Utah Admin. Code R432-108-6 - Hospital Rules

(1) The following sections of Rule R432-100, General Hospital Rules, additionally apply to the licensee:

(a) Governing Body;

(b) Administrator;

(c) Professional Staff; a network hospital or a department approved equivalent may perform credentialing of medical and professional staff;

(d) Personnel Management Services;

(e) Quality Improvement Plans; a network hospital or department approved equivalent may perform quality improvement;

(f) Infection Control and Prevention;

(g) Patient Rights;

(h) Nursing Services; a qualified registered nurse is not required to be on duty on a 24-hour basis; but shall be on duty when there are patients in the facility;

(i) Radiology Services; a licensee may provide off-site radiology services through a network hospital or through other arrangements approved by the department;

(j) Pharmacy Services;

(k) Medical Records;

(l) Housekeeping Services;

(m) Maintenance Services; and

(n) Emergency and Disaster Plans.

(2) If the licensee provides the following clinical or ancillary services then the following sections of Rule R432-100 shall apply to the licensee:

(a) Surgical Services;

(b) Anesthesia Services;

(c) Perinatal Services;

(d) Respiratory Services;

(e) Blood Services;

(f) Telemedicine Services;

(g) Central Supply; and

(h) Laundry Services.

(3) The licensee shall ensure that there is enough medical and nursing personnel qualified in emergency care to meet the written emergency procedures and needs anticipated by the facility.

(4) The licensee shall meet the requirements specified in the Code of Federal Regulations, Title 485, Part 618, Sections (a) through (e) with respect to:

(a) 24-hour availability of emergency services;

(b) equipment, supplies, and medication;

(c) blood and blood products;

(d) personnel; and

(e) coordination with emergency response systems.

(5) The licensee shall have an agreement in effect with at least one certified hospital that is a level I or level II trauma center as identified in Rule R426-9 for the referral and transfer of patients requiring emergency medical care beyond the capabilities of the REH.

(6) The licensee shall provide basic laboratory services essential to the immediate diagnosis and treatment of the patient consistent with nationally recognized standards of care for emergency services. The licensee shall ensure that:

(a) laboratory services are available, either directly or through a contractual agreement with a certified laboratory that meets requirements of the Code of Federal Regulations, Title 42, Part 493; and

(b) emergency laboratory services are available 24 hours a day.

Notes

Utah Admin. Code R432-108-6

Adopted by Utah State Bulletin Number 2023-14, effective 7/6/2023