1. 1. Intensive care services are provided as an organized service in a designated area under the direction of a medical staff member;
2. 2. An inpatient admitted for intensive care services is personally visited by a physician at least once every 24 hours;
3. 3. Admission and discharge criteria for intensive care services are established;
4. 4. A personnel member’s responsibilities for initiation of medical services in an emergency to a patient in an intensive care unit pending the arrival of a medical staff member are established and documented in policies and procedures;

5. 5. In addition to the requirements in R9-10-214(C), an intensive care unit is staffed:

   1. a. With at least one registered nurse assigned for every two patients, and
   2. b. According to an acuity plan as required in R9-10-214;
6. 6. Each intensive care unit has a policy and procedure that provides for meeting the needs of the patients;
7. 7. If the medical services of an intensive care patient are reduced to a lesser level of care in the hospital, but the patient is not physically relocated, the nurse to patient ratio is based on the needs of the patient;
8. 8. Private duty staff do not provide hospital services in an intensive care unit;
9. 9. At least one registered nurse assigned to a patient in an intensive care unit is certified in advanced cardiac life support specific to the age of the patient;

10. 10. Resuscitation, emergency, and other equipment are available to meet the needs of a patient including:

    1. a. Ventilatory assistance equipment,
    2. b. Respiratory and cardiac monitoring equipment,
    3. c. Suction equipment,
    4. d. Portable radiologic equipment, and
    5. e. A patient weighing device for patients restricted to a bed; and
11. 11. An intensive care unit has at least one emergency cart that is maintained according to R9-10-218.

Except for a special hospital that provides only psychiatric services, an administrator of a hospital that provides intensive care services shall ensure that:

Historical Note

Former Section R9-10-221 renumbered as R9-10-317 as an emergency effective February 22, 1979, new Section R9-10-221 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 Section repealed; new Section made by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).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 R9-10-221 renumbered to R9-10-222; new Section R9-10-221 renumbered from R9-10-220 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).