Utah Admin. Code R911-9-1000 - Stroke Treatment and Stroke Receiving Facility Minimum Designation Requirements
(1) A Primary or
Comprehensive Stroke Treatment Center or an Acute Stroke Ready Hospital shall
be accredited by the Joint Commission or other nationally recognized
accrediting body.
(2) A hospital
designated as a Stroke Receiving Facility for receiving stroke patients via
Emergency Medical Services shall meet the following requirements:
(a) Be licensed as an acute care hospital in
Utah;
(b) Require physician
response to the emergency department in less than 30 minutes for treatment of
stroke patients;
(c) Maintain the
ability of physician and nursing staff to utilize a standardized assessment
tool for ischemic stroke patients;
(d) Maintain and utilize approved
thrombolytic medications for treatment of patients meeting criteria for
administration of thrombolytic therapy;
(e) Establish a standardized acute stroke
protocol and authorize appropriate emergency department staff to implement the
protocol when appropriate;
(f) Have
ancillary equipment and personnel available to diagnose and treat acute stroke
patients in a timely manner;
(g)
Establish patient transport protocols with designated stroke treatment
centers;
(h) Have a performance
improvement program for acute stroke care and report data as required by the
department; and
(i) Submit to a
site visit by representatives of the department.
(3) Upon designation, the department may, in
consultation with off-line EMS medical direction and protocol, recommend direct
transport of stroke patients to a Stroke Receiving Center or a Stroke Treatment
Center by licensed ambulance provider.
(4) Each hospital shall collect, and submit
at least quarterly to the department, stroke registry information necessary to
maintain an inclusive stroke system. Each hospital shall provide such data in a
standardized electronic format approved by the department.
(5) The stroke treatment and stroke receiving
designation and re-designation shall be for a period of three years.
Notes
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