record shall be maintained for every patient utilizing out patient services. The record shall contain all applicable requirements of Section 360.Idaho Admin. Code r. 16.03.14.460