1. A. An administrator of a general hospital or a rural general hospital shall ensure that:

   1. 1. Emergency services are provided 24 hours a day in a designated area of the hospital;
   2. 2. Emergency services are provided as an organized service under the direction of a medical staff member;
   3. 3. The scope and extent of emergency services offered are documented in the hospital’s scope of services;
   4. 4. Emergency services are provided to an individual, including a woman in active labor, requesting emergency services;
   5. 5. If emergency services cannot be provided at the hospital to meet the needs of a patient in an emergency, measures and procedures are implemented to minimize risk to the patient until the patient is transported or transferred to another hospital;
   6. 6. A roster of on-call medical staff members is available in the emergency services area;

   7. 7. There is a chronological log of emergency services provided to patients that includes:

      1. a. The patient’s name;
      2. b. The date, time, and mode of arrival; and
      3. c. The disposition of the patient including discharge, transfer, or admission; and

   8. 8. The chronological log required in subsection (A)(7) is maintained:

      1. a. In the emergency services area for at least 12 months after the date of the emergency services; and
      2. b. By the hospital for at least an additional four years.
2. B. An administrator of a special hospital that provides emergency services shall comply with subsection (A).
3. C. An administrator of a hospital that provides emergency services, but does not provide perinatal organized services, shall ensure that emergency perinatal services are provided within the hospital’s capabilities to meet the needs of a patient and a neonate, including the capability to deliver a neonate and to keep the neonate warm until transfer to a hospital providing perinatal organized services.
4. D. An administrator of a hospital that provides emergency services shall ensure that a room used for seclusion in a designated area of the hospital used for providing emergency services, complies with applicable physical plant health and safety codes and standards for a secure hold room as described in the American Institute of Architects and Facilities Guidelines Institute, Guidelines for Design and Construction of Health Care Facilities, incorporated by reference in R9-10-104.01.

Historical Note

Adopted effective February 23, 1979 (Supp. 79-1). Section repealed; new Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). Section R9-10-217 renumbered to R9-10-218; new Section R9-10-217 renumbered from R9-10-216 and amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2). Amended by final rulemaking at 25 A.A.R. 1583, effective October 1, 2019 (Supp. 19-3). Amended by final expedited rulemaking, at 25 A.A.R. 3481 with an immediate effective date of November 5, 2019 (Supp. 19-4).