Authority: IC 16-21-1-7

Affected: IC 16-21-1

Sec. 2. (a) If a hospital provides a community emergency service, the service shall meet the emergency needs of the patients served, within the scope of the service offered, in accordance with acceptable standards of practice, and be under the direction of a physician qualified by education or experience.

(b) The emergency service shall have the following:

1. (1) A scope of service that is clearly defined.

2. (2) Written policies and procedures governing medical care provided in the emergency service are established by and are a continuing responsibility of the medical staff. The policies shall include, but not be limited to, the following:

   1. (A) Provision for the care of the disturbed patient.
   2. (B) Provision for immediate assessment of all patients presenting for emergency and obstetrical care.
   3. (C) Provision for transfer of patients when care is needed which cannot be provided.
3. (3) Integration with other hospital services.
4. (4) Laboratory and x-ray services available at all times.

5. (5) Adequate qualified medical and nursing personnel available to meet the needs anticipated by the facility in accordance with 410 IAC 15-1.4-1 and 410 IAC 15-1.5-6, which includes, but is not limited to, the following:

   1. (A) A registered nurse on duty and available to patients presenting with an emergency condition, on a twenty-four (24) hours per day, seven (7) day per week basis.
   2. (B) A physician available at all times in accordance with 410 IAC 15-1.4-1(d)(3) and attending to patients with an emergency condition.
6. (6) A physician on-call roster available in the emergency service department which lists medical specialists in addition to scheduled medical staff.
7. (7) A patient control register.

(Indiana Department of Health; 410 IAC 15-1.6-2; filed Dec 21, 1994, 9:40 a.m.: 18 IR 1277; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR-410110253RFA; readopted filed Sep 13, 2017, 4:08 p.m.: 20171011-IR-410170339RFA; readopted filed Nov 28, 2023, 12:13 p.m.: 20231227-IR-410230639RFA)