26 Tex. Admin. Code § 306.89 - Crisis Stabilization Unit Response to an Emergency Medical Condition

(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.

Notes

26 Tex. Admin. Code § 306.89

Adopted by Texas Register, Volume 46, Number 21, May 21, 2021, TexReg 3273, eff. 5/27/2021