WAC 246-330-225   Emergency services.  The purpose of this section is to guide the management and care of patients receiving emergency services.

     An ambulatory surgical facility must:

     (1) Develop, implement and maintain a facility safety and emergency training program that includes:

     (a) On-site equipment, medication and trained personnel to manage any medical emergency that may arise from the services provided or sought;

     (b) A written and signed transfer agreement with one or more local hospitals that has been approved by the ambulatory surgical facility's medical staff;

     (c) Policies and a procedural plan for handling medical emergencies; and

     (d) Define the qualifications and oversight of staff delivering emergency care services.

     (2) Assure at least one registered nurse skilled and trained in emergency care services on duty and in the ambulatory surgical facility at all times a patient is present, who is:

     (a) Immediately available to provide care; and

     (b) Trained and current in advanced cardiac life support.

     (3) Assure communication with agencies and health care providers as indicated by patient condition; and

     (4) Assure emergency equipment, supplies and services necessary to meet the needs of patients are immediately available.



[Statutory Authority: Chapter 70.230 RCW. 09-09-032, § 246-330-225, filed 4/7/09, effective 5/8/09.]