Ariz. Admin. Code § 9-10-1019

Current through Register Vol. 30, No. 25, June 21, 2024

Section R9-10-1019 - Emergency Room Services

An administrator of an outpatient treatment center that is authorized to provide emergency room services shall ensure that:

1. Emergency room services are:

a. Available on the premises:

i. At all times, and

ii. To stabilize an individual's emergency medical condition; and

b. Provided:

i. In a designated area, and

ii. Under the direction of a physician;

2. Clinical laboratory services are available on the premises;

3. Diagnostic imaging services are available on the premises;

4. An area designated for emergency room services complies with the physical plant codes and standards for a freestanding emergency care facility in R9-10-104.01;

5. Policies and procedures are established, documented, and implemented to protect the health and safety of a patient that specify requirements for the use of a seclusion room used for seclusion that meets the requirements in R9-10-217(D);

6. A physician is present in an area designated for emergency room services;

7. A registered nurse is present in an area designated for emergency room services and provides direction for nursing services in the designated area;

8. The outpatient treatment center has a documented transfer agreement with a general hospital;

9. Emergency room services are provided to an individual, including a woman in active labor, requesting medical services in an emergency;

10. If emergency room services cannot be provided at the outpatient treatment center, measures and procedures are implemented to minimize the risk to the patient until the patient is transferred to the general hospital with which the outpatient treatment center has a transfer agreement as required in subsection (8);

11. There is a chronological log of emergency room services provided to a patient that includes:

a. The patient's name;

b. The date, time, and mode of arrival; and

c. The disposition of the patient, including discharge or transfer; and

12. The chronological log required in subsection (12) (11) is maintained:

a. In the designated area for emergency room services for at least 12 months after the date the emergency room services were provided; and

b. By the outpatient treatment center for a total of at least 24 months after the date the emergency room services were provided.

Ariz. Admin. Code § R9-10-1019

Adopted as an emergency effective November 17, 1983, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Former Section R9-10-1019 adopted as an emergency now adopted as a permanent rule effective February 15, 1984 (Supp. 84-1). Repealed by summary action, interim effective date July 21, 1995 (Supp. 95-3). The proposed summary action repealing R9-10-1019 was remanded by the Governor's Regulatory Review Council which revoked the interim effectiveness of the summary rule. The Section in effect before the proposed summary action has been restored (Supp. 97-1). Section repealed by final rulemaking at 5 A.A.R. 1222, effective April 5, 1999 (Supp. 99-2). New Section made 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, effective 7/1/2014. Amended by final rulemaking at 25 A.A.R. 1583, effective 10/1/2019. Amended by final expedited rulemaking at 25 A.A.R. 3481, effective 11/5/2019.