| (a) A CSU administrator, or administrator's designee,
must:
(1) identify common emergency medical conditions of
individuals the CSU staff will likely encounter; and
(2) develop a written plan describing the specific
and appropriate action the CSU staff members will take to stabilize
each identified common emergency medical condition, approved in writing
by the medical director, as required by §306.61 of this subchapter
(relating to Crisis Stabilization Unit Medical Services), which includes:
(A) the administration of first aid and Basic Life
Support when clinically indicated;
(B) the use of the supplies and equipment described
in subsection (f) of this section; and
(C) if the action is facilitating transfer of the individual,
a description of the method of transportation, and the name and location
of the hospital to which an individual will be transferred.
(b) At least one physician, or physician-delegated
PA or APRN, must, at all times:
(1) be physically present at a CSU to respond to an
individual's emergency medical condition; or
(2) be available to staff members by telephone, radio,
or audiovisual telecommunication device to provide medical consultation
as soon as possible, but not longer than 30 minutes.
(c) If a CSU physician, or physician-delegated PA or
APRN, determines an individual has an emergency medical condition:
(1) the CSU physician, or physician-delegated PA or
APRN, must act to stabilize the emergency medical condition within
the capability of the CSU staff's abilities and in accordance with
the plan required by subsection (a)(2) of this section, and summon
emergency medical services (EMS) for transfer to a general hospital;
and
(2) EMS transfers the individual to a general hospital
from the CSU, an RN must, as soon as possible:
(A) inform the general hospital to which the transfer
is made, by telephone, of:
(i) the general condition and medical diagnoses of
the individual;
(ii) the medications administered, and treatments provided,
to the individual by the CSU; and
(iii) the prognosis of the individual; and
(B) provide a copy of the individual's medical records
to the general hospital to which the transfer is made.
(d) A CSU administrator, or administrator's designee,
must have a written agreement with a general hospital that the hospital
will accept, for medical treatment and care, an individual transferred
from the CSU in accordance with subsection (c) of this section.
(e) The CSU must have at least one staff member on
each shift certified in Basic Life Support and available to respond
to emergency medical conditions in accordance with the plan required
by subsection (a)(2) of this section.
(f) The CSU must have an adequate amount of appropriate
emergency supplies and equipment immediately available and fully operational
at the CSU to respond to emergency medical conditions in accordance
with the plan required by subsection (a)(2) of this section, including,
at a minimum:
(1) oxygen;
(2) manual breathing bags and masks;
(3) an automated external defibrillator; and
(4) a first aid kit.
(g) A CSU administrator, or administrator's designee,
must have a written natural disaster response policy and an active
shooter policy.
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