1. (a) A frontier extended stay clinic must provide emergency services necessary to meet the needs of its extended stay patients and outpatients.
2. (b) Emergency services must be available 24 hours a day.

3. (c) Equipment, supplies, drugs, chemicals, and biologicals used in treating emergency cases must be kept at the clinic and must be readily available. The items available must include, at a minimum,

   1. (1) drugs, chemicals, and biologicals commonly used in life-saving procedures, including analgesics, local anesthetics, antibiotics, anticonvulsants, antidotes and emetics, serums and toxoids, antiarrythmics, cardiac glycosides, antihypertensives, diuretics, and electrolytes and replacement solutions; and

   2. (2) equipment and supplies commonly used in life-saving procedures, including

      1. (A) airways;
      2. (B) endotracheal tubes;
      3. (C) bag valve mask (BVM) resuscitators;
      4. (D) oxygen;
      5. (E) tourniquets;
      6. (F) immobilization devices;
      7. (G) nasogastric tubes;
      8. (H) splints;
      9. (I) intravenous (IV) therapy supplies, including D5 normal, D5 quarter normal, and normal saline solutions or lactated ringers solutions;
      10. (J) central line venous access kits or their equivalent;
      11. (K) a suction machine;
      12. (L) a defibrillator;
      13. (M) a cardiac monitor;
      14. (N) chest tubes for pediatrics and adults;
      15. (O) assorted over the needle catheters; and
      16. (P) indwelling urinary catheters.
4. (d) The clinic may not provide, directly or otherwise, services for the procurement, storage, or transfusion of blood.

5. (e) In addition to complying with the requirements of 7 AAC 12.465(c), the clinic must ensure that, if not already on site, a registered nurse, a licensed practical nurse, a primary community health aide, or an emergency medical technician is, on a 24-hour-a-day basis,

   1. (1) on call;
   2. (2) immediately available by telephone or radio contact; and
   3. (3) available to be on site within 30 minutes after an emergency contact.

6. (f) The clinic must establish procedures, in coordination with emergency response systems in the area, under which a physician is immediately available by telephone or radio contact on a 24-hour-a-day basis to

   1. (1) receive emergency calls;
   2. (2) provide information on treatment of emergency patients; and
   3. (3) refer patients to appropriate locations for treatment.

(Eff. 12/3/2006, Register 180)

Authority: AS 47.32.010, AS 47.32.030