26 Tex. Admin. Code § 509.47 - Emergency Services
(a) A facility shall
provide to each patient, without regard to the individual's ability to pay, an
appropriate medical screening, examination, and stabilization within the
facility's capability, including ancillary services routinely available to the
facility, to determine whether an emergency medical condition exists, and any
necessary stabilizing treatment.
(b) The organization of emergency services
shall be appropriate to the scope of the services offered. The services shall
be organized under the direction of a qualified physician member of the medical
staff who is the medical director or clinical director.
(c) A facility shall maintain patient medical
records for all emergency patients. The medical records shall contain patient
identification, complaints, name of physician, name of nurse, time admitted to
the emergency suite, treatment, time discharged, and disposition.
(d) A facility shall comply with the
following personnel requirements.
(1) There
shall be adequate medical and nursing personnel qualified in emergency care to
meet the written emergency procedures and needs anticipated by the
facility.
(2) As determined by the
medical staff, there must always be at least one person qualified and at least
one nurse with current advanced cardiac life support and pediatric advanced
life support certification on duty and on-site to initiate immediate
appropriate lifesaving measures.
(3) Qualified personnel shall always be
physically present in the emergency treatment area.
(4) One or more physicians shall always be
on-site during facility hours of operation.
(5) A facility shall maintain schedules,
names, and telephone numbers of all physicians and others on emergency call
duty, including alternates. The facility shall retain the schedules for at
least one year.
(e)
Adequate age-appropriate supplies and equipment shall be available and in
readiness for use. Equipment and supplies shall be available for the
administration of intravenous medications as well as facilities for the control
of bleeding and emergency splinting of fractures. The facility shall
periodically test the emergency equipment according to its policy.
(f) Age-appropriate emergency equipment and
supplies shall include:
(1) emergency call
system;
(2) oxygen;
(3) mechanical ventilatory assistance
equipment, including airways, manual breathing bag, and mask;
(4) cardiac defibrillator;
(5) cardiac monitoring equipment;
(6) laryngoscopes and endotracheal
tubes;
(7) suction
equipment;
(8) emergency drugs and
supplies specified by the medical staff;
(9) stabilization devices for cervical
injuries;
(10) blood pressure
monitoring equipment; and
(11)
pulse oximeter or similar medical device to measure blood
oxygenation.
(g) A
facility shall participate in the local Emergency Medical Service (EMS) system,
based on the facility's capabilities and capacity, and the locale's existing
EMS plan and protocols.
(h) A
facility shall comply with the following emergency services requirements for
survivors of sexual assault.
(1) This
subsection does not affect the duty of a facility to comply with subsection (a)
of this section.
(2) The facility
shall develop, implement, and enforce policies and procedures to ensure that
after a survivor of sexual assault presents to the facility following a sexual
assault, the facility shall provide the care specified under Texas Health and
Safety Code Chapter 323, Subchapter A.
(3) The facility shall develop, implement,
and enforce policies and procedures to ensure a person who performs a forensic
medical examination on a survivor of sexual assault completes the required
forensic evidence collection training or equivalent education required by Texas
Health and Safety Code §
323.0045.
(4) The facility shall develop,
implement, and enforce policies and procedures to provide basic sexual assault
response training that meets the requirements under Texas Health and Safety
Code §
323.0046 to
facility employees who provide patient admission functions, patient-related
administrative support functions, or direct patient care.
Notes
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