Section 100270.124 - Stemi Receiving Center Requirements(a) The following minimum criteria shall be used by the local EMS agency for the designation of a STEMI receiving center: (1) The hospital shall have established protocols for triage, diagnosis, and Cath lab activation following field notification.(2) The hospital shall have a single call activation system to activate the Cardiac Catheterization Team directly.(3) Written protocols shall be in place for the identification of STEMI patients. (A) At a minimum, these written protocols shall be applicable in the intensive care unit/coronary care unit, Cath lab and the emergency department.(4) The hospital shall be available for treatment of STEMI patients twenty-four (24) hours per day, seven (7) days per week, three hundred and sixty-five (365) days per year.(5) The hospital shall have a process in place for the treatment and triage of simultaneously arriving STEMI patients.(6) The hospital shall maintain STEMI team and Cardiac Catheterization Team call rosters.(7) The Cardiac Catheterization Team, including appropriate staff determined by the local EMS agency, shall be immediately available.(8) The hospital shall agree to accept all STEMI patients according to the local policy.(9) STEMI receiving centers shall comply with the requirement for a minimum volume of procedures for designation required by the local EMS agency.(10) The hospital shall have a STEMI program manager and a STEMI medical director.(11) The hospital shall have job descriptions and organizational structure clarifying the relationship between the STEMI medical director, STEMI program manager, and the STEMI team.(12) The hospital shall participate in the local EMS agency quality improvement processes related to a STEMI critical care system.(13) A STEMI receiving center without cardiac surgery capability on-site shall have a written transfer plan and agreements for transfer to a facility with cardiovascular surgery capability.(14) A STEMI receiving center shall have reviews by local EMS agency or other designated agency conducted every three years.(b) A STEMI center designated by the local EMS agency prior to implementation of these regulations may continue to operate. Before re-designation by the local EMS agency at the next regular interval, STEMI centers shall be re-evaluated to meet the criteria established in these regulations.(c) Additional requirements may be stipulated by the local EMS agency medical director.Cal. Code Regs. Tit. 22, § 100270.124
1. New article 4 (sections 100270.124-100270.125) and section filed 4-19-2019; operative 7-1-2019 (Register 2019, No. 16). Note: Authority cited: Sections 1797.103, 1797.107, 1797.176, 1797.220, 1798.150, 1798.167 and 1798.172, Health and Safety Code. Reference: Sections 1797.176, 1797.220, 1798, 1798.150 and 1798.170, Health and Safety Code.
1. New article 4 (sections 100270.124-100270.125 ) and section filed 4-19-2019; operative 7/1/2019 (Register 2019, No. 16).