1. (a) If a facility provides emergency care services, those services must be available 24 hours a day and must include

   1. (1) a determination by trained staff of whether a person entering the service should receive a medical, psychological, or social evaluation;
   2. (2) treatment of acute and potentially life-threatening disorders; and
   3. (3) supervision of medically ill persons by trained medical staff.
2. (b) Guidelines for care of persons with mental or emotional problems must be present and readily accessible in the emergency room.
3. (c) Guidelines or protocol for the treatment of and referral for substance abuse must be present and readily accessible in the emergency room.
4. (d) A roster of names and telephone numbers of physicians, specialty consultants, poison control centers, and referral resources must be maintained in the emergency room.

5. (e) The emergency care service must maintain a control register which contains, for each person served,

   1. (1) the person's name, or adequate identification;
   2. (2) the date and time of arrival;
   3. (3) an emergency record number for the person;
   4. (4) the nature of the person's complaint;
   5. (5) disposition; and
   6. (6) time of and condition on departure.

6. (f) The emergency medical record must contain for each patient

   1. (1) adequate identification of the patient;
   2. (2) the time of and means by which the patient arrived, including by whom transported;
   3. (3) pertinent history of the patient's current condition;
   4. (4) diagnosis and treatment given;
   5. (5) condition of the patient on discharge or transfer; and
   6. (6) final disposition, including instructions given to the patient or the patient's family regarding necessary followup care.

7. (g) The emergency care service must have a written plan, developed in cooperation with members of the community served, which specifies how it will deal with an extreme emergency in the community. The plan must include a triage process which describes the methods for the

   1. (1) marshalling of resources to deal with the emergency;
   2. (2) determination of the level of urgency of each case; and
   3. (3) determination of appropriate services to be performed.
8. (h) The emergency care service must have available a communication system to maintain contact with the police department, rescue squads, and other emergency services of the community.
9. (i) A critical access hospital shall, at a minimum, ensure that a physician or mid-level practitioner with training or experience in emergency care is on call and immediately available by telephone or radio contact and available on site within 30 minutes on a 24-hours per day basis.
10. (j) A frontier extended stay clinic is exempt from the requirements of this section.

(Eff. 11/19/83, Register 88; am 9/1/2000, Register 155; am 12/3/2006, Register 180)

Authority: AS 18.05.040, AS 47.32.010, AS 47.32.030