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Title: Section 712-1.10 - Emergency departments

Effective Date


712-1.10 Emergency departments. The emergency service area shall be in close proximity to the emergency entrance, and easily accessible from within the hospital. It shall be located so as to prevent outpatients from traversing in patient areas and shall have adequate space for reception, examination, observation and treatment to ensure effective care of emergency patients. (a) Service areas shall include, but not be limited to the following: (1) A well-marked and sheltered entry with nearby emergency parking and convenient access for ambulances.
(2) A reception area and adjacent waiting area with telephone, drinking fountain, and toilet rooms for each sex. The waiting area may used by other departments.
(3) An admissions and patients' records area.
(4) Examination and treatment room(s) with lavatory.
(5) Emergency room with the appropriate equipment for rendering emergency patient care, including but not limited to: (i) an examining table;
(ii) a wheeled stretcher;
(iii) a wheelchair;
(iv) resuscitation devices with oxygen supply;
(v) inhalator attachments or accessories, including masks;
(vi) mechanical suction devices, including stomach pumps;
(vii) an examining light;
(viii) irrigation stands;
(ix) pressure sterilizers, unless this procedure is performed elsewhere;
(x) a nourishment station, and/or refrigerator;
(xi) complete trays for catheterizations, cutdown, lavage, intubations and tracheotomies, blood pressure sets, ophthalmoscopes, percussion hammers, surgical instruments, needles, syringes, drains, assorted splints and miscellaneous equipment, as specified by the medical board and the physician-in-charge;
(xii) a medication preparation area; (xiii) storage area for sterile supplies;
(xiv) a wheelchair and stretcher alcove;
(xv) a janitor's closet; and,
(xvi) adequate utility areas. (b) Hospitals that provide extensive emergency care shall house additional work areas large enough to accommodate the efforts of a multi-disciplinary emergency team, and shall comply with and provide the following: (1) An area apart from other patients shall be used for the treatment of severe trauma patients.
(2) Separate rooms for urgent, but limited, surgery and treatment of fractures, shall be provided.
(3) Suction and oxygen equipment and cardiopulmonary resuscitation units shall be readily available for use.
(4) Rapid communication with other departments of the hospital shall be ensured. A separate communications system connecting the emergency service with all functionally related areas such as blood storage, surgical suite, clinical laboratories, and diagnostic radiology shall be provided.


VOLUME D (Title 10)