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Title: Section 752-2.4 - Administrative requirements

Effective Date


752-2.4 Administrative requirements. When limited emergency care services are offered by an UD&TC the operator shall ensure that:

(a) such care is provided in a specifically designated area of the center that is staffed, equipped, and maintained during posted hours, and that the center is capable of providing care to patients with urgent and limited emergent medical problems and of ensuring that the services of a physician, physician's assistant or nurse practitioner with training and/or experience in emergency care, including Advanced Cardiac Life Support (ACLS), are immediately available by telephone or radio contact as established through written agreement with network providers, and available on site at the center within 30 minutes on a 24-hour a day basis. The UD&TC shall also:

(1) participate in the development and implementation of an EMS plan that shall be a component of the cooperative agreement or operational plan for the network within which the UD&TC operates. The plan must be acceptable to existing local EMS system and to service delivery providers operating within the network service area in order to ensure the provision of the services described above. In addition the operator shall:

(i) post hours of operation publicly in the communities it serves and make them available to the designated medical control facility for the network;

(ii) change posted hours of operation only after a specified notification period to insure the community has had ample warning of such changes;

(iii) install and maintain a radio operated or dedicated phone line (call box) outside the center to provide continuous contact with medical control and appropriate providers of advice and/or emergency transport for patients who may arrive at the center after operating hours; and

(iv) develop written polices and protocols for medical control. Such protocols shall be developed in conjunction with appropriate network providers, entities providing medical control services, consistent with area and regional EMS protocols, and be approved by the area Regional Emergency Medical Advisory Committee (REMAC);

(2) provide initial diagnostic evaluation, a limited range of treatments, necessary resuscitation and stabilization, and initiate transport to an appropriate facility affiliated with the rural health network, or other hospital, for services not offered at the center; and

(3) clearly outline, in a network cooperative agreement or operational plan, treatment and admission criteria for limited emergency cases and integrate the plan with the network's EMS delivery system;

(b) maintain the capacity to handle limited emergency patients in need of immediate stabilization, and arrange for transfer to an appropriate facility;

(c) ensure that specific written operating procedures are established delineating the duties and responsibilities of medical, nursing and other clinical support staff in providing high quality, coordinated, emergency care services;

(d) ensure that the center, in conjunction with other network EMS providers, develops and supports network-wide systems for mutual aid, overlapping coverage, destination protocols, data collection and other aspects requiring coordination to enhance the delivery of emergency medical services; and

(e) ensure that the center participates in a comprehensive, on-line information and data collection system to enable on-going evaluation of the provision of emergency services including medical control, consultation, emergency medical back-up and pre-hospital emergency services.


VOLUME E (Title 10)